ILCOR General Assembly Meeting Agenda November 10, 2017 … ILCOR Anaheim Meeting... · ILCOR...

ILCOR General Assembly Meeting Agenda November 10, 2017 1pm-5pm (Pacific)

Wyndham Anaheim Garden Grove Catalina A1-A3

Meeting Materials available on extranet site.

*All exhibits are hyperlinked within agenda.

1pm-5pm 1300-1700 General Assembly Meeting (Concurrent Tea Available)

1:00-1:15pm 1300-1315 Welcome, Introductions, COI Gavin Perkins Robert Neumar

1:15-1:20pm 1315-1320 Matters arising from Minutes

1:20-1:25pm 1320-1325 Approval of Minutes Exhibit 1

1:25-1:40pm 1325-1340 Treasurer’s Report Swee Han Lim Bart Vissers

1:40-2:10pm 1340-1410 Publications Update• COSCA• IHCA• GAPS• CoSTR Summary Article• 25th Anniversary Paper

• Worldwide Restart a Heart Day (WRHD)

Gavin Perkins Jerry Nolan

Gavin Perkins Jerry Nolan

Gavin Perkins Exhibit 2

Gavin Perkins Exhibit 3

2:10-4:00pm 1410-1600 Strategic Plan Working Group Updates and reviewof each accountability framework

Working Group Chairs

https://volunteer.heart.org/apps/pico/2017%20ILCOR%20Anaheim%20Meeting/Forms/AllItems.aspx

2:10-3:00pm 1410-1500

• Operations Working Group o Articles of Incorporation Revision o Internal Rules Revision o Digital Communications Working Group o ILCOR Staff Support o Accountability Framework

Michael Parr Exhibits 4-5 Exhibits 6-7

Exhibit 8

Exhibit 9 Exhibit 10

S3:00-3:30pm

1500-1530

• Continuous Evidence Evaluation Process o Gantt Chart (progress chart) o KSUs update o SRs-update o Accountability Framework

Peter Morley Jerry Nolan

Exhibit 11

3:30-3:45pm 1530-1545

• Expanded Membership, Participation and Advocacy o Comment on Admendments to

Articles of Incorporation o Accountabilty Framework

Vinay Nadkarni

Exhibit 12

3:45-4:00pm 1545-1600

• Research and Registries o Accountability Framework o Progress Report

Taku Iwami Jerry Nolan

Exhibit 13 Exhibit 14

4:00-4:15pm 1600-1615

• Finance o Accountability Framework

Robert Neumar Exhibit 15

4:15-4:45pm 1615-1645

Publication Strategies for ILCOR publications

• Annual CoSTR summary published in Circulation/Resuscitation

• CoSTRs published on ILCOR website

Jerry Nolan Exhibit 16

4:45-4:55pm 1645-1655 Council Reports (rapid 3 minute reports)

• AHA • ANZCOR • ERC • HSFC • IAHF • RCA • RCSA

Karl Kern Richard Aickin

Jerry Nolan Allan de Caen

Raffo Escalante Tzong-Luen Wang

David Stanton

4:55-5:00pm 1655-1700 Other Business

• Interest expressed in hosting Fall 2019 Exhibit 17 • Next Meeting:

Bologna, Italy 17-19, September 2018 Hotel TBA Touch Point during AHA ReSS November 9, 2018 Chicago, IL Hotel TBA

5:00pm 1700 Adjournment

1

ILCOR General Assembly Adelaide Hilton Hotel

4/5/2017 13.00-17.00.

1. Introduction

a. Gavin Perkins welcomed those present. Everybody introduced himself and potential COIs were declared.

b. Richard Aickin was appointed as COI officer.

2. Matters arising from minutes a. The minutes of 11 November 2016 were approved without comments. b. AOB: Jerry Nolan asked for “future meetings” to be added.

3. Secretary Elections

a. Koen Monsieurs is stepping down from his role as Secretary after two terms. b. Three applications for the post of Honorary Secretary were received: Allan de

Caen, Maaret Castren, Peter Morley. c. The candidates presented themselves and their vision for ILCOR. d. Procedure: secret ballot, candidate must have a majority vote. If majority

vote not achieved during first round, second round will be organized without the candidate with the least votes.

e. There are 20 delegates present. A majority is 11. In case of a tie the co-chairs will cast their vote.

f. Michael Parr and Swee Han-Lim were appointed to count the votes. g. Result first round: Maaret Castren received a majority of votes. h. Gavin Perkins congratulated Maaret Castren as the new Honorary Secretary

(in Office from the next GA on).

4. Treasurer’s report (Swee-Han Lim) a. Swee Han Lim presented the Balance of Fiscal Year 2016. b. The biggest expenditure was for conducting the strategic plan in Singapore c. It was noted that the RCSA has not paid its duties for 2016. d. Budget 2017: a small positive result is expected. e. The financial report was approved unanimously.

5. Publication update

a. COSCA (Perkins) i. Submitted to Circulation

b. IHCA (Nolan) i. A draft was prepared by a core writing group.

c. GAPS (Perkins) i. Ready to be submitted to Circulation

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d. Other i. ILCOR drowning (Idris and Bierents): accepted in an AHA journal

e. Robert Neumar added that a process for publication of ILCOR papers was being developed.

6. Strategic Plan Working Group Updates and review of each accountability framework a. CEE

i. Jerry Nolan reported that two KSUs are being contracted. Systematic reviewers are recruited (12 SR and 11 mentees), domain leaders are being selected (3 confirmed).

ii. Allan de Caen asked if the KSUs had background knowledge on resuscitation, and if the SR had resuscitation knowledge. Jerry Nolan said that the KSUs vary in specific knowledge about resuscitation. One SR mentee is not directly involved in resuscitation, but all SR are. Mentees are not paid. Corrections: Chihung Wang is from Taiwan, not Japan as written on the slide. Adam Cheng is from Canada (not US). Masanori Tamuri should read Tamura.

iii. The work of the KSU and SR will start in July. Task forces will come together in Anahaim for F2F meeting.

iv. The preferences of Domain leaders will be matched with the needs. v. Vinay Nadkarni suggested to organize ILCOR meetings more

strategically in certain underrepresented areas to actively promote diversity of ILCOR volunteers. A F2F meeting in India or China was suggested. Bill Montgomery said that the applications were distributed very widely with good responses. Mark Link suggested a more targeted application process to suitable candidates for SR.

b. Task force structure and composition i. Maaret Castren said that the new task forces are now established but

that the roles of the TF members need to be specified more clearly. It is also unclear how the communication from the GA to the TF chairs will flow. She asked for continuation of the TF working group in order to support further TF development. This was approved unanimously.

c. Expanded membership i. Vinay Nadkarni explained the proposal to have two types of

membership: regular membership and collaborative membership (without voting privileges). A transparent application process was developed. Membership for individual countries was discussed but no further pursued. Mentoring of membership will be developed. The new membership rules will be incorporated in the new Articles of Incorporation to be decided upon in the Anaheim meeting.

ii. Dr Khan presented the development of the Pan Arab Resuscitation Council (PARC). He pointed out that the political instability of the region makes progress challenging. Robert Neumar expressed appreciation for the work of PARC. The application of PARC will be reviewed when the new criteria for applications are approved.

iii. It was proposed for the working group on membership to be commissioned to become a standing committee. Richard Aickin

3

voiced concern about the potential cost. Vinay Nadkarni agreed to chair the committee. The establishment of a standing working group on membership with appropriate administrative support was approved unanimously.

d. Research and registries i. Taku Iwami presented the results of the work of the WG. The work is

currently focusing on OOHCA but will start to work on IHCA. ii. Robert Neumar said that it is the mission of ILCOR to monitor the

impact of the work of ILCOR on outcome. e. Operations, infrastructure and core processes

i. Bill Montgomery reviewed the accountability framework. Most of the short-term goals are met. The working group on AOI and the Digital Communication WG are part of this working group and are making good progress.

ii. The repository is being structured but needs population with the documents. A social media policy was developed.

iii. Koen Monsieurs and Jojo Ferrer presented action points for the Digital Communications WG. Jerry Nolan asked if the publication policy would not prohibit putting video messages online. Any video would indeed have to comply with the policy (yet to be defined).

f. Funding options and sustainability i. Cliff Callaway said that the activities are being continuously supported

by the council organisations of ILCOR. There are a number of paid positions and there is outsourced work. Costs are rising and a steady state is needed before the group can continue its actions.

ii. Bart Vissers said that the new composition of the task forces puts additional strain on the ERC. Robert Neumar said that the council chairs signed off the policy. AHA remains committed to funding housing for non-delegate TF members. Allan de Caen said the policy (as shown during the meeting) was not identical to the agreed policy. Jerry Nolan suggested that ILCOR funds may be used as hardship for councils to send TF members to Anaheim. Michael Parr suggested that councils would charge 1 dollar per ALS course as a contribution to ILCOR. Peter Morley suggested for people to attend meetings via webinar in order to reduce cost. Bill Montgomery suggested that the budget for ILCOR hardship appeal may be increased.

iii. Richard Aickin proposed that for the ILCOR GA meetings all effort is done to arrange webinar presence, with retaining delegate voting rights. This proposal was approved with two abstentions.

iv. The absence of two councils in Adelaide was discussed, but the reasons why they were absent are unclear. If availability was the reason, then telepresence is not the solution. Bill Montgomery conveyed the notion that both could only afford one meeting in 2017 and chose Anaheim over Adelaide.

v. A copy of the TF application letter will be resent to the council chairs. vi. Cliff Callaway asked for the finance working group to be suspended.

The proposal was approved unanimously.

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7. Articles of incorporation and internal rules discussion a. Further work needs to be done on these articles. We aim for presentation in

Anaheim. If ready before Anaheim, voting per email is an option. 8. Strategies for ILCOR publications

a. A publication strategy document will be prepared and presented to the GA when ready.

b. There would be systematic reviews produced by the KSU (Journal of choice), immediate posting on the ILCORa website of the COSTR when completed by the TFT(on ilcor.org)-, and a yearly COSTR summary and scientific statements would be published in Circulation/Resuscitation.

c. Mark Link asked what exactly will be published as COSTR on the ILCOR website. Gavin Perkins said that that needed to be defined together with CEE and Circulation/Resuscitation. COSTR on ilcor.org may be labeled as “draft”. As an example, for Circulation, Bill will send (after CEE approval) the BLS COSTR draft to Mark Link.

9. Council reports (rapid 3 minutes’ reports) a. Councils provided short reports for information.

10. Approval of Officer decisions

a. The GA unanimously granted discharge to the Officers.

11. Other business a. ERC expressed interest for hosting the 2018 ILCOR on 18-19 September 2018

in association with the ERC conference in Bologna (20-22 September 2018). Caution was voiced about the number of breakout rooms and capacity of each for ILCOR. It was proposed to look at the University for additional meeting space.

b. Interest from other councils is solicited, those present showed no interest. Interest from RCSA and IAHF will be checked as they were not present in Adelaide.

c. It was proposed to accept the offer from the ERC to go to Bologna in 2018, on condition that the venue is suitable and RCSA or IAHF have no interest in hosting. They have 2 weeks to respond. This proposal was accepted unanimously.

d. Expressions of interest for ILCOR 2019 meeting are open. e. Gavin Perkins thanked Koen Monsieurs for serving ILCOR as Honorary

Secretary.

12. Next meeting: Anaheim California November 8-10/2017.

Attendees

Name Council Role Gavin Perkins ERC Co-chair Robert Neumar AHA Co-chair Vinay Nadkarni AHA Immediate past co-chair

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Bill Montgomery AHA Observer-ILCOR coordinator Koen Monsieurs ERC Delegate Maaret Castren ERC Delegate Hildigunnur Svavarsdottir ERC Delegate Robert (Tino) Greif ERC Delegate Bart Vissers ERC Delegate Jerry Nolan ERC Delegate Theresa Olasveengen ERC Observer Jeff Perlman AHA Delegate Peter Fromm AHA Delegate Cliff Callaway AHA Delegate Eileen Censullo AHA Delegate Karl Kern AHA Delegate Mark Link AHA Delegate Jose Ferrer AHA Observer Noelle Hutchins AHA Observer Allan de Caen HSFC Delegate Julie Desjardins HSFC Delegate Richard Aickin ANZCOR Delegate Peter Morley ANZCOR Delegate Michael Parr ANZCOR Delegate Margaret Nicholan ANZCOR Observer Mayuki Aibiki RCA Delegate Tzong-Luen Wang RCA Delegate Sing Phil Chung RCA Delegate Nalinas Khunkhlai RCA Observer Sarayut Wiboonchuntikul RCA Observer Swee Han Lim RCA Observer Taku Iwami RCA Observer Abdul Majeed Khan PARC Observer

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Resuscitation 121 (2017) 104–116

Contents lists available at ScienceDirect

Resuscitationjourna l homepage: www.e lsev ier .com/ locate / resusc i ta t ion

pecial paper

he International Liaison Committee on Resuscitation—Review of theast 25 years and vision for the future

avin D. Perkins ∗, Robert Neumar, Koenraad G. Monsieurs, Swee Han Lim,aaret Castren, Jerry P. Nolan, Vinay Nadkarni, Bill Montgomery, Petter Steen,

ichard Cummins, Douglas Chamberlain, Richard Aickin, Allan de Caen,zong-Luen Wang, David Stanton, Raffo Escalante, Clifton W. Callaway, Jasmeet Soar,heresa Olasveengen, Ian Maconochie, Myra Wyckoff, Robert Greif, Eunice M. Singletary,obert O’Connor, Taku Iwami, Laurie Morrison, Peter Morley, Eddy Lang,eo Bossaert, On behalf of the International Liaison Committee on Resuscitationarwick Clinical Trials Unit and Heart of England NHS Foundation Trust, University of Warwick, Coventry, CV4 7AL, UK

r t i c l e i n f o

rticle history:eceived 25 September 2017ccepted 25 September 2017

eywords:LCOResuscitationdvanced life support

a b s t r a c t

2017 marks the 25th anniversary of the International Liaison Committee on Resuscitation (ILCOR). ILCORwas formed in 1992 to create a forum for collaboration among principal resuscitation councils worldwide.Since then, ILCOR has established and distinguished itself for its pioneering vision and leadership inresuscitation science.

By systematically assessing the evidence for resuscitation standards and guidelines and by identify-ing national and regional differences, ILCOR reached consensus on international resuscitation guidelinesin 2000, and on international science and treatment recommendations in 2005, 2010 and 2015. How-

asic life supportaediatric life supporteonatal life supportirst aidontinuous evidence evaluation

ever, local variation and contextualization of guidelines are evident by subtle differences in regional andnational resuscitation guidelines. ILCOR’s efforts to date have enhanced international cooperation, andprogressively more transparent and systematic collection and analysis of pertinent scientific evidence.Going forward, this sets the stage for ILCOR to pursue its vision to save more lives globally throughresuscitation.

© 2017 Elsevier B.V. All rights reserved.

istory of ILCOR

The first stimulus to the foundation of the International Liaisonommittee on Resuscitation (ILCOR) was in 1990 [1]. Members ofhe European Resuscitation Council (ERC), American Heart Asso-iation (AHA), Australian Resuscitation Council (ARC), Heart andtroke Foundation of Canada (HSFC), and the Resuscitation Councilf Southern Africa (RCSA) gathered at Utstein Abbey [2] in Sta-anger, Norway to discuss the lack of standardized language ineports on out-of-hospital cardiac arrest. This led to the adoptionf the ‘Utstein-style’ for uniform reporting of data.

In 1992, the AHA invited representatives from 58 countries toheir fourth National Conference on cardiopulmonary resuscitationCPR) and emergency cardiovascular care (ECC). Richard Cummins,

∗ Corresponding author.E-mail address: [email protected] (G.D. Perkins).

ttps://doi.org/10.1016/j.resuscitation.2017.09.029300-9572/© 2017 Elsevier B.V. All rights reserved.

who had conceived the initiative, chaired a session on internationalcooperation. He and Douglas Chamberlain, discussed how world-wide cooperation could most effectively develop and disseminateresuscitation guidelines. An international committee was formed,which first met in November 1992 at the conclusion of an ERC meet-ing in Brighton, UK. In attendance were the AHA, ERC, HSFC, ARC,and RCSA, and Cummins and Chamberlain were elected Co-Chairs(Table 1). Walter Kloeck from RCSA, suggested the name Interna-tional Liaison Committee on Resuscitation– a play on words relatingto treatment guidelines for a sick heart, ‘ILL–COR’.

Subsequent years became increasingly busy from an organiza-tional and science perspective, consistent with its 1993 missionstatement:

‘To provide a consensus mechanism by which the international
science and knowledge relevant to emergency cardiac care can beidentified and reviewed. This consensus mechanism will be used toprovide consistent international guidelines on emergency cardiaccare for basic life support (BLS), paediatric life support (PLS), and
https://doi.org/10.1016/j.resuscitation.2017.09.029

http://www.sciencedirect.com/science/journal/03009572

http://www.elsevier.com/locate/resuscitation

http://crossmark.crossref.org/dialog/?doi=10.1016/j.resuscitation.2017.09.029&domain=pdf

mailto:[email protected]

https://doi.org/10.1016/j.resuscitation.2017.09.029

G.D. Perkins et al. / Resuscitati

Table 1ILCOR Co-chairs (1992–present).

Name Years of Service Council

Richard Cummins, MD 1992–1999 AHADouglas Chamberlain, MD 1992–1999 ERCWilliam Montgomery, MD 1999–2007 AHAPetter Steen, MD 1999–2001 ERCJerry Nolan, MD 2001–2012, 2015–2016 ERCVinay Nadkarni, MD 2007–2017 AHAIan Jacobs, RN* [3] 2012–2014 ANZCORGavin Perkins, MD 2016–Present ERCRobert Neumar, MD 2017–Present AHA

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that the quality of evidence to support many ALS interventions

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dvanced life support (ALS). While the major focus will be uponreatment guidelines, ILCOR will also address the effectiveness ofducational and training approaches and topics related to the orga-ization and implementation of emergency cardiac care. ILCOR willlso encourage coordination of dates for guidelines developmentnd conferences by various national resuscitation councils. Thesenternational guidelines will aim for a commonality supported bycience for BLS, PLS, and ALS.’

In 1997, the Consejo Latinoamericano de Resucitacion (CLAR)oined ILCOR and in 2006 the Resuscitation Council of Asia (RCA)Fig. 1). By then, several significant ILCOR Advisory Statements hadeen published. Later, the ‘Guidelines 2000 Conference’ produced

nternational resuscitation advice. The founding chairs of ILCORassed the leadership roles to Bill Montgomery from the AHA andetter Steen of the ERC.

Between 2000 and 2005 ILCOR met in Utstein Abbey, Melbourne,razil, and Dallas in preparation for the 2005 International Consen-us on ECC and CPR Science. This involved 403 systematic reviews,rom 281 experts, on 276 topics. Also in 2005, ILCOR acquired anfficial structure with articles of incorporation and bylaws. Jerryolan and Vinay Nadkarni took up the reigns as ILCOR co-chairs

n 2007 and led another very successful conference in 2010 with13 participants (46% from outside US) and 411 scientific evidenceeviews on 277 topics. Writing group members voted on eachecommendation, facilitated by active international collaborationTable 2 and Fig. 2).

Wanting to capitalize on lessons learned, ILCOR embarked on new evidence evaluation process in 2012 under the leadershipf Vinay Nadkarni and Ian Jacobs. Systematic reviews were con-ucted based on recommendations of the Institute of Medicinef the National Academies [4], and a systematic reviews assess-ent tool (AMSTAR) [5]. Evidence evaluation and recommendation

evelopment followed guidance from the Grading of Recommenda-ions, Assessment, Development, and Evaluation (GRADE) Workingroup [6]. Information scientists were commissioned to assist withrticle searches. Evidence was assessed using standardized risk-of-ias assessment tools. Evidence profile tables were developed usinghe GRADE Guideline Development Tool [7].

