International Conference on Intensive Care and21st Annual Conference of the Indian Academy of Pediatrics Mumbai
W: www.iconicembicon.com | E: [email protected]: +91 22 24045803, +91 84240 12019
5th-7th July, 2019The Lalit, Mumbai
ConferenceHighlights• The platform to learn, discuss and interact with
International & National Experts.• Six hands-on workshops to hone the skills of PGs,
General Pediatricians and Intensivists.• World-class venue.
Scientifi cHighlights• Protocol based therapy.• Parallel sessions for General Pediatricians and
Intensivists.• Basics to Advanced Management modalities-from the
Emergency room to the Intensive Care Unit.• How to recognize and manage a sick child?• Rational therapy guidelines in the Intensive Care unit.• How can a pediatrician stabilise a critically ill child? • Bench to bedside...clinical application of latest evidence.• Oration.• Poster Presentations.
ICONICEMBICON 2019
WELCOME LETTER
ORGANISING COMMITTEE
Dear Colleagues,
We welcome you to the city of Mumbai for ICONIC EMBICON 2019- The International Conference on Intensive Care and the 21st Annual Conference of Indian Academy of Pediatrics Mumbai!
Mumbai is a city that moves with the times, keeping up with the changing trends, but at the same time retains its welcoming nature and iconic stature. Mumbai is not only the financial capital of India, but is also a leading center of learning. This is reflected in our conference theme “Change is the Trend”.
Intensive care is a dynamic science and we should consistently be in touch with the changing trends. This conference aims to keep us abreast with the latest intensive care therapies and protocols. The conference seeks to strengthen the emergency room and bridge the gap in critical care. Since we have a dearth of Intensivists, we aim to empower the general pediatrician to participate in emergency care.
The conference will cover all aspects of intensive care, from basics to beyond. There will be different sessions for the practicing pediatricians, intensivists and post- graduate students by a gamut of international experts in pediatric intensive care.
We request you to block your dates and register for this unique conference at the earliest!!!
International Conference on Intensive Care and 21st Annual Conference of the Indian Academy of Pediatrics Mumbai
ICONIC EMBICON 2019 | Mumbai
AdvisorsDr. Pravin Mehta Dr. Uma Ali Dr. Mamta Manglani Dr. Bharat Agarwal Dr. Nitin Shah
Organising ChairpersonsDr. Bakul ParekhDr. Bela VermaDr. Soonu Udani
ConvenorDr. Sanjay Ghorpade
Organising SecretariesDr. Uday PaiDr. Preetha JoshiDr. Dayanand NakateDr. Amin Kaba
TreasurerDr. Bipin Shah
Co-TreasurerDr. Vinay Joshi
Chairperson, Scientific CommitteeDr. Mahesh Mohite
Co-Chairperson, Scientific CommitteeDr. Praveen Khilnani
Members, Scientific CommitteeDr. Preetha JoshiDr. Sachin ShahDr. Bela VermaDr. G. V. BasavarajaDr. Sushma SaveDr. Sameer SadawarteDr. Rajesh ChokhaniDr. Paramanand AndankarDr. Jesal Sheth
Chairperson, Finance CommitteeDr. Vinay Joshi
Members, Finance CommitteeDr. Mahesh MohiteDr. Soonu UdaniDr. Bakul ParekhDr. Uday PaiDr. Sanjay GhorpadeDr. Sharat Menon
Chairperson, Registration & Web CommitteeDr. Yashwant Gabhale
Member, Registration CommitteeDr. Amruta Shirodkar
Chairperson, Transport CommitteeDr. Sameer Sadawarte
Chairperson, Accommodation CommitteeDr. Sheikh Minhaj Ahmed
Chairperson, AV CommitteeDr. Bhavesh Mithiya
Chairperson, Hall Management CommitteeDr. Nehal Shah
Member, Hall Management CommitteeDr. Muthu Lakshmi Ramaswamy
Chairperson, Catering CommitteeDr. Bipin Shah
Member, Catering CommitteeDr. Sushant Mane
Chairperson, Cultural CommitteeDr. Vijay Tuteja
Chairperson, Reception CommitteeDr. Samir Dalwai
Chairperson, Workshop CommitteeDr. Barkha Chawla
Members, Workshop CommitteeDr. Jesal Sheth Dr. Paramanand Andankar
Chairperson, Memento and Certificate CommitteeDr. Swati Gupta
Chairperson, Faculty Coordination CommitteeDr. Sushant Mane
Chairperson, Exhibition and Trade CommitteeDr. Amin Kaba
Chairperson, Abstracts and PostersDr. Sujata Kanhere
Conference Registration Details (6th July, 2019 and 7th July, 2019)
CIAP Member [ ] Non-Member [ ] P.G. Student [ ] Sr. Citizen (Above 70 years) [ ] Acc. Delegate [ ]
CIAP Membership No _____________________________ MCI/State Reg No _______________________
Full Name _________________________________________ Age [ ] Gender - Male [ ] Female [ ]
Address ______________________________________________________________________________
City ________________ State _____________________ Pin Code _________ Country _______________
Email ___________________________________________ Mobile No ____________________________
Pre-Conference Workshop Registration Details (5th July, 2019)
Conference Registration Reference Number __________ (If registering for pre-conference at a later date)
Pre-Conference Workshop Code _______________
Accommodation Details (6th July, 2019 Check-in and 7th July, 2019 Check-out)
Conference Registration Reference Number __________ (If booking accommodation at a later date)
Accommodation Category _______________________________________________
