CATRAC Education Symposium Speaker Form
Deadline for submission: August 1, 2026
Name of Presenter
*
First Name
Last Name
Name of Presenter
First Name
Last Name
Name of Presenter
First Name
Last Name
Name of Presenter
First Name
Last Name
Email for the Point of Contact
*
example@example.com
Biography of Presenter(s)
*
0/150
Primary Topic Area
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Trauma
EMS/Prehospital
Emergency Medicine
Pediatric Care
Stroke
Perinatal / OB
Disaster Preparedness
Behavioral / Mental Health
Rural / Systems of Care
Quality Improvement / Data
Education / Simulation
Leadership / Operations
Other
Target Audience
*
EMS (EMT/AEMT/Paramedic)
Nurses
Physicians
Advanced Practice Providers
Hospital Administration
Trauma Coordinators
Public Health
Students
Mixed/Interdisciplinary
Presentation Level:
*
Please Select
Beginner / Introductory
Intermediate
Advanced
Mixed Audience
Brief Presentation Description / Abstract
*
0/150
Learning Objectives of the Presentation (2-3)
*
0/150
Please provide 4-5 Key Elements you will be discussing
*
0/150
References (at least 2-3 references published within the past 5 years)
*
Submit
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