ILCOR’s most recent and ambitious undertaking was the col-aborative science review for the 2015 International Consensusonference on CPR and ECC Science. This included simultaneousublication of its Consensus on Science with Treatment Recom-endations (CoSTR) in both Circulation and Resuscitation. TheRADE methodology and an online information system (SEERS)

upported this process.In February 2016, ILCOR adopted a new strategic plan. This

ncluded a vision of ‘saving more lives globally through resuscita-ion’, and a mission of using transparent evaluation of scientific data
o promote, disseminate, and implement international consensusuidelines for resuscitation and first aid (see electronic supplemen-ary material for more details).
on 121 (2017) 104–116 105

Evidence evaluation has moved to a continuous process ratherthan 5-year cycle (see later in this article for more details). Thefirst systematic review conducted by a knowledge synthesis unit incollaboration with ILCOR using the new continuous evidence eval-uation process was published in Spring 2017 followed by the CoSTRin November 2017.

Throughout its history, ILCOR has been supported and guided by“Resuscitation Giants”, individuals who have made landmark con-tributions to cardiopulmonary resuscitation. Their contributionsare acknowledged and appreciated by all associated with ILCOR.Further information is available in the electronic supplementarymaterial.

Key changes to practice over the last 25 years

Basic life support and automated external defibrillation (BLS/AED)

The 1997 ILCOR advisory statement summarised the sequenceof actions for a lay rescuer to treat a cardiac arrest victim andcomprised an assessment of consciousness, airway, breathing andcirculation (pulse check) [154]. Resuscitation was started with 2rescue breaths followed by 15 chest compressions (rate 100 min,depth 4–5 cm). In 2000, the pulse check was removed from layresuscitation guidelines and the rescuer was instead prompted toassess consciousness and look for the absence of normal breathingto diagnose cardiac arrest. Compression-only CPR was endorsedfor those unable or unwilling to deliver rescue breaths or duringdispatcher-assisted CPR [30]. In 2005, ILCOR recommended thatthe ratio of compressions to ventilations was changed from 15:2to 30:2 [89]. The importance of high-quality CPR was emphasisedin 2010. Rescuers were prompted to start resuscitation with chestcompressions rather than ventilations and to increase compressiondepth to at least 5 cm [117]. CoSTR 2015 highlighted the centralrole that the emergency medical dispatcher plays in orchestrat-ing the emergency response and in assisting the caller to recogniseand treat cardiac arrest. The importance of high-quality chest com-pressions (5–6 cm, rate 100–120 min) with minimal interruptionsis again highlighted [136].

The development of public access defibrillator schemes was pro-moted in 2000 [30] and ILCOR has continued to advocate theiruse by highlighting the evidence supporting their effectiveness[89,117,136].

Advanced life support (ALS)

In 2000, ALS [155] followed the 1997 ILCOR ALS advisory [19]concept of the Universal ALS Algorithm with interventions based onthe cardiac arrest rhythm (VF/VT or non-VF/VT). This included threesuccessive defibrillation attempts followed by one-minute of CPRbefore further shock attempts. This recommendation was changedto single defibrillation attempts followed by two minutes of CPRbetween shocks in 2005 [156]. There was also a recommendationto consider introducing medical emergency team (MET) systemsto prevent in-hospital cardiac arrest, and therapeutic hypother-mia (32–34 ◦C) was recommended for comatose survivors [93]. The2010 CoSTR included a recommendation for waveform capnog-raphy to confirm and continually monitor tracheal tube positionduring CPR and the quality of CPR [120]. Comprehensive postresuscitation care with careful prognostication was recommended,whilst the lack of evidence supporting atropine led to it beingremoved from guidelines. The GRADE approach in 2015 showed

was low or very low and this led to many weak recommendations[138]. There was equipoise between basic and advanced airwayinterventions, a suggestion against the routine use of mechanical

106 G.D. Perkins et al. / Resuscitation 121 (2017) 104–116

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PR devices, and uncertainty about the role of drugs (adrenalinend amiodarone). Post resuscitation care included the concept ofTM (targeted temperature management) with a target tempera-
ure between 32 and 36 ◦C, and the need for delayed (more than4 h after ROSC) multimodal prognostication in comatose cardiacrrest survivors.
Fig. 2. ILCOR major guidelines/evid

r organisations.

Acute coronary syndromes

The 1997 ILCOR Advisory Statement focused on what we now
call acute coronary syndrome from the standpoint of encourag-ing prompt recognition as a means to deliver key interventionsto prevent cardiac arrest [24]. The section on special circum-stances stated “if cardiac arrest has not yet occurred, ECG clues
ence evaluation conferences.

G.D. Perkins et al. / Resuscitation 121 (2017) 104–116 107

Table 2ILCOR Advisory statements, Guidelines and Consensus on Science with Treatment Recommendations.

Year Title Sections

1991 Utstein Report Out of Hospital Cardiac Arrest [8–10]1997 Utstein Report In Hospital Cardiac Arrest [11–13]1997 Advisory Statements Overview [14–16], BLS [17,18], ALS, [19,20] Defibrillation [21,22], PLS [23,24]2000 International Guidelines Introduction [25,26], Ethics [27,28], Adult BLS [29,30] and AED [31,32] First Aid, [33,34] ALS

(overview, [35,36] defibrillation [37,38], airway [39,40], devices [41,42], drugs [43–46], universalalgorithm [47,48], and post resuscitation care [49,50]), Reperfusion (ACS [51,52] and Stroke[53,54]), Advanced Challenges in Resuscitation (electrolyes [55,56] toxicology [57] and specialcircumstances [58–65]), Paediatric BLS [66,67], Paediatric ALS [68,69], Neonatal Resuscitation[70,71]

2003 Advisory Statement Therapeutic Hypothermia after Cardiac Arrest [72,73]2003 Advisory Statement Use of AED in Children [74–76]2003 Utstein Report Drowning [77,78]2004 Utstein Report Out of Hospital Cardiac Arrest:Update [79,80]2005 Consensus on Science with Treatment

RecommendationsIntroduction [81,82], Methods (evidence evaluation process [83,84], conflict of interest [85,86]),Controversial topics [87]) Adult BLS [88,89], Defibrillation [90,91], ALS [92,93], ACS [94,95], PLS[96,97], Neonatal resuscitation [98–100], Interdisciplinary [101,102],

2007 Advisory Statement Knowledge gaps and priorities for research [103,104]2008 Advisory Statement Post cardiac arrest syndrome [105–108]2010 Consensus on Science with Treatment

RecommendationsExecutive summary [109,110], Methods (collaboration [27,111] evidence evaluation [112,113]conflict of interest [114,115]) Adult BLS [116,117], Defibrillation [118,119], ALS [120,121], CPRtechniques and devices [122,123], ACS [124,125], PLS [126,127], NLS [128,129], Educationimplementation and teams [130,131]

2015 Utstein Report Out of Hospital Cardiac Arrest Update [132,133]2015 Consensus on Science with Treatment

RecommendationsExecutive summary [110,134] Methods (evidence evaluation and conflict of interest [7,135]),Adult BLS and AED [136,137], Advanced Life Support [138,139] Acute Coronary Syndromes[140,141], PLS [142,143], Neonatal Resuscitation [144,145], Education, Implementation and Teams[146,147], and First Aid [148,149]

2017 Utstein Report Drowning: Update [150,151]2017 Continuous Evidence Evaluation

Consensus on Science with TreatmentRecommendations

CoSTR [152,153]

2017 Advisory Statement Gaps in Science and Priorities for Research In presse Set

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cute Coronary Syndromes (ACS), Advanced Life Support (ALS), Automated Externa

ay be helpful” [24]. In 1997, reperfusion strategies using throm-olytic therapy in the setting of ST-elevation myocardial infarctionSTEMI) were widely used. Percutaneous coronary interventionPCI) was reserved for cases of failed reperfusion, the presence ofontraindications to thrombolysis, or cardiogenic shock, and wasot used routinely, as it is now. In 2005, ILCOR reviewed the evi-ence specifically related to diagnosis and treatment of ACS/AMI

n the out-of-hospital setting and during the first hours of care inhe emergency department [95]. The recommendations focusedn diagnostic testing using biomarkers and the ECG, and rec-mmended that prehospital ECGs be routinely available, favoredaramedic interpretation and prehospital catheterization lab acti-ation. PCI was favored over fibrinolysis if symptom duration wasver 3 h and time to PCI was less than 90 min. In 2010, ILCOR offereduidance on achieving the timeliest reperfusion for STEMI, andddressed the treatment of STEMI and NSTEMI patients followingeturn of spontaneous circulation following cardiac arrest [124].n 2015, ILCOR recommended that coronary angiography be per-ormed emergently (rather than later in the hospital stay or not atll) for OHCA patients with suspected cardiac etiology of arrest andT elevation on ECG. Coronary angiography is reasonable for selecte.g. electrically or hemodynamically unstable) adult patients afterHCA of suspected cardiac origin but without ST elevation on ECG,

egardless of whether the patient is comatose or awake[140].

aediatric life support (PLS)

The first publication in 1997 specifically on Paediatric BLS and
LS highlighted variation from adult practice, becoming the ILCOR
emplate for children’s resuscitation [23]. In BLS, high-quality CPRecame mandated [127], with specification of lower sternal depres-ion by at least 1/3 of AP diameter (4 cm in infants and 5 cm for

for Cardiac Arrest (COSCA) In press

brillation (AED), Basic Life Support (BLS), Paediatric Life Support (PLS).

children) [142] rather than approximately 1/3 of AP diameter.Bystander CPR requirements being 30:2 chest compressions to ven-tilations whilst for healthcare workers, this ratio being 15:2 [97].One second duration of breath delivery came in line with adult prac-tice [142]. AED guidance was introduced [98], and subsequentlyexpanded for all ages [142].

In Paediatric ALS, a single defibrillation shock replaced threestacked shocks, high-dose adrenaline was not advised after aninitial dose of 10 mcg/kg (and the tracheal route was notrecommended for drugs) [127]. Recommendations on airway man-agement included cuffed tracheal tubes and monitoring of end-tidalcarbon dioxide during CPR [127]. In seriously ill children recom-mendations changed to judicious fluid infusion, especially in sepsisand in the non-shocked patient, with emphasis on reassessment[142].

Recommendations on post resuscitation care evolved inresponse to available science, e.g. recommending TTM using mildhypothermia or strict normothermia, with fever prevention beingkey [142]. Single prognostic predictors still remain elusive [142].

Neonatal life support (NLS)

An influential practice change in neonatal resuscitation over thepast 25 years was prompted by ILCOR consensus on science reviewscomparing initiation of neonatal resuscitation in the delivery roomwith air or the long-standing tradition of using 100% oxygen. Thiswas first considered for term babies in the 2005 [99] (although atthat time there was insufficient evidence to make a recommenda-
tion) and again in 2010 [128] which led to the world-wide rejectionof routinely exposing term newborns to 100% oxygen because of anincreased risk of death, delay in onset of spontaneous breathing andoxidative damage to tissues when compared with room air. In 2010

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here was little evidence about the risks and benefits of 100% oxy-en for resuscitation of preterm infants; however, over the next

years evidence also demonstrated no benefits for preterm new-orns. By 2015 the ILCOR CoSTR concluded that for preterm infants,esuscitation should be initiated with low concentrations of oxy-en and titrated with a blender to meet minute by minute oxygenaturation goals using pulse oximetry [144]. The mandate to mon-tor and titrate oxygen introduced additional neonatal equipmentf oxygen blenders and pulse oximetry into delivery and operatingooms throughout the world.

ducation implementation and teams

Douglas Chamberlain and Richard Cummins addressed themportance of “effectiveness of educational and training . . .andopics related to. . . implementation of emergency cardiac care” inhe 1997 ILCOR advisory statements [15]. The first Internationaluideline in 2000 had no formal task force on education or imple-entation but an important conference objective was to “review

nd recommend changes in the methods for teaching knowledgend skills of ECC” [25]. “The goal of teaching the community” as atrategy to aid adoption of guidelines focused on “lay public edu-ated in the importance of early BLS and ACLS” and ”to support theife of the cardiac arrest victim until ACLS becomes available”. Con-ensus was reached that BLS training needed simplification [157]nd for the first time, short video-self instructions showed moreetention of information and skills than a 4 h course [158].

In 2005 a major guideline conference topic was what would bethe best way to train lay rescuers” [159]. An interdisciplinary taskorce assessed evidence for educational methods until the 2005onsensus of science and treatment recommendations were issued101]. These CoSTRs underpinned the first ERC Guideline sectionedicated to “Principles of training in resuscitation” [160].

Over the following five years the newly formed Education,mplementation, and Teams (EIT) Task Force addressed 32 work-heet topics highlighting that CPR knowledge and skills decay fast,ED use should not be restricted to trained personnel, and thatPR prompt devices improve CPR skills acquisition and reten-ion. Important knowledge gaps were formulated, such as thenknown optimal frequency of refresher training, best dissemina-ion of guideline implementation, and the importance of cardiacrrest centers [130].

The next evidence evaluation cycle was characterized by a rig-rous systematic evaluation process using GRADE. The Task Forceeviewed 6 education PICO questions for BLS and 4 for ALS, and 7ICO questions for implementation. Key findings were the useful-ess of feedback devices for CPR skills learning; training sessionsight be more efficient if short and delivered more frequently

nd the use of information technology to notify CPR-providers toromptly use AEDs during BLS [146].

irst aid

First aid science remains in its infancy, with publication of therst formal CoSTR related to first aid practice in 2005 in conjunctionith ILCOR [161].

In 2005, bleeding was controlled using direct manual pressure,nd long held practices to use elevation and pressure points were noonger recommended. By 2010, translation of the battlefield expe-ience to civilian practice led to evidence supporting the use ofemostatic agents and dressings, and in 2015 supporting the usef tourniquets, both specifically for life-threatening bleeding not
ontrolled by direct pressure [149,162].
First aid recommendations for medical topics have also evolvedver the past 10 years. In 2005, it was recommended that firstid providers assist with adrenaline autoinjectors for anaphy-

on 121 (2017) 104–116

laxis [161]; however, in 2010 evidence demonstrated that first aidproviders have difficulty recognizing anaphylaxis without repeatedepisodes of training and experience [162]. By 2015, a second doseof adrenlaline was recommended for patients with anaphylaxis notresponding to the initial dose [149].

Administration of aspirin for chest discomfort was first rec-ommended in the 2010 Consensus on First Aid Science [161]. Aseparate review in 2015 evaluated early (prehospital or within thefirst hours from onset of symptoms) vs. later administration ofaspirin and supported early administration of aspirin by first aidproviders to adults with chest pain due to suspected myocardialinfarction [149].

Stroke assessment systems were also evaluated in 2015, witha strong recommendation for their use by first aid providers toimprove recognition of stroke and time to treatment [149].

Impact on process and outcomes

At the time that ILCOR was born, in the early 1990s, survivalrates from out-of-hospital cardiac arrest (OHCA) were generallyvery poor and broadly in the range of 2–6% [163–166]. A systematicreview of OHCA studies from 1950 to 2008 that was published in2010 concluded rather disappointingly that the survival rate fromOHCA worldwide had not changed throughout this 30 year period[163]. This lack of progress in OHCA outcomes was particularly dis-appointing given the comprehensive systematic review of all thescience underpinning CPR, undertaken and published by ILCOR in2000 [25] and the first International Consensus on CPR Science withTreatment Recommendations (CoSTR) published in 2005 [82].

In contrast to the early systematic reviews on outcomes, sev-eral more recent studies have documented significant increases insurvival rates from OHCA over the last 10–15 years [167–171]. Atleast one study has documented improving neurological outcomesamong the survivors of OHCA [168].

It is not possible to know which, if any, of the ILCOR treat-ment recommendations made in 2000, 2005 and 2010 (outlinedelsewhere in this paper) might account for the improving survivalrates from OHCA but all these authors report increasing bystanderrates and most report increasing use of AEDs by bystanders[167,168,170,171]. The 2010 CoSTR recommended that all rescuers,trained or not, should provide chest compressions to victims ofcardiac arrest. Chest compression-only CPR has subsequently beenimplemented in many parts of the world and in Japan this has con-tributed to a substantial increase in bystander CPR (from 17.4% in2005–39.3% in 2012) and an associated increase in survival [172].The 2010 CoSTR recommended that EMS dispatchers provide tele-phone instruction in chest compression-only CPR for untrainedrescuers. Dispatcher-assisted chest compression-only CPR has beenimplemented widely in many regions of the world and accounts formuch of the increase in bystander CPR rates. In Korea in OHCAs inprivate settings, bystander CPR was associated with improved neu-rological recovery only when dispatcher assistance was provided[173].

There is also evidence that in-hospital cardiac arrest (IHCA) sur-vival rates have also increased over the last 10–15 years. Data fromthe AHA Get with the Guidelines-Resuscitation registry between2000 and 2009 indicate that survival rates are increasing and thatthis was due to improvement in both acute resuscitation survivaland post-resuscitation survival [174]. An analysis of a large in-patient database in the United States also documented increasingsurvival after in-hospital CPR during the period 2007–2012 among
236,000 adults aged 18–64 years [175]. Survival to hospital dis-charge increased from 27.4% to 32.8% (P value for a trend <0.001);however, there was no significant change in survival trend beforeand after the 2010 AHA CPR Guidelines (and the 2010 CoSTR). Given


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hat guideline changes take 1.5 years or more to implement, wehould not be surprised by this finding [176].

Data from the UK indicate that post-resuscitation survival ratesre increasing following both OHCA and IHCA (odds ratio (OR) perear 0.96 (95% confidence interval 0.95–0.97)) but that the increases greatest among those admitted to intensive care units after IHCA177]. ILCOR has made several treatment recommendations in rela-ion to post-resuscitation care over the last 15 years, the mostignificant being targeted temperature management [72,106], andhe implementation of these recommendations may account for ateast some of this increasing survival rate. The 2015 internationaloSTR recommended the use of multimodal tests for prognostica-ion and generally delaying such tests until at least 72 h after ROSC138]. Implementation of these recommendations should reducehe number of premature withdrawal of life-sustaining treatmentWLST) decisions that have been made in the past [178].

uture perspectives and priorities

LCOR strategic plan

In 2015, ILCOR’s Co-Chairs, Vinay Nadkarni and Gavin Perkins
aunched a comprehensive strategic planning process coordinatedy Bill Montgomery to develop a five-year strategic plan for ILCOR.
two-day retreat in Singapore in 2016, attended by 43, represent-ng all ILCOR member councils refreshed the vision, mission and

uestions. SAC is abbreviation for the proposed Scientific Advisory Committee.

value for ILCOR (Table 3 and Electronic Supplementary Material).Four key strategic pillars underpinned the strategy: continuousevidence evaluation and task forces; leadership, mentorship andaccountability; membership and partnerships, and research andregistries (Fig. 3 ).

Continuous evidence evaluation

The ILCOR Continuous Evidence Evaluation (CEE) model offerscontinuous evidence review options that are based on the complex-ity of a research question (Figs. 3 and 4). A simple research questionformatted as population, intervention, control, and outcome (PICO)will be answered by a systematic review (SR) team whereas a morecomplicated question perhaps involving more than one population,intervention or taskforce will be addressed by a knowledge syn-thesis unit (KSU). A knowledge synthesis unit is an internationallyrenowned group of systematic review methodologists who con-duct rigorous reviews on contract. Resuscitation science PICOs aredefined, and then categorized into reaffirmed, reposed or retired.The reaffirmed (active) and reposed questions are prioritized bythe ILCOR Task Forces. PICOs that are shared across taskforces areidentified early in this process. This list of questions is continually
updated as new PICOs are created and some are retired. All theactive and reposed PICOs are categorized into domains by Infor-mation Specialists based on their search strategies, providing anefficient way to monitor the new literature. Each domain will have

110 G.D. Perkins et al. / Resuscitation 121 (2017) 104–116

Table 3ILCOR Vision, Mission and Values.