Name of 1st Occupant _______________ Name of 2nd Occupant _______________
Payment Details
Amount Paid for Conference Registration ₹ __________________________
Pre-Conference Workshop Registration ₹ ____________________________
Accommodation ₹ _____________________________________________
Total Paid ₹ ___________Total Amount in Words ______________________________________________
Institute Name __________________________________ GST No. (if applicable) ____________________
Payment Mode Cash [ ] Card [ ] Cheque [ ] DD [ ]
Cheque/DD/Transaction ID ____________________________________ Date _______________________
Indian Academy Of Pediatrics Mumbai - GST No: 27AAATI5074JIZG • Indian Academy Of Pediatrics Mumbai - Pan No: AAATI5074JIZG
*Payment to be made by Cheque/ DD In favour of “ICONIC EMBICON”
Date ________________ Signature ____________________
*(As required on certificate & badge)
*(Please tick on the appropriate registration category)
(Compulsory)
REGISTRATION FORM
Conference Secretariat:ICONIC EMBICON 2019 c/o INDIAN ACADEMY OF PEDIATRICS MUMBAI
Gita Building, 1st Floor, Next to Chhagan Mitha Petrol Pump, Rani Laxmibai Chowk (Sion Circle)92/4, Dr. Babasaheb Ambedkar Road, Sion, Mumbai 400022
W: www.iconicembicon.com | E: [email protected] | P: +91 22 24045803, +91 84240 12019
Please fill up one form per person. Kindly attach another form for accompanying delegate
International Conference on Intensive Care and 21st Annual Conference of the Indian Academy of Pediatrics Mumbai
Accommodation Note:1. Stay for 1 night (06/07/19 Check-in at 1400 hrs and 07/07/19 Check-out at 1200 hrs) at the conference venue in a well appointed room2. Breakfast at a designated venue 3. Complimentary WIFI4. In case additional night, early check-in or late check-out is needed, please contact the secretariat and book the same at a fee5. 3rd occupant is allowed in case of children below 12 years. Please contact the secretariat and book the same at a fee 6. For delegates purchasing twin occupany rooms, the hotel will allott rooms with another delegate of the same gender7. Twin beds are subject to availability
Please Note:1. Accompanying delegate registration is mandatory2. GST is included in the above slabs.3. P.G. students are required to produce certificate from HOD or their allotment letter of P.G. from competent authorities4. Child below 5 years will be given complimentary registration. (Age proof required)5. Senior citizens are requested to give self-attested photocopy of their valid age proof & keep original at the time of registration6. Registration confirmation will be provided via Email and SMS within 7 working days of realisation of payment
No. Registration Category upto 30/04/19
01/05/19to 31/05/19
01/06/19to 30/06/19
01 July 2019 onwards
1 CIAP Member Delegate ₹5,000/- ₹6,000/- ₹7,000/- ₹15,000/-
2 Non-Member Delegate ₹7,000/- ₹9,000/- ₹10,000/- ₹20,000/-
3 PG Student ₹4,000/- ₹5,000/- ₹6,000/- ₹7,000/-
4 IAP Senior Citizen above 70 yrs. 0 0 ₹7,000/- ₹15,000/-
5 Accompanying Delegate ₹5,000/- ₹6,000/- ₹7,000/- ₹15,000/-
No. Accommodation Category upto 30/04/19
01/05/19to 31/05/19
01/06/19to 30/06/19
01 July 2019 onwards
1 Single Occupancy(per person per night) ₹9,000/- ₹9,000/- ₹9,000/- Subject to Availablity
2 Double Occupancy(per person per night) ₹5,000/- ₹5,000/- ₹5,000/- Subject to Availablity
Code Name Venue Registration Fee Convenor
001 Basic Ventilation Bai Jerbai Wadia Hospital for Children, Parel ₹2,000/- Dr. Laxmi ShobhawatMobile: +91 98205 14227
002 Advanced Ventilation SRCC Children’s Hospital, Mahalaxmi ₹2,000/- Dr. Amish VoraMobile: +91 99303 27540
003EPIC - Essential Pediatric Intensive Care
Lilavati Hospital and Research Centre, Bandra ₹2,000/- Dr. Sheikh Minhaj AhmedMobile:+91 98696 60060
004 APICC (4th-5th July) Kokilaben Dhirubhai Ambani Hospital,Andheri ₹4,000/- Dr. Preetha Joshi
Mobile: +91 93206 07666
005 Simulation Workshop D Y Patil University - School of Medicine, Nerul ₹5,000/- Dr. Jesal ShethMobile: +91 99309 51440
006PICU - Procedures and Difficult Airway Management
Jupiter Hospital, Thane ₹2,000/- Dr. Paramanand AndankarMobile: +91 94434 61417
Schedule of Fees: Conference Registration (6th July, 2019 and 7th July, 2019)
Schedule of Fees Accommodation: (6th July, 2019 and 7th July, 2019)
Schedule of Fees: Pre-Conference Registration (5th July, 2019)
Registration Entitlements
Primary Delegate Accompany Delegate Pre-Conference Workshop
• Access to the Scientific Sessions on 6th and 7th July, 2019
• Access to the Industry Exhibition on 6th and 7th July, 2019
• Breakfast on 6th and 7th July, 2019• Lunch on 6th and 7th July, 2019• Dinner on 6th of July, 2019• Conference Bag• Conference Badge• Certificate of Attendance
• Breakfast on 6th and 7th July, 2019• Lunch on 6th and 7th July, 2019• Dinner on 6th of July, 2019• Conference Badge
• Access to the Pre-Conference Workshop Scientific Sessions
• Lunch on the 5th July, 2019 (4th-5th July for APICC Workshop)
• Pre-Conference Workshop Badge• Reading Literature/ Course
Materials (if any)• Certificate of Attendance