VISIONSaving more lives globally through resuscitationMISSION• To promote, disseminate and advocate international implementation of evidence-informed resuscitation and first aid, using

transparent evaluation and consensus summary of scientific data.• We fulfill this mandate by:© Rigorous and continuous review of scientific literature focused on resuscitation, cardiac arrest, relevant conditions requiring first aid,

related education, implementation strategies and systems of care© Publishing regular and ongoing consensus on science with treatment recommendations© Collaborating with others to facilitate knowledge dissemination and exchange, inform effective education and training, implement

and share trusted evidence-informed resuscitation practices© Enhancing capacity through mentorship and fostering the next generation© Leading the international resuscitation research agenda to address gaps in knowledge and promote funding related to resuscitation

and relevant first aid practices© Encouraging engagement of patients, families and the public as partners in our activities© Monitoring and reporting incidence, process of care and outcomes to improve patient care© Building the foundation to evolve from international to global impact

VALUES• Scientific Rigor − We deliver the highest quality continuous evaluation of relevant science and timely consensus on science and

treatment recommendations• Collaboration − We promote an inspiring, respectful, mentoring and collegial environment that fosters productive relationships and

networks with global partners• Diversity- We embrace a broad range of cultures, disciplines and perspectives• Integrity − We place integrity at the core of our processes and relationships and manage conflict of interest and potential or perceived

bias in all our endeavors• Accountability, Communication and Transparency − We are transparent in our conduct of business, methodology,

recommendations, communications and actions• Responsiveness − We are sensitive to local, national, international and global contexts

Fig. 4. Evidence evaluation roles.


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designated domain lead who will monitor publication alerts for threshold to trigger a PICO review, and assign this review toither a systematic review (SR) specialist or a knowledge synthe-is unit based on the complexity of the PICO. Either pathway willeliver a Consensus on Science with draft Treatment Recommen-ation based on the GRADE methodology to the ILCOR Task Forcehairs. The Task Force will finalize the COSTR, evidence to decisionramework and knowledge gaps, engage the public in commentingn posted drafts, and after ILCOR executive approval post the con-rmed final version on the ILCOR website (Fig. 5). Either pathwayill deliver a published systematic review that will be linked to the

osted COSTR on the ILCOR website (www.ilcor.org). The modelncludes mentorship opportunities to build capacity in systematiceview methodology across the ILCOR councils.

overnance

The ILCOR CEE model consists of methods experts and contentxperts in resuscitation (spanning first aid, prehospital, in-hospital,ducation, systems optimization, as well as paediatrics, adult andeonatal). It reports to the ILCOR executive and ensures the qualitynd timeliness of the reviews. The CEE working group (Scien-ific Advisory Committee) provides guidelines for when to employither pathway: systematic reviews versus knowledge synthesisnit. It collaborates as required with ILCOR and AHA to developontracts with systematic review/meta-analysis/GRADE expertsnd KSUs. The CEE working group defines, advises and monitorsenchmarks for completion for domain leads and both knowledgeynthesis unit and systematic review approaches.

isseminating the message

The ILCOR website (www.ilcor.org) provides the primary toolor collecting feedback from the wider public regarding new PICOs,

odifications to existing PICOs, and COSTRs. The ILCOR websiteill disseminate the products of continuous evidence evaluation:

OSTR postings; published linked systematic reviews; and pub-ished annual summaries. ILCOR member organizations can linkheir revised guidelines to the CEE products.

ask forces future perspective and priorities

The task forces remain a very important component of the ILCORrganization. They are comprised of dedicated experts in resuscita-ion and first aid. The members come from all over the world and it

idence Evaluation process.

is their task to develop consensus on science statements that makesit possible for ILCOR to develop treatment recommendations whichregional resuscitation organizations convert to local guidelines.

ILCOR task forces have changed over the last 25 years asmethodological approach to evidence evaluation and the focus ofresuscitation guidelines have changed and become more rigorous.Initially task force members brought expert opinion to ILCOR. Overtime this shift in methodologic approach to rigorous evidence eval-uation has required task force members to become familiar withGRADE and where task force members were evidence reviewers,to use the GRADE methodology in their approach to evidence eval-uation and systematic reviews. As the focus of task force work hasmigrated in part to KSUs and systematic reviewers it will be impor-tant for the task force members to work with domain leads andsystematic reviewers. The strategic plan referenced elsewhere hasdictated a new task force structure in which task force memberrecruitment has become transparent and based on expertise ratherthat ILCOR council representation. The new structure has addition-ally brought in early career members to grow to future leadersresulting in the more experienced members needing to have men-toring skills. The new task force work will be a continuous processwith nimble turnaround times, monthly conference calls and webi-nar meetings but fewer face to face meetings and more intensivecollaboration with the public. Team or task force work is now evenmore important as working together instead of working alone orin pairs as in the past. The new appointment process ensures roomfor new experts with fresh ideas.

Leadership, mentorship and accountability

Strong leadership is essential to ILCOR’s continued success.ILCOR’s Articles of Incorporation and Internal Rules are beingupdated to enable implementation of its strategic plan.

ILCOR is committed to building capacity, nurturing and support-ing aspiring resuscitation leaders. Key changes to the constitutionof task forces were the introduction of published criteria for mem-bership. Applications are reviewed by a Nominations Committeeand recommendations based on the scientific merit and clinicalexpertise across ILCOR task forces and domains, and balance ofrepresentation across ILCOR member councils, gender, and career
levels (early, mid, senior). Opportunities to develop the next gener-ation of resuscitation scientists are supported by the appointmentof early career researchers to task forces and trainee opportunitiesfor systematic reviewers.
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embership

ILCOR’s vision and mission is committed to inclusiveness,trengthening and expanding ILCOR’s connection to the interna-ional resuscitation community and to strategic partnerships thatave more lives. Inclusive broadening international and global rep-esentation will bring expanded evidence and evidence evaluationerspectives to greater impact in countries or regions with theighest incidence of cardiovascular deaths.

Moving from a multinational to a global impact requires ILCORo expand the geographic reach of its CoSTR. The long-term goal iso substantially partner and expand our international resuscitationommunity to include regions that are not currently representednd regions where participation is limited.

At the February 2016 ILCOR strategic planning retreat, there wasnanimous agreement to strategically expand international mem-ership and collaboration, with a spread to resource-limited globalettings on a longer horizon.

easuring impact and importance of registries

tstein-style reporting guidelinesThe concept of “we can only improve what you can measure”

s well accepted. Continuous quality improvement (CQI) processssessing clinical performance and system of cares is essential toave more lives from cardiac arrests.

ILCOR has developed and updated the Utstein-style guidelineso improve public health internationally by providing a structuredramework including uniform terms and definitions for resuscita-ion and standardized reporting forms. These guidelines provide usith a better understanding of the epidemiology of cardiac arrest,

acilitate intersystem and intra-system comparisons, and enableomparison of the benefits of different systems.

uture perspectivesDuring the last decade worldwide, many registries have been

eveloped based on these recommendations and these have gen-rated a lot of valuable research. ILCOR has started to establish aystem to collect descriptive data on systems of care and outcomesollowing both out-of-hospital and in-hospital cardiac arrest. Using

survey tool, summary data will be collected from registries acrosshe world. An annual report describing the epidemiology and out-omes from out-of-hospital and in-hospital cardiac arrest will beublished on the ILCOR website and will support quality improve-ent and benchmarking. These activities by ILCOR will enhance

nternational collaboration in resuscitation science, which shouldelp to overcome knowledge gaps and improve survival from car-iac arrests.

onclusion

ILCOR has delivered international consensus on science andreatment recommendations for the last 25 years. ILCOR’s refreshedision, mission and values sets the stage for future collaborationnd sustainable growth. Today’s priorities are to deliver continuousvidence evaluation to enable the world’s resuscitation scientists
nd practitioners to receive the most up to date and relevant infor-ation to their practice. Expanding the global reach of ILCOR is a
ey priority for enabling ILCOR to save more lives globally throughesuscitation.

[

on 121 (2017) 104–116

Appendix A. Supplementary data

Supplementary data associated with this article can be found, inthe online version, at https://doi.org/10.1016/j.resuscitation.2017.09.029.

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G.D. Perkins et al. / Resu

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Eur J Anaesthesiol 2017; 34:1–5

FroIntSaMuAnEm

Co(ETe

02

EDITORIAL

KIDS SAVE LIVES

School children education in resuscitation for Europeand the world

Bernd W. Bottiger, Federico Semeraro, Karl-Heinz Altemeyer, Jan Breckwoldt, Uwe Kreimeier,

Gernot Rucker, Janusz Andres, Andrew Lockey, Freddy K. Lippert, Marios Georgiou

and Sabine Wingen

European Journal of Anaesthesiology 2017, 34:000–000

Sudden cardiac death is the third leading cause of death

in industrialised nations. It is estimated that in Europe

and in the United States, more than 700 000 patients die

annually following sudden cardiac death, even when the

emergency medical service has been activated and

started cardiopulmonary resuscitation.1,2 The same

applies to all other developed regions of the world.

Despite many improvements in emergency medical ser-

vices and hospital treatment of sudden cardiac death

patients, the survival rates remain low. The key problem

is that it can take a long time for an emergency medical

service to arrive after the victim’s collapse. The brain,

however, starts to die some 3 to 5 min after circulatory

arrest. Thus, the treatments that emergency medical

services deliver arrive too late for most sudden cardiac

arrest patients.

One of the most effective ways to increase survival in

sudden cardiac arrest is swift onset of cardiopulmonary

resuscitation by bystanders (who we know observe the

victim collapse in at least 60% of cases3) and by educated

and trained ‘first responders’ who are dispatched in parallel

with the emergency medical services. Lay bystander resus-

citation rates differ significantly across Europe, ranging from

10 to 20% in many countries, and higher than 60 to 80% in a

fewother countries.4 Some countries have made remarkable

progress with increasing bystander resuscitation rates over

the last decade. Denmark in particular can serve as a blue

m the Department of Anaesthesiology and Intensive Care Medicine, University Hospensive Care Medicine, Maggiore Hospital, Bologna, Italy (FS), Department of Anaesarbrucken, Germany (KHA), Faculty of Medicine, University of Zurich, Zurich, Switzenich, Germany (UK), Department of Anaesthesiology and Intensive Care Medicaesthesiology and Intensive Therapy, Jagiellonian University Hospital, Krakow, Poergency Medical Services Copenhagen, University of Copenhagen, Copenhagen,

rrespondence to Bernd W. Bottiger, MD, ML, DEAA, FESC, FERC, Department oRC), German Resuscitation Council (GRC), University Hospital of Cologne, Kerpenl: +49 221 478 82054, 478 82052; fax: +49 221 478 87811; e-mail: bernd.boet

65-0215 Copyright � 2017 European Society of Anaesthesiology. All rights reser

print for national initiatives to successfully and markedly

increase bystander resuscitation rates. In Denmark, over a

period of more than 10 years, bystander resuscitation rates

following sudden cardiac arrest increased from less than

20% in 2001 to more than 50% in 2012. This was not only

associated with a tripling in survival of patients following

sudden cardiac arrest, but also – and most interestingly –

with lower rates of brain damage, nursing home admission

and death from any cause within the first year after sudden

cardiac arrest as compared with no bystander resuscitation.5

Furthermore, the majority of survivors went back to work.6

This success is because of nationwide initiatives including

mandatory education in resuscitation in elementary schools

since 2005 in Denmark.7 In the years before, Norway and

some states in the United States and Germany successfully

established similar programs. To save the lives of hundreds

of thousands of sudden cardiac arrest patients, it is, there-

fore, important to focus efforts on increasing bystander

resuscitation. This is also one of the 10 recommendations

emphasised by the Global Resuscitation Alliance as the

most important to improve survival from out-of-hospital

cardiac arrest.8

Educating school children in cardiopulmonary resuscita-

tion is an effective and long-lasting way to increase

bystander efforts.9 This was recognised in 2015 by the

WHO when they endorsed the KIDS SAVE LIVES state-

ment.10,11 Following such training, school children can also

serve as multipliers,11 and all this will have a significant

positive influence on survival after sudden cardiac arrest.

ital of Cologne, Cologne, Germany (BWB, SW), Department of Anaesthesia andthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne,rland (JB), Department of Anaesthesiology, University Hospital of Munich (LMU),ine, University Hospital of Rostock, Rostock, Germany (GR), Department of

land (JA), Emergency Department, Calderdale Royal Hospital, Halifax, UK (AL),Denmark (FL) and American Medical Center Cyprus, Nicosia, Cyprus (MG)

f Anaesthesiology and Intensive Care Medicine, European Resuscitation Counciler Straße 62, D-50937 Cologne, [email protected]

ved. DOI:10.1097/EJA.0000000000000713

mailto:[email protected]

http://dx.doi.org/10.1097/EJA.0000000000000713


EJA-D-17-00442

2 Bottiger et al.

We recommend that resuscitation training for school

children should start at the age of 12 years or earlier,

with 2 h of theoretical and practical training per year, and

as long as the children go to school. Educated teachers

and medical personnel are both equally effective in

training school children in cardiopulmonary resuscitation.

Following several initiatives, school children education in

cardiopulmonary resuscitation is already mandatory in

five countries in Europe, and it is a recommendation in

16 additional countries (Fig. 1).12 Our aim is to have

Fig. 1

This is the ‘KIDS SAVE LIVES’ – European map of CPR education in schosuggestion, and in the countries with green-haired kids, there is legislation abResuscitation.


school children educated in resuscitation all over Europe

and the rest of the world. To support this goal, we have

summarised what we have experienced and, in part,

actively initiated with regard to historical facts and mile-

stones (Table 1).13 Many of those have been initiated by

anaesthesiologists,13 and this editorial wants to motivate

and activate as many colleagues as possible from all kinds

of emergency medical disciplines.

What can be done to support the movement KIDS SAVE

LIVES? There are different concepts, curricula and

ol children. In the countries with yellow-haired kids, CPR education is aout CPR education. Adapted with permission12. CPR, Cardiopulmonary


EJA-D-17-00442

School children education in resuscitation for Europe and the world 3

Table 1 Historical milestones in school children education in resuscitation

Until 2009 In Norway, school children education in resuscitation was established in the 1960s. In Denmark, elementary school children education inresuscitation was made mandatory in 2005. Further initiatives and projects have been established in a few other European countries and in theUnited States7,14,15

2009 Annual congress of the European Resuscitation Council in Cologne, Germany. During the precongress of the German Resuscitation Council, 400school children were trained by representatives of the German Resuscitation Council together with the ‘miniSanitater’ organisation from Munich,Germany (http://www.minisanitaeter.de/projekte5.html)

2010 Annual congress of the European Resuscitation Council in Porto, Portugal: 200 school children were trained in resuscitationIn Germany, anaesthesiologists from the Department of Anaesthesiology and Intensive Care Medicine of the University of Rostock started the

education of school children and teachers in resuscitation all over the German Federal State Mecklenburg-Vorpommern – with the support fromthe Ministry of Schools and the ‘Bjorn Steiger Stiftung’. The aim was to educate all school children in Mecklenburg-Vorpommern in resuscitation

2011 With the support from Cypriot members of the European Parliament, representatives of the European Resuscitation Council and the GermanResuscitation Council started a European initiative for more awareness for cardiac arrest and resuscitation, including school children educationin resuscitation (written declaration on establishing a European Cardiac Arrest Awareness Week), at the European Parliament in Strasbourg,France. This ‘written declaration’ was signed by 395 members of the European Parliament from different political parties – all over representingmore than 50% of all members of the European Parliament (http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//TEXT+TA+P7-TA-2012-0266+0+DOC+XML+V0//EN)

2012 The German Resuscitation Council published its Curricula for school children education in cardiopulmonary resuscitation in both English andGerman (at www.grc-org.de/reanimationsunterricht)

Representatives from the European Resuscitation Council and the German Resuscitation Council visited the European Commissioner for Health atthe European Parliament in Strasbourg. The only topic was the relevance and the importance of cardiac arrest, cardiopulmonary resuscitationand school children education in cardiopulmonary resuscitation. Our aim was to generate and establish more visibility for this topic at the highestEuropean level and to start an annual European Cardiac Arrest Awareness Week – later named ‘European Restart a Heart Day’

2013 The first ‘European Restart a Heart Day’ was launched on 16 October by the European Resuscitation Council – with the support from 32 NationalResuscitation Councils within the European Resuscitation Council family and with initiatives in more than 20 European countries. The topic allover Europe was ‘Children Saving Lives’ (www.erc.edu/about/restart)

In Germany, the ‘Woche der Wiederbelebung’ (week of resuscitation) was launched by the German anaesthesiologists (Deutsche Gesellschaft furAnasthesiologie und Intensivmedizin, Berufsverband Deutscher Anasthesisten, Stiftung Deutsche Anasthesiologie) together with the GermanResuscitation Council and with the support of the German Health Minister (www.einlebenretten.de)

Representatives from the European Resuscitation Council and the German Resuscitation Council – together with the 13-year-old Nic and the 17-year-old Kea, who had successfully resuscitated Nic 1 year before at their school, when he had a sudden cardiac arrest because of cardiacabnormalities – showed the European Commissioner for Health and his colleagues at the European Commission in Brussels how easilycardiopulmonary resuscitation can be performed (www.erc.edu)

Guinness World record of the Department of Anaesthesiology and Intensive Care Medicine in Munster, Germany: 11 840 school children weretrained together in resuscitation at the Schloßplatz in Munster (https://www.youtube.com/watch?v=WvHJF0b_-wQ)

In Poland since 2013 and every year on 16 October the Great Orchestra of Christmas Charity Foundation (Jurek Owsiak) in close collaborationwith the Polish Resuscitation Council has organised the ‘European Restart a Heart Day’ – children from across Poland attemptingcardiopulmonary resuscitation demonstration for half an hour to set records in numbers of children performing simultaneously cardiopulmonaryresuscitation on manikins. For the first time, they came together in 2013 and proved that children in Poland know how to save lives – 83 111people performed cardiopulmonary resuscitation simultaneously at 1132 various schools, public places and institutions that hosted the events(http://www.wosp.org.pl/uczymy-ratowac/rekord)

In Italy since 2013 and every year on the second week of October, the Italian Resuscitation Council has organized a cardiac arrest week called‘Viva!’ with the aim to increase awareness in the general population and younger generations. The Italian Resuscitation Council investedresources on digital communication with social network, serious games and apps (http://www.ircouncil.it/per-il-pubblico/settimana-viva/)

2014 In Germany, and upon an initiative of the German anaesthesiologists together with the German Resuscitation Council, the School Committee of theSchool Ministers of all 16 Federal States recommended training teachers in resuscitation to enable them to train school children incardiopulmonary resuscitation – for 2 h per year, starting at the age of 12 years (www.grc-org.de)

The European Patient Safety Foundation, the European Resuscitation Council, the International Liaison Committee on Resuscitation and the WorldFederation of Societies of Anaesthesiologists supported the ‘KIDS SAVE LIVES’ statement, which suggests 2 h of resuscitation training inschool children per year, starting at the age of 12 years13,14

In Poland, 67 396 school children all over the country jointly trained cardiopulmonary resuscitation for the ‘European Restart a Heart Day’ (http://www.wosp.org.pl/uczymy-ratowac/rekord)

2015 The ‘KIDS SAVE LIVES’ statement from European Patient Safety Foundation, European Resuscitation Council, International Liaison Committee onResuscitation and World Federation of Societies of Anaesthesiologists was endorsed by the WHO16,17

The Health Minister from the Republic of the Sudan pledged support for the ‘KIDS SAVE LIVES’ initiativeIn Italy, the School Minister established a law for nationwide mandatory education of school children in resuscitation; the Italian Resuscitation

Council supported this legislation with a flash mob with school children and a press conference in the Italian Parliament (http://www.resuscitationjournal.com/article/S0300-9572(16)30299-4/abstract)

In Italy, during ‘Viva!’ 2015 ‘Relive’ was launched, the first ‘serious game’ with no profit purpose to increase awareness about cardiac arrest andcardiopulmonary resuscitation in children of secondary school (http://relivegame.org)

In Poland, 92 049 children performed cardiopulmonary resuscitation demonstrations on 5411 manikins at schools and public places during the‘European Restart a Heart Day’ event (http://www.wosp.org.pl/uczymy-ratowac/rekord)

In the United Kingdom, the Resuscitation Council distributed free copies of its award winning Lifesaver app (http://www.lifesaver.org.uk/) to allsecondary schools

2016 In France, first aid and resuscitation training became mandatory by national law for all schoolsGreece – with Hellenic Society of Emergency Prehospital Care – participated in the ‘KIDS SAVE LIVES’ movement: in Thessaloniki, 300

educated school children demonstrated in public how to perform cardiopulmonary resuscitation (https://m.youtube.com/watch?v=78AhihA9uHE)

The European Resuscitation Council published the ‘KIDS SAVE LIVES’ position statement,18 which has now been translated into 12 languagesand is available on the European Resuscitation Council website. This statement demonstrates and explains the 10 fundamental principles ofschool children education in resuscitation

The Italian, German and European Resuscitation Councils published the ‘KIDS SAVE LIVES’ video – Saving a life is a child’s play, where the 10principles of the European Resuscitation Council Position Statement are presented; this video is freely available and can and should be sharedon websites, social media and other platforms and places (https://www.youtube.com/watch?v=0Yf4umHnD3c

The European Society of Anaesthesiology supported the ‘KIDS SAVE LIVES’ initiative by publishing the European Resuscitation Council PositionStatement on its website (http://newsletter.esahq.org/kids-save-lives-erc-position-statement-on-school-childrens-education-in-cpr-hands-that-help-training-children-is-training-for-life/)


http://www.minisanitaeter.de/projekte5.html

http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//TEXT+TA+P7-TA-2012-0266+0+DOC+XML+V0//EN

http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//TEXT+TA+P7-TA-2012-0266+0+DOC+XML+V0//EN

http://www.grc-org.de/reanimationsunterricht

http://www.erc.edu/about/restart

http://www.einlebenretten.de/

http://www.erc.edu/

https://www.youtube.com/watch?v=WvHJF0b_-wQ

http://www.wosp.org.pl/uczymy-ratowac/rekord

http://www.ircouncil.it/per-il-pubblico/settimana-viva/

http://www.grc-org.de/



http://www.resuscitationjournal.com/article/S0300-9572(16)30299-4/abstract

http://www.resuscitationjournal.com/article/S0300-9572(16)30299-4/abstract

http://relivegame.org/


http://www.lifesaver.org.uk/)%20to%20all%20secondary%20schools

http://www.lifesaver.org.uk/)%20to%20all%20secondary%20schools

https://m.youtube.com/watch?v=78AhihA9uHE

https://m.youtube.com/watch?v=78AhihA9uHE

https://www.youtube.com/watch?v=0Yf4umHnD3c

http://newsletter.esahq.org/kids-save-lives-erc-position-statement-on-school-childrens-education-in-cpr-hands-that-help-training-children-is-training-for-life/

http://newsletter.esahq.org/kids-save-lives-erc-position-statement-on-school-childrens-education-in-cpr-hands-that-help-training-children-is-training-for-life/


EJA-D-17-00442

4 Bottiger et al.

The European, Italian and German Resuscitation Councils – under the umbrella of the ‘ERC Research NET’ – performed a detailed survey onschool children education in resuscitation in 34 European countries and published the results12

The Italian Resuscitation Council developed an App entitled ‘a breath-taking picnic’ for 6 to 8-year-old children to show them how to performresuscitation. With the help of other European national resuscitation councils, this App has been translated into Dutch, French and German(https://www.youtube.com/watch?v=UYlvdUcGjz0)

The Romanian Health Minister supported the worldwide ‘KIDS SAVE LIVES’ initiative at the WHOIn Italy, 2500 school children were trained in resuscitation and certified in Basil Life Support within the ‘KIDS SAVE LIVES’ activities during the

annual congress of the Italian Resuscitation Council in MilanIn Germany, and under the patronage of the German Health Minister, a National Initiative was founded (Nationales Aktionsbundnis

Wiederbelebung) with the goal to educate school children and other lay people in resuscitation, and to increase the lay resuscitation rates inGermany to more than 50% by 2020. This National Initiative is supported by many organisations and specialties, and it was initiated during anevent with 100 school children in front of the Brandenburger Tor in Berlin (www.wiederbelebung.de)

Guinness World record in resuscitation was achieved by the University Hospital of Cologne, Germany – people from 74 different countriessuccessfully performed resuscitation on a manikin in the attempt ‘Most Nationalities in a CPR Relay’ (https://youtu.be/83vCRWvw_lY)

The ‘European Restart a Heart Day’ 2016 of the European Resuscitation Council – with activities and events by National Resuscitation Councils inmore than 20 European countries – had the motto ‘KIDS SAVE LIVES’ (www.erc.edu)

In Poland, close to 90 000 children were registered for the ‘European Restart a Heart Day’ event (http://www.wosp.org.pl/uczymy-ratowac/rekord)In the United Kingdom, the Resuscitation Council led a partnership with British Heart Foundation, St. John, British Red Cross and all ambulance

trusts that trained 150 581 school children in resuscitation on the ‘European Restart a Heart Day’ of the European Resuscitation Council(https://www.resus.org.uk/events/rsah/)

And what is in2017?

The European Resuscitation Congress ’Resuscitation 2017‘ of the European Resuscitation Council will be held on 28 to 30 September in Freiburgim Breisgau in Germany. On Thursday, 28 September the Germany Resuscitation Council will organise a big event with ‘KIDS SAVE LIVES’during its German part of the congress (www.grc-org.de)

Adapted with permission.13

methods available to educate school children in resusci-

tation14–25:

1. S

Eu

mall and relatively cheap manikins that can also be

taken home by the school children (school children as

multipliers);

2. ‘
High-fidelity’ manikins with feedback systems for
group education;

3. S
erious games and apps dedicated to school children;
4. S
chool children education by medical personnel
(doctors, nurses and paramedics);

5. S
chool children education by educated school teach-
ers;

6. S
chool children education by other school children
(peers)

The focus of the first steps of school children education in

resuscitation is on chest compression resuscitation only

(hands only).19 In case of out-of-hospital cardiac arrest,

‘hands only’ resuscitation is sufficient in most adult

patients until arrival of the emergency medical service.

This is because following sudden cardiac arrest there is

still remaining oxygen in the blood and in the whole body

outside the brain. Usually, we do not train ventilation or

the use of automated external defibrillators before the age

of 16 to 18 years.18

What is most important?It is well known that early commencement of resuscita-

tion by laypersons is the most effective way to increase

survival and improve neurological outcome following out-

of-hospital cardiac arrest.24–28 Education of school chil-

dren and using them as multipliers plays a central role in

increasing lay resuscitation rates and, thus, survival.18

Therefore, we suggest implementation of mandatory

education of school children in resuscitation nationwide

and to support and secure this by national law.

r J Anaesthesiol 2017; 34:1–5

Until this important goal is reached – which will save

hundreds of thousands of lives annually – we all have to

do our part. Society conferences are an excellent forum to

spread the message and also to organise mass training

events. Please, just start, help others and you will see it is

effective – and it is also a lot of fun.

Further information, videos, presentations, curricula and

concepts on school children education in resuscitation

can be found here:

www.erc.edu

https://kids-save-lives.net/

www.grc-org.de

https://www.ircouncil.it/

www.einlebenretten.de

www.wiederbelebung.de

www.lifesaver.org.uk



https://www.youtube.com/watch?v=UYlvdUcGjz0

https://www.youtube.com/watch?v=EDp4krk2–M

Acknowledgements related to this articleAssistance with the Editorial: B.W.B. is an Associate Editor of the

European Journal of Anaesthesiology.

Financial support and sponsorship: we cordially thank all collea-

gues, ministers, politicians, teachers, women and men, children,

organizations, medical societies and business entities who have

supported and will support the very important and positive impact

of our ‘KIDS SAVE LIVES’ initiative in Europe and in other parts

of the world. B.W.B. is supported by the ERC Research NET.

http://www.erc.edu/

https://kids-save-lives.net/


https://www.ircouncil.it/

http://www.einlebenretten.de/

http://www.wiederbelebung.de/

http://www.lifesaver.org.uk/




https://www.youtube.com/watch?v=EDp4krk2--M


http://www.wiederbelebung.de/

https://youtu.be/83vCRWvw_lY

http://www.erc.edu/


https://www.resus.org.uk/events/rsah/



EJA-D-17-00442

School children education in resuscitation for Europe and the world 5

Conflicts of interest: Bernd W. Bottiger is European Resuscitation

Council (ERC) Board Director Science and Research; Associated

Editor, European Journal of Anaesthesiology (EJA); Speakers hon-

orarium from Medupdate, FoMF, Baxalta, Bayer Vital, Bard; Chair-

man, German Resuscitation Council (GRC); Board Member,

German Society of Interdisciplinary Intensive Care and Emergency

Medicine (DIVI); Associated Editor, Resuscitation. Federico

Semeraro is Chairman, Italian Resuscitation Council (IRC). Andrew

Lockey is Honorary Secretary of the Resuscitation Council (UK).

Freddy Lippert is Board Member of Global Resuscitation Alliance,

Board member of Danish Resuscitation Council, Unrestricted

research grants from Danish TrygFonden and The Laerdal Foun-

dation. Marios Georgiou is ERC Board Director of External Affairs

and Board member of the Cyprus Resuscitation Council (CyRC).

Karl-Heinz Altemeyer, Janusz Andres, Jan Breckwoldt, Uwe Krei-

meier, Gernot Rucker, and Sabine Wingen have no conflicts. There

was no further assistance with the editorial, financial support

or sponsorship.

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http://www.nap.edu/catalog/21723/strategies-to-improve-cardiac-arrest-survival-a-time-toact



http://www.resuscitationacademy.org/

http://www.grc-org.de/reanimationsunterricht

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Formatted: Font: (Default) Arial

INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION

(ILCOR)

International Non-Profit Association

ARTICLES OF INCORPORATION

Updated version, approved by the General Assembly on [to be completed].

Commented [BM1]: Changes have been made/will be made to the purpose of the Association. As a result, the amendments have to be drawn up in an authentic deed and have to be approved by Royal Decree in Belgium by the King. Can use internally when passed; however Royal Degree can take months.

2



TITLE I NAME - SEAT - GOAL - DURATION

Article 1 The association has been established as an international nonprofit association in accordance with Title III of the Belgian law of 27 June 1921 (as amended). The association carries the name “International Liaison Committee on Resuscitation”, abbreviated ‘ILCOR’ (hereafter the “Association”). Article 2 The registered office of the Association is established in Belgium, Emile Vanderveldelaan 35, 2845 Niel, Belgium, under the judicial district of Antwerp. Article 3 The Vision of the Association is “Saving More Lives Globally through Resuscitation”. The purpose of the international non-profit association is to promote, disseminate and advocate international implementation of evidence-informed resuscitation and first aid, using transparent evaluation and consensus summary of scientific data. The following activities shall be deployed to realize its purpose:

a. Rigorous and continuous review of scientific literature focused on resuscitation, cardiac

arrest, relevant conditions requiring first aid, related education, implementation strategies and systems of care

b. Publishing regular and ongoing consensus on science with treatment recommendations c. Collaborating with others to facilitate knowledge dissemination and exchange, inform

effective education and training, implement and share trusted evidence-informed resuscitation practices

d. Enhancing capacity through mentorship and fostering the next generation e. Leading the international resuscitation research agenda to address gaps in knowledge

and promote funding related to resuscitation and relevant first aid practices f. Encouraging engagement of patients, families and the public as partners in our activities g. Monitoring and reporting incidence, process of care and outcomes to improve patient

care h. Building the foundation to evolve from international to global impact i. The Association can also collaborate with, grant loans to, invest in the capital of, or, in

any manner, directly or indirectly, participate in other legal entities, associations and companies of private or public nature, governed by Belgian or foreign laws. In general, the Association may enter into any other activities and undertake any other actions that are directly or indirectly related to the above-mentioned nonprofit purpose of the Association, or that are necessary or useful for the realization of such purpose, including accessory economic and profit-making activities within the boundaries of what is legally

Commented [BM2]: Changed to conform with new vision and mission accepted by General Assembly

3



permitted and of which the revenues shall be fully destined to the realization of the nonprofit purpose of the Association.

Article 4

The Association is founded for an indefinite period. TITLE II MEMBERS

Article 5 The Association shall be composed of regular members and Collaborating Members. Article 6 REGULAR MEMBERSHIP

a. There are two types of regular members:

1. Representative member organizations (hereafter “Member Organizations”); and

2. Executive Officers. b. Member Organizations:

1. At present, the following legal entities are the Member Organizations:

i. American Heart Association, with legal seat at [to be completed] and association number [to be completed]

ii. Australian and New Zealand Committee on Resuscitation, with legal seat at [to be completed] and association number [to be completed]

iii. European Resuscitation Council, with legal seat at [to be completed] and association number [to be completed]

iv. Heart and Stroke Foundation of Canada, with legal seat at [to be completed] and association number [to be completed]

v. InterAmerican Heart Foundation, with legal seat at [to be completed] and association number [to be completed]

vi. Resuscitation Council of Asia, with legal seat at [to be completed] and association number [to be completed]

vii. Resuscitation Council of Southern Africa, with legal seat at [to be completed] and association number [to be completed]

2. Regular Membership can be applied for in accordance with

Article 7.

3. Member Organizations shall be expected to:

i. Be representative of their geographic region in membership. ii. Have promulgated resuscitation guidelines within their geographic region. iii. Have demonstrated a commitment to working towards the development of

an International Consensus on Science and Treatment recommendations.

Commented [BM3]: Need to insert location and number of each regular member council.

4



4. The Association shall not subvert in any way the autonomy of its Member

Organizations.

5. Membership of the Association does not constitute recognition of any individual, any individual organization or its constituent members within its own geographic region.

6. The Association may invite organizations to seek membership.

c. Executive Officers:

1. Executive Officers become automatically regular members of the Association upon

their appointment as Executive Officer. Executive Officers will automatically lose regular membership the moment their mandate as Executive Officers has ended.

Article 7 APPLICATION FOR REGULAR MEMBERSHIP

a. Criteria for new regular membership

1. Legal entity active as representative regional body for substantial quantity of

institutions/professionals involved in the field of resuscitation/first aid i. Not already affiliated with an existing Member Organization ii. Active in a region not represented by an existing Member Organization iii. Track record of collaboration and leadership within region iv. Committed and able to actively participate as a Member Organization in all

ILCOR activities

2. Guidelines for submitting an application to become a Member Organization are described in the Internal Rules.

3. Applications for Member Organizations must be submitted in writing to the

Honorary Secretary and supported by a current Member Organization.

4. Application to be accepted as Member Organization will be considered by the General Assembly, who will determine the admission of the applicant. Admission as a Member Organization will require a 2/3 majority of the votes in the General Assembly. The decision of the General Assembly is final.

5. When a candidate Member Organization has been accepted as Member

Organization by the General Assembly, the Honorary Secretary will send a written notice of acceptance. The Honorary Secretary notifies the new Member Organization of any subscription due. Membership will commence upon General Assembly approval.

Article 8 COLLABORATING MEMBERSHIP

Commented [WHM4]: Slightly revised

5



a. Legal entity active as representative international body for substantial quantity of

institutions/professionals involved in a field related to resuscitation and/or first aid.#

b. Guidelines for submitting an application to become a Collaborating Member are described in the Internal Rules.

c. Member Organizations are ineligible to apply as Collaborating Members, and

Collaborating Members are ineligible to apply as Member Organization. d. Collaborating Members may also be those organizations such as any relevant academic

body or society or international organization active in the field of CPR or first aid that desire a close association with the Association. They must desire to work collaboratively in continuous evidence review and in achieving the Association’s mission of “saving more lives globally”.

e. A 2/3 majority vote in the General Assembly is required to be admitted for collaborating membership.

Article 9 RESIGNATION AND EXPULSION OF A MEMBER ORGANIZATION OR COLLABORATING MEMBER

a. Member Organizations and Collaborating Members may resign from membership of the

Association by sending a written letter of resignation to the Honorary Secretary. Member Organizations will remain liable for any unpaid subscriptions or fees due at the resignation date.

b. Member Organizations and Collaborating Members may be suspended or expelled if

they do not uphold the Articles of Incorporation and/or Internal Rules of the Association. Suspension or expulsion of a Member Organization will require a 2/3 majority of the votes in the General Assembly. The decision of the General Assembly is final.

Article 10 MEMBERSHIP FEES a. Membership fees will be determined by the General Assembly and will be reviewed

annually. Executive Officers are not subject to subscriptions and membership fees. b. Membership fees must be paid within the time frame set by the General Assembly.

Failure to pay membership fees may result in the withdrawal of membership privileges, suspension or expulsion.

c. Member Organizations who did not pay their membership fees of the past year, will not

be entitled to nominate persons for positions within the Association and will not have voting rights on the General Assembly meetings for as long as their membership fees are not paid.

d. The General Assembly has the right to terminate the membership of Member

Organizations whose membership fees of the past two years are not paid, at the end of that second year.

Article 11 THE RIGHTS AND DUTIES OF MEMBER ORGANISATIONS

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a. Member Organizations who have paid all their membership fees will have voting power to the General Assembly as set forth in Article 14.

b. Member Organizations who have paid all their membership fees have the right to

nominate their delegates for positions on the Board. The nomination procedure will be decided by the General Assembly, as set out in Article 19.

c. Member Organizations who have paid all their membership fees will be entitled to

receive full copies of all records of meetings of the General Assembly and the Board. d. Member Organizations will uphold the aims and objectives of the Association. e. Member Organizations will support and respect the Articles of Incorporation and the

Internal Rules. f. Member Organizations will inform the Honorary Secretary in the event that they are

unable to support the aims, objectives, Articles of Incorporation and Internal Rules of the Association. The General Assembly will decide whether the Member Organization is in breach of the Articles of Incorporation or the Internal Rules and what action should be taken.

g. Member Organizations will inform the Honorary Secretary of any conflict of interest,

personal, professional or financial, that reasonably could adversely affect the structure or function of the Association.

h. Member Organizations will respect the confidentiality and restrictions regarding pre-

publication release of materials developed by the Association.

i. Member Organizations take full responsibility for all costs and expenses incurred by their delegates for attending the Association’s meetings.

Article 12 THE RIGHTS AND DUTIES OF EXECUTIVE OFFICERS

a. Executive Officers will uphold the aims and objectives of the Association. b. Executive Officers will support and respect the Articles of Incorporation and the Internal

Rules. c. Executive Officers exercise their mandate independently and are not subject to voting

instructions from the Member Organization from which they originated. Article 13 THE RIGHTS AND DUTIES OF COLLABORATING MEMBERS a. Collaborating Members must have similar demonstrated missions and goals and values

as the Association. b. Collaborating Members have no voting rights and their representatives are ineligible to

serve as Executive Officers.

Commented [WHM5]: “Costs and expenses incurred by the Officers for attending the Association’s meetings shall be paid by ILCOR”. Some may wish to add this.

Commented [WHM6]: New Section

7



c. Collaborating Members are invited to attend the Association’s face-to-face meetings and

send up to 2 representatives to these meetings who will be designated as non-voting delegates. They may also send up to 2 additional observers. Collaborating Members are responsible for all expenses related to their representatives attending meetings of the Association.

d. Individuals affiliated with Collaborating Members will be invited to apply for membership

on the Task Forces. Task force member positions will be selected in accordance with the Association’s processes and published criteria.

e. Collaboration Members are not subject to membership fees. TITLE III THE GENERAL ASSEMBLY

Article 14 THE GENERAL ASSEMBLY a. The General Assembly is the Association’s general guiding body, as referred to in article

48, 5° of the Belgian Law of 27 June 1921 (as amended). The General Assembly has authority to decide and act for the Association in all matters except for those exclusively attributed to the Board by law or by the Articles of Incorporation.

b. The General Assembly will in particular be responsible for producing, amending and

making available Internal Rules in support of the Articles of Incorporation. Such Internal Rules will include, but not be restricted to, the mode of operation of committees, Task forces and other groups, the procedures for conduct of meetings and the use of the title of the Association’s name and logo by its Member Organizations, Collaborating Members, involved individuals and by third parties.

c. The General Assembly will comprise the Executive Officers and the Member

Organizations. Each Member Organization will be represented as outlined in d. below. d. Current Member Organizations and number of delegates, whereas the number of

delegates of a Member Organization corresponds to the number of votes to which the Member Organization is entitled:

1. American Heart Association (AHA) 6 delegates 2. European Resuscitation Council (ERC) 6 delegates 3. Heart & Stroke Foundation of Canada (HSFC) 4 delegates 4. Australian and New Zealand Committee on Resuscitation 4 delegates 5. (ANZCOR) 6. Inter-American Heart Foundation (IAHF) 4 delegates 7. Resuscitation Council of Southern Africa (RCSA) 4 delegates 8. Resuscitation Council of Asia (RCA) 4 delegates

e. The number of voting delegates allocated to a new Member Organization is four, unless

the General Assembly decides to allocate a different number of delegates with a 2/3 vote at the time the new Member Organization is admitted.

Commented [WHM7]: New 6 and 4

Commented [WHM8]: New

8



f. Each Member Organization appoints and discharges its delegates. Member

Organizations will formally inform the Honorary Secretary in writing, of changes in their delegates on the General Assembly. They will be expected to withdraw delegates who do not uphold the aims and objectives of the Association or their own representative organization.

g. All delegates from the Member Organization are expected to attend each General Assembly meeting. Each delegate has one vote and proxy voting is not allowed. If none of the delegates of a Member Organization are present, the Member Organization shall have no voting rights.

Article 15 MEETINGS OF THE GENERAL ASSEMBLY a. There will be at least one meeting of the General Assembly of the Association each

year. General Assembly meetings are called by the Board. General Assembly meetings are to be organized as face-to-face or conference call meetings, or similar technology.

b. The Honorary Secretary will give at least 90 calendar days’ notice of all General

Assembly physical meetings; for conference calls a 30 days’ notice applies. Notice will be provided in writing to each Member Organization, to each individual delegate and each Executive Officer.

c. The meeting agenda will be circulated to each Member Organization, to each individual

delegate and to each Executive Officer in writing, at least 14 days in advance.

d. At least 2/3 of the Member Organizations need to be present or represented at the General Assembly to constitute a valid quorum, regardless of the number of delegates present.

e. The Board may invite any number of observers without vote to the General Assembly to

facilitate its business and will inform the General Assembly thereof at the beginning of the meeting.

f. No business will be transacted at any meeting of the General Assembly unless the

quorum set out under Article 15.d, is met. g. The Co-Chairs will preside over the meetings of the General Assembly. The Co-Chairs

will conduct the meeting in a proper and businesslike manner consistent with the Articles of Incorporation and Internal Rules of the Association. The Co-Chairs will assist each other in the execution of their tasks and mutually replace each other in case of absence.

h. The Honorary Secretary will prepare an accurate record of the proceedings at all

General Assembly meetings. The Co-Chairs will sign the record as an accurate representation of the proceedings of the meeting. This record will be circulated to all Member Organizations of the Association and delegates as a record of a meeting of the General Assembly.

Commented [BM9]: Added 30-day notice of all conference calls of General Assembly

Commented [BM10]: New and gives 14 day in advance deadline for General Assembly materials to be distributed.

Commented [BM11]: NEW and allows observers at the invitation of the Board to attend General Assembly meetings.

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i. The General Assembly will decide with a simple majority of the votes except when a stricter majority is required by the Articles of Incorporation or the Internal Rules.

j. Each Executive Officer has one vote. k. Each Member Organization has as many votes as it has delegates present in

accordance to the provisions of the Articles of Incorporation. If all the delegates of a Member Organization are present at the General Assembly meeting, each delegate shall cast one vote on behalf of its Member Organization. If not all the delegates of a Member Organization are present, the Member Organization will cast the votes in accordance with the number of delegates present.

l. Voting will be by a show of hands or a roll call unless at least one of the delegates requests a written ballot. Repeat votes will occur until a decision is reached. Should decisions not be reached the matter will be referred directly to the individual Member Organizations for local resolution before the matter is returned to the General Assembly. When voting involves named individuals, the vote will be done by secret ballot

m. All delegates, attendees and observers must comply with the Association’s Conflict of Interest Policies as set out in the Internal Rules.

n. Each member organization may invite up to 3 observers without vote to a General

Assembly and they must notify the Honorary Secretary with their names and email addresses no later than 30 days prior to the General Assembly.

o. Each Member Organization will nominate a delegate as Chair for their organization. p. Two Member Organization Chairs can add an item on the agenda of the General

Assembly. q. Four Member Organization Chairs can commission the Board to convene a GA meeting

at the earliest convenience.

TITLE IV THE BOARD

Article 16 THE BOARD a. The Board will have day-to-day control and management of the administrative affairs of

the Association. b. The Board will prepare the meetings of the General Assembly and will execute the

decisions taken by the General Assembly. The Board will consist of 4 Executive Officers Article 17 MEETINGS OF THE BOARD a. There will be a meeting (face-to-face, by telephone, or electronic) of the Board quarterly.

Additionally, the Board will communicate as deemed necessary or desirable. b. The Honorary Secretary will give at least 7 calendar days’ notice prior to the Board

meetings. Notice will be provided in writing to each member of the Board.

Commented [BM12]: New and ensures anonymity

Commented [BM13]: New but -ong standing policy.

Commented [WHM14]: new


Commented [BM16]: The term executive committee is deleted and replaced with the BOARD, The executive committee was formerly comprised of officers and council chairs and inserted a second level of power or authority which the ad hoc committee felt was unnecessary from a management perspective. The board should meet quarterly with the council chairs for informational items and this requirement is inserted into the internal rules. Thusly there are only two levels of authority in ILCOR-The Board and the General Assembly. If the executive is retained it’s authority and responsibilities which was lacking in the original AOI need to be codified.

Commented [BM17]: Sections a-I define board notices, quorums and voting

Commented [BM18]: Executive committee references have been deleted and language clarified

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c. The number of Board Members required to constitute a quorum of attendance at a Board meeting will be a simple majority of the total number of Board Members.

d. No business will be transacted at any meeting of the Board unless a quorum is present. e. The Co-Chairs will preside over meetings of the Board. The Co-Chairs will conduct the

meeting in a proper and approved manner. The Co-Chairs will assist each other in the execution of their tasks and mutually replace each other in case of absence.

f. The Honorary Secretary will prepare an accurate record of the proceedings at all Board

meetings. The Co-Chairs will sign the record as an accurate representation of the proceedings of the meeting. This record will be provided to the General Assembly.

g. Business of the Board will be decided by a simple majority. h. Each Executive Officer is entitled to one vote. Voting will be by a show of hands or a roll

call unless at least one of the delegates requests a written ballot. If a decision cannot be reached then the matter will be referred directly to the General Assembly.

i. All members of the Board and observers must comply with the Association Conflict of

Interest Policies as set out in the Internal Rules. j. Upon invitation by the Board and a motivated request, but at least quarterly, Member

Organization Chairs may attend Board meetings. They have no voting rights.

TITLE V EXECUTIVE OFFICERS

Article 18 THE EXECUTIVE OFFICERS The Executive Officers is comprised as follows:

ILCOR Co-Chairs (2) Honorary Secretary

Honorary Treasurer

Article 19 NOMINATION AND ELECTION OF EXECUTIVE OFFICERS a. Individual Member Organizations shall nominate individual delegates to serve as

Executive Officers and will indicate for which function within the Board they nominate the delegates (Co-Chair, Honorary Secretary or Honorary Treasurer).


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b. Nominations will be submitted to the Honorary Secretary in writing no later than 30 days prior to any election, with the consent, the intent (motivation) of the individual nominee and a picture and a curriculum vitae.

c. The curriculum vitae and intent will be circulated with the General Assembly agenda 14 days prior to the General Assembly meeting.

d. A maximum of two Executive Officers can originate from the same Member Organization. The two Co-Chairs must originate from different Member Organizations.

e. Elections will be held by the following procedure:

i. To be elected, a delegate needs to receive a simple majority of the votes in the General Assembly. If none of the delegates has a simple majority of the votes for a specific function (Co-Chair, Honorary Secretary, or Honorary Treasurer), a second voting round will be organized between the two delegates who received the highest number of votes in the first round. The delegate with the highest number of votes in the second round, provided that he has a simple majority of the votes, will be appointed. If none of the two delegates receives a simple majority of the votes in the second round, the function for which they were nominated remains open until the next General Assembly that will decide on the appointment of Executive Officers. However, if this mechanism causes the number of Executive Officers to fall below three, the delegate with the overall highest number of votes in the second round will nonetheless be appointed.

ii. Voting will be held by a secret ballot. Abstentions, blank and invalid votes

shall be considered as validly cast votes in the calculation of the majority.

f. Once a delegate is appointed as Executive Officer, he will no longer be a delegate of a Member Organization. The Member Organization that has a delegate appointed as Executive Officer, will appoint a new delegate to replace the former.

Article 20 TERMS OF OFFICE

a. Each Co-Chair shall serve a term of four years and is eligible for a second term as Co-

Chair. b. The Honorary Secretary shall serve a term of four years and is eligible for a second term

as Honorary Secretary once. c. The Honorary Treasurer shall serve a term of four years and is eligible for a second term

once.

Commented [BM20]: Nominations must be received 30 days prior to election



Commented [BM23]: Changed all three-year terms to four year for initial term and three to four for a consecutive term. Overlapping terms specified for co chairs

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d. After two terms in the same function, a delegate may be appointed for another function within the Board under the same conditions as delegates that not have yet exercised a mandate as Executive Officer.

e. Both Co-Chair terms overlap by two years The terms of the Honorary Secretary and the

Honorary Treasurer also overlap by two years f. An Officer who is elected to replace the former Officer during his/her term, only

completes the term of his predecessor, after which he can apply for a second term of four years.

g. The term of office for the Officers will commence at the end of the General Assembly

meeting at which they were elected. h. Honorary ex officio past Co-Chairs are the immediate past Co-Chairs and serve one

four-year term on the Board. They are non-voting and serve at the pleasure for the current Co-Chairs. If their service is no longer necessary they can be terminated at any time by the Board. If an Honorary ex officio past Co-Chair is elected as Honorary Secretary or Honorary Treasurer, he will no longer be Honorary ex officio past Co-Chair.

Article 21 RESIGNATIONS AND PREMATURE TERMINATION OF MANDATE OF

OFFICERS Officers may resign from their post by submitting their resignation in writing to the Honorary Secretary – in case of resignation of the Honorary Secretary to both Co-Chairs. Resignation will take effect upon acceptance by the General Assembly.

The General Assembly may at any time prematurely terminate the mandate of an Officer via vote by secret ballot and as long as such voting was put on the agenda on time. Article 22 THE OFFICERS AND THEIR RESPONSIBILITIES a. Co-Chairs

1. The Co-Chairs will preside over the meetings of the General Assembly and the

Board. 2. The Co-Chairs will conduct the meeting in a proper and businesslike manner

consistent with these Articles of Incorporation and Internal Rules. 3. The Co-Chairs will ensure that a full and accurate record of all meetings of the

General Assembly and Board is kept pursuant to Article 22. b.4. 4. The Co-Chairs will assist each other in the execution of their tasks and mutually

replace each other in the case of absence. 5. The Co-Chairs will submit reports annually to the Association and its Member

Organizations on the current and future activities of the Association.

b. Honorary Secretary

Commented [BM24]: new

Commented [BM25]: New-limits elected replacement to complete term with eligibility for second term.

Commented [BM26]: New and replaces from the next General Assembly meeting

Commented [BM27]: New and clarifies ex officio officer positions.

Commented [BM28]: New- Clarifies resignation date.

Commented [BM29]: a-c Changes executive committee to Board III-deletes 90 day notice for Board meetings

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1. The Honorary Secretary will be responsible for coordinating the preparation of all meetings of the General Assembly and Board.

2. The Honorary Secretary will give notice of all General Assembly meetings. Notice will be provided by email to each Member Organization and to each individual delegate of the General Assembly.

3. The Honorary Secretary will give notice of all Board meetings. Notice will be provided by email to each member of the Board.

4. The Honorary Secretary will prepare an accurate record of the proceedings of all General Assembly and Board meetings. The Co-Chairs will sign the record as an accurate representation of the proceedings of the meeting. This record will be posted on the intranet of the Association and circulated to all Member Organizations of the Association and delegates as a record of a meeting of the General Assembly or the Board.

c. Honorary Treasurer

1. The Honorary Treasurer will establish and maintain a bank account or accounts in

the name of the Association, which will receive all monies of the Association. 2. The Honorary Treasurer will maintain accurate records of all donations,

subscriptions and other payments and all expenditure of the Association. 3. The Honorary Treasurer will submit accurate annual accounts showing the

financial affairs of the Association at least annually to the Board, who shall present it together with a detailed annual budget for the following financial year to the General Assembly for approval. These accounts and budget will be recorded and appended to the record of the meeting of the General Assembly to form a permanent record.

4. The Honorary Treasurer will at the request of the General Assembly arrange for the financial records to be subject to audit.

RESIGNATION AND EXPULSION OF A MEMBER ORGANIZATION OR COLLABORATING MEMBER a. Any two Officers acting jointly may validly represent the Association. b. The Board may mandate individuals to represent the Association for specific tasks. TITLE VI TASK FORCES Article 23 TASK FORCES a. The General Assembly or Board may establish Task Forces to deal with specific issues

relating to the Association. b. A Task Force will consist of members as defined in the Internal Rules. c. Task Force Chairs, Vice Chairs and Task Force Members will be proposed by the

nominating committee (as defined in the Internal Rules) to the Board and appointed by the General Assembly.

Commented [BM30]: Replaces all officers with two

Commented [BM31]: Replaced Task force co-chairs with Task Force Chair and Vice chairs. Replaced executive committee with Board

Commented [BM32]: Omits any reference to observers on task forces as a policy matter

Commented [BM33]: Makes consistent with Internal Rules2 process for selection of task force members

14



d. A Task Force will meet from time to time, as deemed necessary or desirable. e. A Task Force will make recommendations on their specific issue to the Board. The

adoption of these recommendations will remain the decision of the General Assembly. f. The Task Force Chair and Vice Chair will preside over meetings of the Task Force. The

Task Force Chair and Vice Chair will conduct the meeting in a proper and businesslike manner consistent with the Internal Rules. The Task Force Chair and Vice Chair will assist each other in the execution of their tasks, and mutually replace each other in case of absence.

g. Each Task Force will nominate a Recorder who will prepare an accurate record of the

proceedings at all Task Force meetings. The Task Force Chair and Vice Chair will sign the record as an accurate representation of the proceedings of the meeting. This record will be posted on the intranet of the Association as a documentation of the Task Force meeting.

h. Recommendations and decisions of the Task Force will be decided by a consensus or, if

necessary, by a simple majority vote. i. Each Task Force member will have voting rights and will be entitled to one vote. Voting

will be by a show of hands or a roll call unless at least one of the member requests a written ballot. If a decision cannot be reached then the matter will be referred directly to the General Assembly.

j. All Task Force members, attendees and observers must comply with the Association’s

Conflict of Interest Policies that are set out in the Internal Rules. TITLE VII FUNDS AND ACCOUNTS Article 24 FUNDS AND ACCOUNTS a. At the request of the General Assembly, the financial records shall be subjected to audit. b. The Association’s financial year is the calendar year. Each year, the Board must prepare

financial documents, which include the annual accounts of the previous financial year, the annual budget for the following financial year, and any other documents or filings required by law. The Board must submit the accounts and budgets for approval to the General Assembly.

c. The Board may appropriate up to 5000 euros per financial year as discretionary

spending and without General Assembly approval. Discretionary spending must be a line item in the annual budget.

TITLE VIII MISCELLANEOUS Article 25 AMENDMENTS TO THE ARTICLES OF INCORPORATION

Commented [BM34]: Omitted the requirement for a task force to submit minutes to the general assembly for approval

Commented [BM35]: Removed “in case of a tie, the TFC and VC will cast a vote as they are already voting members and can cast their vote on the initial ballot.

Commented [WHM36]: This was an accepted addition from Adelaide.

15



a. The Articles of Incorporation may be amended, altered, repealed or added to by a

resolution passed by a 2/3 majority of the votes in the General Assembly convened and conducted in accordance with Article 15.d.

b. No amendment shall be made to these Articles of Incorporation that would be

inconsistent with any national or international legislation. c. Any proposal for an amendment of the Articles of Incorporation needs to be circulated to

all delegates, at least 30 days prior to the General Assembly meeting. Only those articles of the Articles of Incorporation that are submitted for amendment, can be amended at the General Assembly meeting.

Article 26 ANNUAL REPORT a. The Honorary Secretary will prepare an annual report of the activities of the Association.

This report will be proposed as an Agenda item at a meeting of the General Assembly and accepted as a true record of the activities of the Association. The report will be circulated to all Member Organizations, to all Collaborating Members and to any other body requesting information on the activity of the Association.

Article 27 DISSOLUTION a. If the Board decides that it is necessary or advisable to dissolve the Association, it shall

call a special meeting of the General Assembly respecting Article 15.b for the announcement, and stating the terms of the resolution to be proposed. If a 2/3 majority of the votes in the General Assembly confirms the proposal, then the Board shall have power to realize any assets held by or on behalf of the Association. At the direction of the Board, any assets remaining after the satisfaction of any proper debts and liabilities shall be given or transferred to such other institutions or organizations having goals similar to the goals of the Association. A copy of the statement of accounts, or account and statement, for the final accounting period of the Association shall be sent to each Member Organization.

Article 28 TITLE AND LOGO a. The title and logo of the Association are protected strongly and shall be used only as

directed or permitted by the Board or an agent authorized by the Board for this purpose. Changes cannot be made to the design or colour of the logo unless authorized by the General Assembly. A copy of the Association’s logo is attached to the Articles of Incorporation.

Commented [BM37]: Notice of pending amendments to GA delegates changed from 90 to 30 days.

Commented [BM38]: Will insert a detailed description.

Commented [BV39]: Visual marks cannot be published in the Belgian State Gazette. This requires a technical description of the logo. An alternative is to register the logo (in b/w) as a registered logotype (cost for the EU: 700 to 900 EUR)

16



1


(ILCOR)

Registration as an Incorporation in accordance with the

Belgian Law 2 May 2002 on International Non-Profit Associations

Updated version, approved by the General Assembly on September 10, 2011. The undersigned Founding member organisations:

2

• American Heart Association (AHA)

American Heart Association, 7272 Greenville Avenue, Dallas, Texas 75023, USA

• European Resuscitation Council (ERC)

European Resuscitation Council, BE-2610 Antwerp, Universiteitsplein 1, Belgium

• Heart & Stroke Foundation of Canada (HSFC)

Heart & Stroke Foundation of Canada, 1402 – 222 Queen Street, Ottawa,

Ontario K1P 5V9, Canada

• Australian and New Zealand Committee on Resuscitation (ANZCOR)

Australian and New Zealand Committee on Resuscitation, College of Surgeons,

Surgeons Gardens, Spring Street, Melbourne 3000, Australia.

• Inter American Heart Foundation (IAHF)

Inter American Heart Foundation

• Resuscitation Council of Southern Africa (RCSA)

Resuscitation Council of Southern Africa, 72 Sophia Street, Fairland,

Johannesburg 2195, South Africa

hereby declare to found an International Non-Profit Association in accordance with

Belgian Law of 2nd May 2002, and of which the Statutes and Articles are described in

this document and its accompanying bye-laws.

3

TITLE I Name - Seat - Goal - Duration Article 1. The Association is an International non-profit Organisation. The name of the Association is the International Liaison Committee on Resuscitation, abbreviated ‘ILCOR’. Article 2. The Headquarters of the Association is established in Belgium, Drie Eikenstraat 661, 2650 Edegem, Belgium. The Association comes under the responsibility of the Antwerp Aistrict Court. Article 3.

The Goal of the international non-profit Association is:

To save lives through the development of an International Resuscitation Consensus on Science and Treatment recommendations.

The International Liaison Committee on Resuscitation (ILCOR) will provide a mechanism by which the international science and knowledge relevant to cardiopulmonary resuscitation (CPR) and emergency cardiovascular care (ECC) is identified and reviewed. ILCOR will periodically develop and publish a Consensus on Resuscitation Science. When possible, ILCOR will publish treatment recommendations applicable to all member organisations. This Consensus mechanism may be used by member organisations to provide consistent guidelines on Resuscitation. ILCOR will encourage the co-ordination of guideline development and publication by its member organisations. While the major focus will be on evaluation of cardiopulmonary resuscitation and emergency cardiovascular care science, ILCOR will also address the effectiveness of education and training, and approaches to the organisation and implementation of emergency cardiovascular care.

To reach these goals, the Association will pursue the following activities:

a. Provide a forum for discussion and for co-ordination of cardiopulmonary and cerebral resuscitation worldwide.

b. Facilitate a process for collecting, reviewing and sharing international scientific

data on resuscitation. c. Provide a channel for scientific review and guidance to enable a process of

international consensus to be achieved.

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d. Produce appropriate statements on specific issues related to resuscitation that

reflect international consensus. e. Foster scientific research in areas of resuscitation where there is a lack of data or

where there is controversy. f. Facilitate a process for dissemination of information on training and education in

resuscitation.

Article 4. The Association is founded for an indefinite period.

TITLE II Members Article 5. MEMBERSHIP

a. ILCOR will comprise a number of representative member organisations. b. Member organisations of ILCOR shall be expected to:

i. Be representative of their geographic region in membership. ii. Have promulgated resuscitation guidelines within their geographic

region. iii. Have demonstrated a commitment to working towards the

development of an International Consensus on Science and Treatment recommendations.

c. ILCOR shall not subvert in any way the autonomy of its member organisations.

d. Membership of ILCOR does not constitute recognition of any individual

organisation or its constituent members within its own geographic region

e. ILCOR may, from time to time, invite organisations to seek membership.

f. Organisations seeking membership of ILCOR may apply for membership in the manner approved by the ILCOR General Assembly and described in the byelaws.

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Article 6. APPLICATION FOR MEMBERSHIP

a. Application for membership will be considered by the ILCOR General Assembly, who will determine the admission of the applicant. Admission as a member organisation will require a two-thirds majority vote of the General Assembly. The decision of the General Assembly is final.

b. Applications for membership must be submitted in writing to the Honorary

Secretary and supported by a current member organisation of ILCOR.

c. Evidence must be submitted in writing that the organisation seeking membership is representative of its stated constituency and actively disseminates resuscitation education, training and materials.

d. Examples of such evidence are as follows:

I. Constitution and bye-laws of the respective organisation. II. Evidence of guideline promulgation. III. Evidence of activities in their respective geographic region. IV. Training network activities outlined. V. Publications and training materials of the organisation. VI. Fiscal

responsibility.

e. Evidence of support from appropriate agencies in their respective geographic region

f. When an applicant has been accepted for membership, the Secretary will send

a written notice of acceptance. The Secretary will advise the new member organisation of its allotted number of representative delegates to the General Assembly and notify the new member organisation of any subscription due. Membership will commence effective at the next meeting of the General Assembly of ILCOR.

Article 7. RESIGNATION AND EXPULSION FROM MEMBERSHIP

a. Organisations may resign from membership of ILCOR following receipt of a letter of resignation written to the General Assembly. Organisations will remain liable for any unpaid subscriptions or fees due at the resignation date.

b. Organisations may be suspended or expelled if they do not uphold the Articles

of Incorporation and bye-laws of ILCOR. Suspension or expulsion of a member

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organisation will require a two-thirds majority vote of the General Assembly. The decision of the General Assembly is final.

Article 8. SUBSCRIPTIONS

a. Subscriptions and fees will be determined by the General Assembly and will be reviewed annually.

b. Subscriptions must be paid within the time frame set by the General Assembly.

Failure to pay a subscription may result in the withdrawal of membership privileges, suspension or expulsion.

Article 9. THE RIGHTS AND DUTIES OF MEMBER ORGANISATIONS

a. Member organisations that have been approved by the General Assembly and

who have paid all their subscriptions and fees will have the right to nominate their own individual delegates to represent them on the General Assembly.

b. The number of delegates representing any given member organisation will be

decided by the General Assembly and inserted in the bye-laws. c. Member organisations will inform the Honorary Secretary of changes in their

delegate representatives on the General Assembly. They will be expected to withdraw delegates who do not uphold the aims and objectives of ILCOR or their own representative organisation.

d. Member organisations of the General Assembly who have paid all their

subscriptions and fees will have the right to nominate General Assembly delegates to positions on the Executive Committee or Executive Officer posts. The nomination procedure will be decided by the General Assembly.

e. Member organisations of the General Assembly who have paid all their

subscriptions and fees will be entitled to receive full copies of all records of meetings of the General Assembly and the Executive Committee.

f. Member organisations will uphold the aims and objectives of ILCOR.

g. Member organisations will support the Incorporation document, all its articles

and bye-laws. h. Member organisations will inform ILCOR in the event that they are unable to

support the aims, objectives, articles and bye-laws of ILCOR. The General

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Assembly will decide whether the organisation is in breach of the Articles of Incorporation or the bye-laws and what action should be taken.

i. Member organisations will inform ILCOR of any conflict of interest, personal,

professional or financial, that reasonably could adversely affect the structure or function of ILCOR.

j. Member organisations will respect the confidentiality and restrictions regarding

pre-publication release of materials developed by ILCOR. k. Member organisations take full responsibility for all costs and expenses

incurred by their delegates for attending ILCOR meetings.

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TITLE III The General Assembly

Article 10. THE GENERAL ASSEMBLY

a. The General Assembly has the highest power of the Association

b. The General Assembly will be responsible for producing, amending and making available bye-laws in support of the Articles of Incorporation. Such bye-laws will include, but not be restricted to, the mode of operation of committees, task forces and other groups, the procedures for conduct of meetings and the use of the title of ILCOR name and logo by its member organisations.

c. The General Assembly will comprise the Executive Officers and the delegates

representing each of the individual member organisations of ILCOR. d. The number of delegates representing each member organisation will be

determined by the General Assembly. The initial complement from each organisation will be described in the bye-laws.

e. Delegates will be nominated by the member organisation, which they represent.

Delegates will have and may exercise, on behalf of their organisation, all rights of membership in the General Assembly of ILCOR.

f. Each member organisation will inform the General Assembly of its nominations

for delegates and any changes in its delegates to the ILCOR General Assembly.

Article 11. MEETINGS OF THE GENERAL ASSEMBLY

a. There will be at least one meeting of the General Assembly of ILCOR each year (face-to-face, by telephone, or electronic).

b. The Secretary will give at least ninety calendar days notice of all ILCOR

General Assembly meetings. Notice will be provided to each member organisation and to each individual delegate of the General Assembly.

c. The number of delegates required to constitute a quorum at a meeting of the

General Assembly will be a simple majority of the total number of ILCOR

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General Assembly delegates comprising at least two thirds of the member organisations.

d. No business will be transacted at any meeting of the General Assembly unless

a quorum is present.

e. The ILCOR Co-Chairs will preside over the meetings of the General Assembly. The Co-Chairs will conduct the meeting in a proper and businesslike manner consistent with the articles and bye-laws of ILCOR. The ILCOR Co-Chairs will assist each other in the execution of their tasks and mutually replace each other in case of absence.

f. The Secretary will prepare an accurate record of the proceedings at all General

Assembly meetings. The Co-Chairs will sign the record as an accurate representation of the proceedings of the meeting. This record will be circulated to all member organisations of ILCOR and delegates of the General Assembly as a record of a meeting of the General Assembly.

g. Business of the General Assembly will be decided by a simple majority

consensus of the delegates present or, if necessary, by a simple majority vote of the delegates present, except when a super-majority is required by the Articles of Incorporation or bye-laws.

h. Each delegate (except the Co-Chairs) will have voting rights and will be entitled

to one vote. Voting will be by a show of hands unless at least one of the delegates requests a written ballot. In the event of an equal number of votes on any motion, the Co-Chairs will each cast a vote. If there are still an equal number of votes cast then the General Assembly will proceed to a written ballot of delegates, including the Co-Chairs. If a decision cannot be reached then the matter will be referred directly to the individual member organisations for local resolution before the matter is returned to the General Assembly.

i. All ILCOR delegates, attendees and observers must comply with the ILCOR

Conflict of Interest Policies. At the start of any meeting of the General Assembly, each delegate who has a conflict of interest (personal, professional or financial) in a matter on the Agenda or added to the Agenda must:

i. declare that conflict of interest at the meeting before

discussion of the matter. ii. be absent for that part of the meeting unless expressly

invited to remain in order to provide relevant information. iii. not be counted in the quorum for that part of the meeting.

iv. be absent for the vote (unless requested to remain) and have no vote on the matter.

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v. document the abstention for the Secretary to include in the Minutes.

TITLE IV THE EXECUTIVE COMMITTEE

Article 12. THE EXECUTIVE COMMITTEE

a. The Executive Committee will have day-to-day control and management of the administrative affairs of ILCOR.

b. The Executive Committee will comprise the Executive Officers as defined in

Article 14 and one delegate representing each of the individual member organisations of ILCOR. Member organisations will nominate their Executive Committee delegate representative from amongst their own General Assembly delegates and notify the General Assembly of their decision.

Article 13. MEETINGS OF THE EXECUTIVE COMMITTEE

a. There will be a meeting (face-to-face, by telephone, or electronic) of the Executive Committee each year. Additionally, the Executive Committee will communicate as deemed necessary or desirable.

b. The Secretary will give at least ninety calendar days notice of all ILCOR

Executive Committee meetings. Notice will be provided in writing, by post, fax or email to each member of the Executive Committee.

c. The number of delegates required to constitute a quorum at an Executive

Committee meeting will be a simple majority of the total number of Executive Committee delegates, including the Executive Officers, comprising at least two thirds of the member organisations.

d. No business will be transacted at any meeting of the Executive Committee

unless a quorum is present. e. The ILCOR Co-Chairs will preside over meetings of the Executive Committee.

The Co-Chairs will conduct the meeting in a proper and approved manner. The ILCOR Co-Chairs will assist each other in the execution of their tasks and mutually replace each other in case of absence.

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f. The Secretary will prepare an accurate record of the proceedings at all Executive Committee meetings. The Co-Chairs will sign the record as an accurate representation of the proceedings of the meeting. This record will be provided to the General Assembly.

g. Business of the Executive Committee will be decided by a simple majority.

h. Each Executive Officer and organisation representative member of the

Executive Committee is entitled to one vote. Voting will be by a show of hands unless at least one of the delegates requests a written ballot. If there are an equal number of votes cast then the Executive Committee will proceed to a written ballot. If a decision cannot be reached then the matter will be referred directly to the General Assembly.

i. All members of the ILCOR Executive Committee and observers must comply

with ILCOR Conflict of Interest Policies. At the start of any meeting of the Executive Committee each member or observer who has a conflict of interest (personal, professional or financial) in a matter on the Agenda or added to the Agenda must:


discussion of the matter. ii. be absent for that part of the meeting unless expressly.

invited to remain in order to provide relevant information. iii. not be counted in the quorum for that part of the meeting. iv. be absent for the vote (unless requested to remain) and

have no vote on the matter. v. document the abstention for the Secretary to include in the

Minutes.

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TITLE V EXECUTIVE OFFICERS

Article 14. THE EXECUTIVE OFFICERS The Executive Officers of ILCOR will comprise:

Two Co-Chairs Honorary Secretary

Honorary Treasurer

Article 15. NOMINATION AND ELECTION OF OFFICERS

a. Individual member organisations of ILCOR shall nominate individual delegates of the General Assembly to serve as Officers. Nominations will be in writing, with the consent of the individual nominee, and submitted to the General Assembly according to the ILCOR bye–laws.

b. Election will be by a simple majority vote of the General Assembly when a

quorum is present. Article 16. TERMS OF OFFICE

a. Each Co-Chair shall serve a term of three years and shall be eligible, subject to

re-nomination by the General Assembly to serve a second consecutive three year term.

b. The Honorary Secretary shall serve a term of three years and shall be eligible

subject to re-nomination by the General Assembly to serve a second consecutive three year term.

c. The Honorary Treasurer shall serve a term of three years and shall be eligible

subject to re-nomination by the General Assembly to serve a second consecutive three year term.

d. The term of office for the Officers of ILCOR will commence from the next

scheduled meeting of the General Assembly.

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Article 17. RESIGNATIONS AND EXPULSION OF OFFICERS

a. Officers may resign from their post by submitting their resignation in writing to the Honorary Secretary. Resignation will take effect as of the next meeting of the General Assembly.

b. If an Officer is determined to be acting contrary to the ILCOR bye-laws or

otherwise in a manner prejudicial to the best interest of ILCOR, then the General Assembly may expel an Officer and that position will be deemed vacant at that time.

Article 18. THE OFFICERS AND THEIR RESPONSIBILITIES

a. Co-Chairs I. The Co-Chairs will preside over the meetings of the General Assembly

and the Executive Committee. II. The Co-Chairs will conduct the meeting in a proper and businesslike

manner consistent with these bye-laws. III. The Co-Chairs will ensure that a full and accurate record of all meetings

of the General Assembly and Executive Committee is kept pursuant to Section bIV below.

IV. The Co-Chairs will assist each other in the execution of their tasks and mutually replace each other in the case of absence.

V. The Co-Chairs will, from time-to-time, submit reports to ILCOR and its member organisations on the current and future activities of organisation.

b. Honorary Secretary I. The Honorary Secretary will be responsible for co-ordinating the

preparation of all meetings of the General Assembly and Executive Committee.

II. The Honorary Secretary will give at least ninety calendar days notice of all ILCOR General Assembly meetings. Notice will be provided in writing, by post, fax or email to each member organisation and to each individual delegate of the General Assembly.

III. The Honorary Secretary will give at least ninety calendar days notice of all ILCOR Executive Committee meetings. Notice will be provided in writing, by post, fax or email to each member of the Executive Committee.

IV. The Honorary Secretary will prepare an accurate record of the proceedings of all General Assembly and Executive Committee meetings. The Co-Chairs will sign the record as an accurate representation of the proceedings of the meeting. This record will be circulated to all member

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organisations of ILCOR and delegates of the General Assembly as a record of a meeting of the General Assembly.

c. Honorary Treasurer I. The Honorary Treasurer will establish and maintain a bank account or

accounts in the name of the International Liaison Committee on Resuscitation (ILCOR), which will receive all monies of ILCOR.

II. The Honorary Treasurer will maintain accurate records of all donations, subscriptions and other payments and all expenditure of ILCOR.

III. The Honorary Treasurer will submit accurate annual accounts showing the financial affairs of ILCOR at least annually to the General Assembly and as otherwise requested by the General Assembly. These accounts will be recorded and appended to the record of the meeting of the General Assembly to form a permanent record.

IV. The Honorary Treasurer will at the request of the General Assembly arrange for the financial records to be subject to audit.

Article 19. REPRESENTATION

The Officers of ILCOR will represent the Association in dealings with other parties.

TITLE VIII TASK FORCES Article 20. TASK FORCES

a. The ILCOR General Assembly or Executive Committee may establish Task Forces to deal with specific issues relating to ILCOR.

b. A Task Force will consist of delegates to ILCOR. Individuals who are not

ILCOR delegates, but with a specific desired expertise, may be included in Task Forces, following approval of the General Assembly or Executive Committee, whichever body established the Task Force.

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c. Task Force Co-Chairs will be proposed and appointed by the ILCOR General Assembly.

d. A Task Force will meet from time to time, as deemed necessary or desirable.

e. A Task Force will make recommendations on their specific issue to the General

Assembly. The adoption of these recommendations will remain the decision of the General Assembly.

f. The Task Force Co-Chairs will preside over meetings of the Task Force. The

Co-Chairs will conduct the meeting in a proper and businesslike manner consistent with these bye-laws. The Task Force Co-Chairs will assist each other in the execution of their tasks, and mutually replace each other in case of absence

g. Each Task Force will nominate a Recorder who will prepare an accurate record

of the proceedings at all Task Force meetings. The Task Force Co-Chairs will sign the record as an accurate representation of the proceedings of the meeting. This record will be submitted to the General Assembly as a documentation of the Task Force meeting.

h. Recommendations and decisions of the Task Force will be decided by a

consensus or, if necessary, by a simple majority vote.

i. Each Task Force member (except the Co-Chairs) will have voting rights and will be entitled to one vote. Task Force members who are not ILCOR delegates shall also have a vote. Voting will be by a show of hands unless at least one of the member requests a written ballot. In the event of an equal number of votes in respect of any business, the Task Force Co-Chairs will cast a vote. If a decision cannot be reached then the matter will be referred directly to the General Assembly.

j. All Task Force members, attendees and observers must comply with ILCOR

Conflict of Interest Policies. At the start of any Task Force meeting each Task Force member who has a conflict of interest (personal, professional or financial) in a matter on the Agenda or added to the Agenda must:


discussion of the matter. ii. be absent for that part of the meeting unless expressly. invited to remain in order to provide relevant information. iii. not be counted in the quorum for that part of the meeting. iv. be absent for the vote (unless requested to remain) and

have no vote on the matter.

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v. document the abstention for the Secretary to include in the Minutes.

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TITLE VII Funds and Accounts Article 21. FUNDS AND ACCOUNTS

a. All monies of ILCOR shall be invested in the name of the International Liaison Committee on Resuscitation.

b. The Honorary Treasurer will establish and maintain a bank account or accounts

in the name of the International Liaison Committee on Resuscitation (ILCOR) that will receive all monies of ILCOR.

c. The Honorary Treasurer will maintain accurate records of all donations,

subscriptions and expenditure of ILCOR and report these to the General Assembly at regular intervals.

d. The Honorary Treasurer will submit accurate annual accounts showing the

financial affairs of ILCOR to the General Assembly. These accounts will be recorded and appended to the record of the meeting of the General Assembly to form a permanent record.

e. At the request of the General Assembly, the financial records shall be subjected

to audit.

TITLE VIII MISCELLANEOUS Article 22. AMENDMENTS TO THE ARTICLES OF INCORPORATION

a. The Articles of Incorporation may be amended, altered, repealed or added to by a resolution passed by a two-thirds majority of voting delegates of the General Assembly convened and conducted in accordance with Article 11.

b. No amendment shall be made to these Articles of Incorporation that would be

inconsistent with any national or international legislation.

c. Notices of amendments to the Articles of Incorporation will be invited through the notice sent to each member organisation and to each individual delegate of the General Assembly at least ninety calendar days before the meeting of the

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General Assembly and should be received by the Honorary Secretary at least sixty-three calendar days before the same meeting. Such amendments should be proposed and seconded by individual delegates of the General Assembly and should be circulated to each member organisation and to each individual delegate of the General Assembly at least forty-two calendar days before the meeting of the General Assembly.

Article 23. ANNUAL REPORT The Honorary Secretary will prepare an annual report of the activities of ILCOR. This report will be proposed as an Agenda item at a meeting of the General Assembly and accepted as a true record of the activities of ILCOR. The report will be circulated to all member organisations and to any other body requesting information on the activity of ILCOR. Article 24. DISSOLUTION If the Executive Committee decides that it is necessary or advisable to dissolve ILCOR, it shall call a special meeting of the General Assembly, stating the terms of the resolution to be proposed, of which not less than twenty one calendar days' notice shall be given. If a two-thirds majority of the General Assembly confirms the proposal, then the Executive Committee shall have power to realise any assets held by or on behalf of ILCOR. At the direction of the Executive Committee, any assets remaining after the satisfaction of any proper debts and liabilities shall be given or transferred to such other institutions or organisations having goals similar to the goals of ILCOR. A copy of the statement of accounts, or account and statement, for the final accounting period of ILCOR shall be sent to each member organisation. Founding member organisations:

• American Heart Association (AHA) Signature:……………………………………

Name: John E Billi

Signature:……………………………………

Name: Robert W Hickey

Signature:……………………………………

Name: William H Montgomery

Signature:……………………………………

Name: Vinay M Nadkarni

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Signature:……………………………………

Name: Robert E O’Connor

Signature:……………………………………

Name: Jeffrey M Perlman

Signature:…………………………………… • European Resuscitation Council (ERC)

Name: Michael R Sayre

Signature:……………………………………

Name: Leo L Bossaert

Signature:……………………………………

Name: Charles D Deakin

Signature:……………………………………

Name: Anthony J Handley

Signature:……………………………………

Name: Jerry P Nolan

Signature:…………………………………… Name: David A Zideman • Heart & Stroke Foundation of Canada (HSFC)

Signature:…………………………………… Name: Michael Shuster

• Australian and New Zealand Committee on Resuscitation (ANZCOR)

Signature:…………………………………… Name: Ian G Jacobs Signature:…………………………………… Name: Phillippa M Mason Signature:…………………………………… Name: Peter T Morley

• Inter American Heart Foundation (IAHF) Signature:…………………………………… Name: Sergio Timerman

• Resuscitation Council of Southern Africa (RCSA) Signature:…………………………………… Name: Walter G J Kloeck

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Signed at a meeting of the General Assembly, Hyatt Regency Hotel, Jersey City, New Jersey, USA on 20th April 2005.

1


(ILCOR)

INTERNAL

RULES

2

INTERNAL RULES OF THE INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION (ILCOR) (hereafter “THE ASSOCIATION”) Article 1 INTRODUCTION 1. The General Assembly of the Association is empowered by the Articles of Incorporation to be

responsible for producing, amending and making available the Internal Rules in support of the Articles of Incorporation. Such Internal Rules will include, but are not restricted to, the mode of operation of committees, Task Forces and other groups, the procedures for conduct of meetings and the use of the title of the Association name and logo by its Member Organizations.

Article 2 MEETINGS OF THE GENERAL ASSEMBLY 1. Meetings of the General Assembly are to be organized face-to face at least once per year. Article 3 USE OF TITLE OR LOGO 1. In documents the title must be used in full before any abbreviation is used. 2. Member Organizations and Collaborating Members will be encouraged to use the title and

logo, as precisely described in Article 29 of the Articles of Incorporation of the Association on documents produced by the Association provided that proper application has been made and permission for their use granted.

3. Application for the use of the title and logo must be made in writing to the Honorary Secretary.

A full explanation of the proposed use must be given together with any illustrations that include the logo. The Secretary will provide a written reply detailing the decision of the Board and any restrictions on the use of the title or the logo.

Article 4 REPRESENTATION 1. Those individuals appointed by the General Assembly or the Board to represent the

Association in meetings, conferences, receptions and other public or private events shall do so diligently and will:

a. Notify (in advance) the Board of any meeting that they cannot attend on behalf of the

Association. b. Not enter into any undertakings or agreements with any third party on behalf of, or in the

name of, the Association without the prior approval of the Board of the Association, unless for specific Tasks that are included in detail in their mandate.

c. Submit a brief written report to the Honorary Secretary no later than ten days prior to any meeting of the General Assembly enclosing if possible any circulated minutes or notes.

Article 5 PUBLICATION AND PRIVACY 1. The Association will make available all its findings to its Member Organizations. Member

Organizations may use these findings to develop procedures and practice for use within their own geographic region. From time to time it may require Member Organizations to withhold further disclosure until after an agreed release date.

2. The Association will publish its findings in scientific publications as agreed by the General

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Assembly. All publications will have the Association’s copyright or co-copyright, if indicated. Article 6 LIABILITY 1. The Association does not accept liability for any action that arises from its scientific statements

or treatment recommendations. 2. The Association does not provide any personal liability for its members, delegates, observers

or guests at any of its meetings. 3. The Association does not accept any financial liability for any meeting arranged on its behalf

by a Member Organization. 4. The Association will not provide any personal or financial liability for representatives attending

other meetings on behalf of the Association. 5. The Association does not accept any liability for actions or financial dealings of any of its

Member Organizations or their nominated delegates. Article 7 COMMISSIONS AND POLICIES 1. NOMINATING COMMITTEE FOR TASK FORCES

a. NUMBER OF MEMBERS 9 members including Co-Chairs and the Immediate Past Chairs of the seven Task Forces. One of the members is elected as the Chair of the Committee.

b. METHOD OF APPOINTMENT

The Co-Chairs and the Immediate Past Task Force Chairs will automatically be appointed to the nominating committee. In the event of one or more vacancies, the Board will appoint additional members to bring the Committee Membership to 9.

c. TERM OF OFFICE

For Co-Chairs Membership will run concurrently with their appointment as Co-Chairs. Immediate Past Task Force Chair Members shall serve from July 1st in the year that they remit office as a Task Force Co-Chair. They will be eligible to continue as members of the committee until they are no longer the immediate Past Chair of the respective Task Force.

d. FREQUENCY OF MEETINGS The Committee shall meet via teleconference as needed. The time commitment will vary.

Special projects may require additional time and/or face-to-face meetings. e. RESPONSIBILITIES

i Work with staff to send a call for nominations for Task Force Chairs and Vice-Chairs and members.

ii Evaluate nominations submitted and consider other candidates that have applied.

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iii Prepare and present a slate of nominees to the Board for Chairs and Vice-Chairs of the Task Forces when deemed necessary by the Board.

iv Prepare and present a slate of nominees to the Board for Task Force Members on

an annual basis. v Prepare and present a slate of nominees to the Board for Domain Leaders,

Systematic Reviewers, Content Experts, and other positions as deemed necessary by the Board.

f. APPOINTMENT POLICY

If applicants are equally qualified for appointed positions, the following priorities will be considered in the selection process:

i Balance of scientific and clinical expertise across Task Forces and Domains ii Balance of representation across Member Organizations and Collaborating

Members iii Balance of representation across gender and ethnicity iv Diversity across career levels (early, mid, senior)

2. TASK FORCE COMMISSION

a. NUMBER OF MEMBERS There will be up to 17 members dedicated to a Task Force including the Chair and Vice-

Chair. Membership on this Task Force will reflect the Association’s commitment to diversity and inclusivity and will have representation based on expertise relating to the topics addressed by the Task Force.

b. METHOD OF APPOINTMENT Applicants for Task Force Membership will be reviewed by the Nominating Committee,

which will make recommendations for a slate of nominees. The Task Force Chair and Vice-Chair will select members from the slate of nominees for approval by the Board who will then be confirmed by the General Assembly. Members shall be selected based on their expertise, professional and geographic diversity as it relates to the responsibilities of the Task Force. All nominees will be considered equally with the goal of all Member Organizations being represented where possible.

The General Assembly appoints the Task Force Chair and Vice-Chair. The General

Assembly will confirm up to 13 members and up to two early career members. Early career members are defined as those with less than 5 years out of residency or fellowship or post-doc position. Membership also includes the immediate past Co-Chairs, Chair or Vice-Chair of the Task Force.

c. TERM OF APPOINTMENT The Chair and Vice-Chair are appointed for a 3-year term with eligibility for three

additional 1-year terms. Task Force members are appointed for a 2-year initial term with eligibility for three

additional 1-year terms.

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d. USUAL FREQUENCY OF MEETINGS Quarterly meetings (1 face-to-face) per year, with additional meetings or teleconferences

scheduled as needed. e. RESPONSIBILITIES

i Formulate and prioritize PICO (Patient, Intervention, Comparison and Outcome) questions for evidence evaluation.

ii Work with Domain Leads, content experts, KSU (Knowledge Synthesis Unit),

Systematic Reviewers and Information Specialists to formulate search strategies for PICO questions.

iii Provide expert support in a timely manner for the oversight of the evidence

evaluation process and the development of the consensus on science and treatment recommendations for all Task Force PICO questions.

iv Identify gaps in research in resuscitation science.

v Be a candidate to serve as a writing group member for Consensus on Science and

Treatment recommendations or systematic reviews.

vi Meet all deadlines as required by the Task Force Chairs or the Evidence Evaluation Process. Members unable to meet deadlines may be removed from the Task Force. The Chair will introduce the matter to the Board for a decision.

f. APPOINTMENT POLICY

If applicants are equally qualified for appointed positions, the following priorities will be considered in the selection process: i Balance of scientific and clinical expertise across Task Forces and Domains ii Balance of representation across Member Councils iii Balance of representation across gender and ethnicity iv Diversity across career levels (early, mid, senior)

Article 8 CONFLICT OF INTEREST POLICY AND PROCEDURES 1. The purpose of this policy is to ensure that the Association manages real and potential conflict

of interest situations in an open and effective manner, in order to ensure preservation of the public trust in the integrity of the Association’s process and products. It is not always possible (nor prudent) for such situations to be avoided, since the best experts in a clinical area will often have relationships that could pose a real or potential conflict of interest in that area. What is essential is that these potential conflicts are disclosed and managed effectively. The mainstay of effective management of potential conflict of interest situations is through disclosure.

2. Conflict of Interest procedures apply to all the Association’s delegates, observers, editors,

Task Force members, domain leaders, systematic reviewers, working group members, content experts and others working on the Association’s projects.

Commented [BM1]: Added and previously approved by GA

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3. The conflict of interest policies will be overseen by one or more COI chairs. Appointment of

COI Chairs and determination of funding of expenses related to fulfilling their duties will be made by the Board with ratification by the General Assembly

4. Procedures for each participant to follow:

a. At each business meeting of the General Assembly and Board and all meetings at which resuscitation science is discussed, each participant must disclose all relationships that could pose a direct or indirect conflict of interest. For most meetings, this can be done at the time of introductions. The Association will keep written records of these disclosures via the minutes. At large meetings, this disclosure can be accomplished by speakers forwarding a conflict of interest disclosure form to the meeting organizers before the meeting. A listing of the participants with their commercial relationships (commercial entity and type of relationship) will appear in the agenda/program for the meeting.

b. Each participant will abstain from any vote in which the individual has a relationship that

could pose a direct and indirect conflict of interest. Such abstentions will be recorded in the minutes.

c. Each participant will bring conflict of interest concerns or issues to the Chair(s) of for

investigation and resolution. If the issue involves a Chair, the issue will be raised with the other (Co-)Chair or the Vice-Chair.

d. Whenever possible, an individual with a substantial relationship to a particular topic or

area should not be selected to lead a group or to serve as a reviewer (worksheet author) related to that topic. The Co-Chairs will review the disclosures of the worksheet authors and leaders of any subgroup to ensure that any commercial relationships are understood and that potential conflicts are limited and manageable. This shall not prevent an individual with a substantial relationship regarding a topic from contributing to the discussions and deliberations on that topic, provided the individual has disclosed the relationships during that meeting.

e. At least annually, each participant must complete a disclosure form (attached), and

updated it if substantive changes occur. The Co-Chairs will review the forms. Co-Chairs or Chairs and Vice-Chairs will review each other’s Co-Chair’s form. Difficult issues that cannot be handled by the Chairs will be brought to the whole group for discussion and resolution.

Notes:

i Should be especially sensitive to potential conflict of interest issues regarding

individuals who are selected for a leadership role with oversight or responsibility to review the science for a particular area or topic. These situations must be reviewed on a case-by-case basis, as noted in the procedures. The Association may decide that the risk to the integrity of the process from the individual’s relationship is not significant and that the individual still represents the best choice for, taking into account the risks and benefits. If an individual already playing a leadership role develops or is discovered to have a sufficiently significant conflict that it poses a significant risk to the integrity or credibility of the process, then another qualified person without such potential conflict should replace the individual. Such a substitution shall not imply any impropriety on any person’s part, but rather indicate


7

a preventive step to avoid any perceived or real conflict from endangering the integrity of the process. A position of leadership can include the Chairperson or Vice-Chairperson of any committee, subcommittee, Task Force, working group, ad hoc group assigned to work on an issue, evidence panel or evidence collection process. The fact that such perceived conflicts are usually without any improper intent does not protect the individual, the Association, or its work from the potential consequences of inadequate management of such a situation.

ii In addition to financial relationships, other bases of potential conflicts of interest

must be considered, such as in-kind support, intellectual collaboration or intellectual investment in one’s own ideas, or a long-term research agenda in which an investigator has invested substantial time. Although these situations will be considered on an ad hoc basis, financial relationships are more likely to adversely affect the credibility of the Association and the integrity of its process and products.

Article 9 MEMBER ORGANIZATION APPLICATION PROCESS 1. Documentation to be submitted in support of Membership Organization application: (at a

minimum): a. Constitution and Internal Rules of the respective organization. b. Evidence of activities related to the mission of the Association in their respective

geographic region, including: i Support for resuscitation science ii Guideline development iii Training and/or dissemination iv Advocacy

c. Letter of commitment to fiscal support of membership (including sponsorship if resource limited applicant)

d. Letters of support from key stakeholder organizations in the region e. Letters of support from at least one existing Member Organization f. Statement of potential challenges / conflicts with existing Member Organizations and

other non-ILCOR organizations and proposed mitigation of conflict g. Documentation that demonstrates that all criteria of Article 7.a of the Articles of

Incorporation are met.

2. Evidence must be submitted demonstrating that the candidate Member Organization is representative of its stated constituency and actively disseminates either resuscitation or first aid education, training and materials. The candidate Member Organization shall also demonstrate that it will have the capacity (in human and financial resources) to participate in the functioning of the Association.

Article 10 COLLABORATING MEMBER APPLICATION PROCESS 1. Documentation to be submitted in support of Collaborating Member application: (at a

minimum):

8

2. Statement of purpose and scope of intended collaboration including evidence of activities related to the mission of the Association, and describes their commitment to achieve mutual goals a. Evidence of activities related to the mission of the Association in their respective

geographic region, including: i resuscitation science support ii guideline development iii training and/or dissemination iv advocacy

3. Letter of commitment to fiscal support of Collaborative Membership 4. Statement of potential challenges / conflicts with existing Member Organizations and other

non-ILCOR organizations and proposed mitigation of conflict 5. Documentation that demonstrates that all criteria of Article 8.a of the Articles of Incorporation

are met. ANNEXES

9

Annex 1: Disclosure Form for ILCOR Co-Chairs, Delegates, Attendees, Observers, Editors, Worksheet Experts, Worksheet Authors, and others working on ILCOR projects. Please complete this form and send to the ILCOR Secretary: (Secretary’s name and address here) The form must be updated at least annually, and if a substantive change occurs. Worksheet Authors must complete the form when they agree to review a topic, and update the form at the time of submission of the worksheet. Name (Printed or typed): _________________________________________________________ Signature: ______________________________________________________________________ Date: ______________ Employer(s): ________________________________________________________________ ________________________________________________________________ Name any commercial entities in which you own a significant financial interest: (“significant” for this purpose includes either ownership of greater than 5% of the entity or having greater than a $10,000 USD fair market value of investment): Corporation: Nature of Investment: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Name any commercial entities, with which you have a financial relationship (salary, paid consultant, paid speaker, grant recipient, material support, or other financial arrangement), and briefly describe the nature of the relationship: Corporation: Relationship: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ List other issues or relationships you consider worth noting

1


(ILCOR)

BYE-LAWS

2

THE BYE-LAWS OF THE INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION (ILCOR) Introduction

1. The General Assembly of ILCOR is empowered by the Articles of Incorporation to be responsible producing, amending and making available bye-laws in support of the Articles of Incorporation. Such bye-laws will include, but not be restricted to, the mode of operation of committees, task forces and other groups, the procedures for conduct of meetings and the use of the title of ILCOR name and logo by its member organisations.

Amending the Bye-laws

2. A simple majority of the representative members of a meeting of the General Assembly comprising at least two thirds of the member organisations will be necessary for amending any bye-law. Such amendments should be notified as a motion to any meeting of the General Assembly with twenty-eight calendar days notice.

Membership

3. Membership of ILCOR is defined in the Articles of Incorporation of ILCOR. 4. The General Assembly has determined that the number of delegates representing

the individual member organisations will be:

• American Heart Association (AHA) 6 delegates • European Resuscitation Council (ERC) 6 delegates • Heart & Stroke Foundation of Canada (HSFC) 3 delegates • Australian and New Zealand Committee on Resuscitation 3 delegates • (ANZCOR) • Inter American Heart Foundation (IAHF) 3 delegates • Resuscitation Council of Southern Africa (RCSA) 3 delegates

5. Additional organisations when admitted to ILCOR will be entitled to a maximum of three delegates.

6. A member organisation will be entitled to one additional delegate should a Co-Chair

3

of ILCOR come from that member organisation.

7. The two Co-Chairs must originate from different member organisations. Use of Title or Logo

8. The Title and Logo of ILCOR are protected strongly and shall be used only as directed or permitted by the General Assembly or an agent authorised by the General Assembly for this purpose.

9. In documents the title must be used in full before any abbreviation is used.

10. Changes cannot be made to the design or colour of the logo.

11. Member organisations will be encouraged to use the title and logo of ILCOR on

documents produced by ILCOR provided that proper application has been made and permission for their use granted.

12. Application for the use of the Title and Logo must be made in writing to the

Honorary Secretary. A full explanation of the proposed use must be given together with any illustrations that include the logo. The Secretary will provide a written reply detailing the decision of ILCOR and any restrictions on the use of the Title or the Logo.

Representation

13. Those individuals appointed by the General Assembly or the Executive Committee to represent ILCOR shall do so diligently and

i. Notify (in advance) the Executive Officers of any meeting that they cannot attend on behalf of ILCOR.

ii. Not enter into any undertakings or agreements with any third party on behalf of, or in the name of, ILCOR without the approval of an Executive Officer of ILCOR.

iii. Submit a brief written report to the Honorary Secretary no later than ten days prior to any meeting of the General Assembly enclosing if possible any circulated minutes or notes.

Publication and Privacy

4

14. ILCOR will make available all its findings to its constituent member organisations. Member organisations may use these findings to develop procedures and practice for use within their own geographic region. From time to time it may require member organisations to withhold further disclosure until after an agreed release date.

15. ILCOR will publish its findings in scientific publications as agreed by the General

Assembly. All publications will have ILCOR copyright or co-copyright, if indicated. Liability

16. ILCOR does not accept liability for any action that arises from its scientific statements or treatment recommendations.

17. ILCOR does not provide any personal liability for its delegates, observers or

guests at any of its meetings.

18. ILCOR does not accept any financial liability for any meeting arranged on its behalf by a member organisation.

19. ILCOR will not provide any personal or financial liability for representatives

attending other meetings on behalf of ILCOR 20. ILCOR does not accept any liability for actions or financial dealings of any of its

member organisations or their nominated delegates.

5

Founding member organisations:

• American Heart Association (AHA) Signature:…………………………………… Name: John E Billi Signature:…………………………………… Name: Robert W Hickey

Signature:…………………………………… Name: William H Montgomery Signature:…………………………………… Name: Vinay Nadkarni

Signature:…………………………………… Name: Robert E O’Connor Signature:…………………………………… Name: Jeffrey M Perlman Signature:…………………………………… Name: Michael R Sayre • European Resuscitation Council (ERC)

Signature:…………………………………… Name: Leo L Bossaert

Signature:…………………………………… Name: Charles D Deakin

Signature:…………………………………… Name: Anthony J Handley Signature:…………………………………… Name: Jerry P Nolan

Signature:…………………………………… Name: David A Zideman • Heart & Stroke Foundation of Canada (HSFC)

Signature:…………………………………… Name: Michael Shuster

• Australian and New Zealand Committee on Resuscitation (ANZCOR) Signature:…………………………………… Name: Ian G Jacobs

Signature:…………………………………… Name: Phillippa M Mason Signature:…………………………………… Name: Peter T Morley

7

• Inter American Heart Foundation (IAHF)

Signature:…………………………………… Name: Sergio Timerman

• Resuscitation Council of Southern Africa (RCSA) Signature:…………………………………… Name: Walter G J Kloeck Signed at a meeting of the General Assembly, Hyatt Regency Hotel, Jersey City, New Jersey, USA on 20th April 2005.

Planning the future of theILCOR.org website14 September 2017Hilary PhelanKoen Monsieurs

Scope of development for CoSTR

• Tool to easily publish new CoSTR docs and collect comments• Search tool including category, domain and date filters• Home page included in ILCOR.org showing an overview of most

recent CoSTR docs• Possibility to leave public comments on each document• Comments to be automatically sent to relevant domain leaders• Domain leaders reply to public comments• Frequently Asked Questions (FAQ) section to publish responses of

domain leaders• Links to relevant FAQs added under CoSTR documents• Access for a select group of users to publish CoSTR docs and FAQs• The general public can create an account to leave comments and

fill in their Conflict Of Interests (COI)• Publish notes on how to cite CoSTR docs

Scope of Sharepoint development

• A password protected site to store all ILCOR documents• Collaboration on documents still under discussion• Collaboration on and writing of CoSTR documents• Internal chat for dialogue• Mail notifications to responsible people when document requires

their attention• Documents provided by ILCOR will be uploaded by an IT expert• Different user groups will have access to different documents,

depending on thier permissions

Future possibilities

• Online archieve for historic CoSTR documents (2005, 2010) For budget 2018.

• Sending Google analytics to ILCOR exec and CEE WG• List of links to where ILCOR CoSTR are cited correctly• Link to 2010 and 2015 publication of COSTRs and TRs and Ev Revs

systematic reviews• Post all ILCOR policies and bylaws – publicly. Including the new

appointment policy and process• CEE tab on the ILCOR site including:

• executive summary and visual of the CEE process• FAQ of the CEE process• contact links for CEE WG members, TOR

• Mailing list:• Develop mailing list tool for ILCOR (Via Mailchimp?)• Collect correct contact details to populate mailing list• Send out newsletter to councils

Out of scope

• Job postings and requests for proposals, these will continue tobe posted on the news section of the ILCOR site

• Interface to post, comment and prioritise PICOs. We cancontinue to do this via a news item, button, and link to wherethey currently are

• Develop a distribution list of all evrevs who applied and wereor were not chosen in 2015 and all evrevs not used in 2015 but used in 2010 i.e. largest possible distribution list of evrevs

Costs and timing

• Sharepoint set up – €3700 ($4330)Timing- 1 week programming following the delivery of all files and user group structures

• CoSTR platform - €7665 ($8980)Timing – 10.5 days work in total, final timing to be discussedwith Uniweb

ILCOR STAFF SUPPORT

AHA Bill Montgomery – ILCOR Coordinator (Consultant) Consultant will provide the following Services, which will include, but are not limited to:

Consultant’s services and deliverables under this Agreement are subject to review

and approval by the AHA ECC Director of Science and Science and Medicine Advisor for ILCOR. Under the direction of the Director of ECC Science and the ILCOR SMA, the Consultant will coordinate all ILCOR processes and in particular the ILCOR Continuous Evidence Evaluation (CEE) Working Group’s (WG) and three other WGs’ tasks.

Assist the ILCOR Executive Committee with Implementing the ILCOR Strategic Plan and Accountability Framework.

Provide guidance to ILCOR to address the goals and priorities of ILCOR to attain “continuous evidence evaluation”

Plan and organize ILCOR touch points and meetings (facilities, resources, agendas, A/V, logistics, printed material, computers, meals minutes, follow-up) by collaborating with the AHA National Center staff or other council staff hosting an ILCOR meeting.

Assist the ILCOR Executive Committee and Officers with their daily ILCOR activities Identify, with the ILCOR Officers, overall 2016-2017 organization and agendas using

the Strategic Plan as a guidance tool Develop a five year budget for ILCOR with emphasis on Continuous Evidence

Evaluation Ensure that appropriate international representation within and outside of ILCOR are

included in ILCOR activities Ensure that all individuals participating in ILCOR activities complete ILCOR and AHA

Conflict of lnterest and Non-Disclosure documents. Actively participate with AHA staff and the ILCOR Executive Committee in the

ongoing development of meeting agendas and logistics with special emphasis on insuring deliverables.

Maintain the ILCOR Organizational Chart with the assistance of AHA staff. Work with AHA staff to ensure adequate staff support for ILCOR task forces and

working groups. Provide oversight and direction for appeals to AHA for funding from ILCOR members

to attend ILCOR functions. Assist with identifying and implementing SEERS user improvements

Noelle Hutchins, PhD– ECC Science & Medicine Advisor for ILCOR CEE (AHA Staff) Together with the ECC Director of Science, help provide direction and guidance to

the ILCOR Coordinator in coordinating all ILCOR processes Assist the ILCOR Coordinator in the support of the ILCOR Executive Committee in

the implementation of the ILCOR Strategic Plan and in the delivery of services and tasks outlined above

Support the CEE WG in its daily activities Work with the ILCOR Coordinator to provide support to CEE and the remaining

ILCOR WGs and Officers With the ILCOR Coordinator and AHA ECC Science Committee Manager, develop

and shepherd through the processes the following: job descriptions, postings, contracts, SOWs for CEE related activity

Co-lead the Digital Communications Committee, which includes oversight and management of the ILCOR website and social media (Twitter, Facebook) accounts

Provide oversite and guidance for KSU and SR selection and RFP development related to same

Chair a SEERS usability improvement project to identify and implement SEERS user interface and experience improvements

Work with AHA Business Technology and vendor in the oversight of SEERS and the implementation of needed and identified improvements

In the interim, manage SEERS operations (this role may need to be delegated if activity in SEERS ramps up)

Provide guidance and recommendations when needed regarding AHA-ILCOR relationships.

Work and coordinate with other ECC Science and Medicine Advisors and AHA staff as needed to support ILCOR tasks

Veronica Zamora – ECC Science Committee Manager (AHA Staff) Plan and organize ILCOR touch points (logistics). Plan and schedule ILCOR Executive Calls, General Assembly meetings, Task Force

and Working Group calls. Staff 1-3 ILCOR weekly TF webinars and/or conference calls Manage ILCOR Conflict of Interest requests. Assist ECC Director of Science, ILCOR Coordinator and ILCOR SMA with ILCOR

related reporting (budgets, timelines, etc.). Conduct weekly touch base meetings with ILCOR consultant & staff. Manage the development and distribution of surveys as needed. Assist ILCOR Coordinator” and ILCOR SMA with CEE and “other” related daily

emails and correspondence. Assist ILCOR Coordinator and ILCOR SMA with ILCOR Strategic Plan

implementation Prepare exhibits/spreadsheets, documents as needed for ILCOR administrative and

CEE activities Assist TFCC with special requests Assist with special ILCOR projects as needed.

Eileen Censullo – ECC Director of Science (AHA Staff) Together with the AHA ECC Science and Medical Advisor for ILCOR, help provide

direction and guidance to the ILCOR Coordinator in coordinating all ILCOR processesProvide oversight of all tasks and services outlined above

ERC Bart Vissers - CEO - Legal requirements - Submission of tax declarations and year report - Prepare financial report for the Honorary Treasurer

Annick De Roovere - Finance Officer - Invoices (client and supplier) - Prepare payments - Accounting Hilary Phelan - Course Coordinator - ILCOR website - Social media

Annelies Pické - Administrative Manager - Travel arrangements of ERC representatives for ILCOR meetings

Jeroen Janssens - Congress Manager - Meeting facilities if the ERC is hosting an ILCOR GA meeting JRC-FUNDING FOR REGISTRY WORK

Strategic Pillar : Leadership, Mentorship and Accountability

Short Term Medium Term

Long Term

Goals Priority Actions Tasks Deliverables 6 to 12 months

12 -18 months

2-3 years

3-5 years

Lead Team Members

4-1 Renew ILCOR’s organization structure and leadership to optimize implementation of and accountability for the strategic plan

Review organizational structure and leadership in response to key priorities outlined by the Working Groups and strategic plan

4-2 To build capacity by nurturing and supporting aspiring leaders through mentorship activities

Enabling Strategy: Operations, Infrastructure and Core Processes (currently includes Communications and Branding)

Goals Priority Actions Tasks Deliverables Short Term

6 to 12 months

Short Term 12 -18 months

Medium Term

2-3 years

Long Term

3-5 years

Lead Team Member

Update Articles of Incorporation and By Laws

Review and revise Coordinate with other WGs

Review Include all changes from WGs

Deliver updated documents to next General Assembly

DS Whole WG

Policies and Procedures Collate existing Build collection. Draft where required. Create Repository Make public on website

Accessible set of all policies. Create packet of “expectations” for prospective organizations seeking to become member

DS Whole WG

Staff need

Establish and produce job descriptions for all requirements for staff

Review tasks being done Establish future needs

Job description/s Fill requirement

BE/BM

Whole WG

Build Repository by increasing functionality of website

Website development and maintenance

Staff Review requirement and performance

Communication Communication and Social Media Policy Interact on various platforms,

MW/RM

following task allocation

Continuous Evidence Evaluation and Task Force

Short Term Priority Actions (12 to 18 month) Medium Term

Long Term

Responsibility

Goals Short Term Priority Actions

12-18 months

Specific Tasks

Deliverables

2 months 3 months 6 months 1 year 2-3 years 3-5 years

Lead Team Members

Governance, roles and responsibilities to support CEE and task forces

Nominations Committee process

Job Descriptions

ILCOR approved JD for all roles and process

2 months – ILCOR approved Job Description (JD) for roles Nominating committee formed

Slate of nominees for the DLs is submitted to ILCOR for approval

Domain Leads in place

Working with TF to identify nodes and PICOs to be reviewed, retired , rewritten and reposed

TF WG lead

Joint Methods and TF WG participated in retreat plus AT +EL

Domain matrix Define domains

Define TF nodes

Assign TF liaisons

Domains

TF Nodes

TF liaisons

Work with IS and WG to identify the content areas and group them by domains

TF to Identify domain nodes and appoint liaisons for each domain

TF liaisons work with domain leads as described above

EEC WG lead

IS

CEE WG



Long Term

Responsibility


12-18 months

Specific Tasks

Deliverables


Lead Team Members

Stability in TF during interim transition

Request TF Co Chairs and members reaffirmed through interim process (~18 months)

TF up and running

TODAY - Request TF Co Chairs and members reaffirmed through interim process (approx 18 months)

TF to work with DL as above

TF WG lead

ILCOR Assembly

Pilot KSUs Conduct an RFP

Selecting the top three KSUs

Assigning PICOs

The selection of 1 or more KSUs and refinement of the process

Publish a RFP Screen Candidates and interview

Select the top 2-3 top applicants KSU – assign PICOs

CEE WG lead

CEE WG



Long Term

Responsibility


12-18 months

Specific Tasks

Deliverables


Lead Team Members

Pilot Systematic Reviewers

Conduct an RFP

Selecting the top three SRs

Assigning PICOs

Clear roles and responsibilities

Publish an RFP Screen candidates and interview and select check references

Select the top 2-3 top applicants SR– assign PICO

CEE WG lead

CEE WG

Establish a project staff for CEE

To guide the CEE transformation

candidate hired or reassigned (AHA) within 6 months

Establish a scope of work and job description and post

Screen candidates and interview and select check references

Candidate hired within 6 months

CEE WG lead

CEE WG

Budget Set a budget for the first two years

Refine the budget based on pilot

Approved budget for staff, IS, Domain Leads

KSUs, SRs

First 2 years Interim budget required to test our approved strategy

Next 3 years Revisit and reset the budget, confirm long term contracts

CEE WG lead

CEE WG



Long Term

Responsibility


12-18 months

Specific Tasks

Deliverables


Lead Team Members

Publication alerts for Domain Leads

Conduct an environmental scan to define and operationalize publication alerts for domain leads

Resuscitation sensitive publication alerts

Establish publication Alerts

Refined filters for quality and relevance

CEE WG lead

CEE WG and IS

Decision re SEERS Revisit SEERS in the context of the hybrid strategy

A decision on what to do with SEERS. How/what functionality do we use or build?

Reinvest or decommission decision made

CEE WG lead

CEE WG

Recruit or Reactivate EvREVs

Establish a process

EvREVs engaged and a strategy for activating

Establish the process and

CEE WG lead in collaboration with TF

CEE WG and ILCOR social media key person



Long Term

Responsibility


12-18 months

Specific Tasks

Deliverables


Lead Team Members

them exists process needs to be aligned with TF, domain lead application selection process by nominations committee

lead

Strategic Pillar: Membership and Partnerships

Goals Priority Actions Tasks Deliverables Short Term

6 to 12 months

Short Term

12 -18 months

Medium Term

2-3 years

Long Term

3-5 years

Lead Team Members

Review, edit, and approve revised articles of incorporation

Expand WG membership to include reps all councils

Review of membership criteria of articles

Draft change doc to ILCOR Exec within timeframe to allow review prior to GA

RA Current WG +

Expanded membership Consider criteria; current requests from Arab Council, China, and International Red Cross

As above As above RA Current WG +

New organisation as associate member within 3yrs

Target global population covered by ILCOR members e.g. 50%?

Confirmation of agreement to membership criteria changes for next ILCOR General Assembly

Short Term Short Term

6 to 12 months 12 -18 monthsConduct a survey of OHCA/IHCA registries for next collaboration –

Revise the draft of OHCA:

TI

Create directory of registries

add TOR, JS

TTM (PCAS)

Create IHCA

IM

JS

Search Elsevier editorial and BMJ system

Results of search JN ALL WG

TI

JS

Conduct a survey of OHCA/IHCA registries for next collaboration

Detailed report for; OHCA

Create directory of registries

IHCA

PED

Finalize data collection forms for summary data

Create for; OHCA TI, MO

Pilot survey IHCA JN, JS

PED IM

Revise based on 1st

surveyIT, JN

Improve feasibilities

inclusion/

exclusion criteria

Implement a system to describe epidemiology and outcomes from OHCA/IHCA by collecting summary data from registries across the world

Collect data by use of; MO

(may be mid-term) Consider separating into resource intense and resource limited countries/regions

Red-cap JP

Survey Monkey TI

Excel spread sheet

Annual report

Presentation

Paper?

Continue WG activities TI, JN ALL WG members

Strategic Pillar: Research and Registries

Goals Priority Actions Tasks DeliverablesMedium Term 2-3

yearsLong Term 3-5

yearsLead Team Members

ALL WG members

Collect contact details of leads of all known registries such as GRA and Pediatrics. Consider crowdsourcing and social media for

Collaborate with local council.

Lists of contact MO, TI

Finalize data collection forms for survey of registries

Completed data correction form

ALL WG

Describe OHCA/IHCA registries across world

Directory of registries TI, JN ALL WG members

Complete survey of all registries

Conduct survey by Survey monkey

ALL WG members

Decide inclusion/exclusion criteria for report by ILCOR

TI, JN ALL WG members

Implement a system to describe epidemiology and outcomes from OHCA/IHCA by collecting summary data from registries across the world Consider annual updates.

Survey form

Data presentation Prepare review TI, JN ALL WG members

Conduct survey to collect summary data from population-based registries

Data collected

10th, Nov, 2017 in Anaheim

Research and RegistriesWorking Group Report

Vision: Improving survival from OHCA/IHCA with an evidence-based approach.

Mission of registry/research WG: Establish a system to collect descriptive data on systems of care and outcomes following

OHCA/IHCA. This will involve collection of summary data from registries across the world.

Call for collaboration to the following countries/registriesCouncil WG members First

name Last name Country Name of registryFirst

survey answer

Secondsurvey answer

1

America/Canada

Karl KernMyra Wyckoff

Ben BobrowUS

SHARE ○ ○

2 Bryan McNally Cardiac Arrest Registry to Enhance Survival ○ ○

3 Laurie MorrisonCanada

Rescu Epistry ○

4 Eddy Lang

5

RCA Taku IwamiMarcus Ong

Taku Iwami Japan Utstein Japan ○ ○

6

Marcus Ong

Singapore

Pan-Asian ResuscitationOutcomes Study

○ ○7 Taiwan

8 South Korea

9 Thailand

10 ANZCOR (Judith Finn) Richard Aickin AU

11

ERC Jerr NolanJas Soar

Ari Salo Finland Helsinki cardiac arrest registry ○ ○

12 Ingvild Tjelmeland Norway Norwegian Cardiac Arrest Registry ○ ○

13 Jo Kramer-Johansen Norway

14 Anneli Strömsöe Sweden

15 Johan Herlitz Sweden Swedish Cardiac Arrest Registry ○

16 Erika Christensen Denmark Dansk Hjertestop Register ○

17 Freddy Lippert Denmark

18 Gavin Perkins UK Out-of-Hospital Cardiac Arrest Outcomes ○ ○

19 Mark Whitbread UK London OCHA registry

20 Enrico Baldi Italy Pavia CARe ○ ○

21 Roman Burkart Switzerland Ticino Registry of Cardiac Arrest ○

Non

Based on results of survey 1, we exclude the following core items from survey 2 because of discrepancy between Utstein recommendation and the contributing registries.

Dispatcher-identified CA

DNAR on scene ・TTM Indication ・Vasopressin use ・Reperfusion attempted・Type of reperfusion (Angiography/PCI/ Thrombolysis)・Timing of reperfusion (Intra-arrest/within 24h of ROSC/>24h but before discharge

NonExclude

System 1Number of residents (Population at risk)

What proportion of the national population does your registry cover

National registry

OHCAO in UK 54,000,000 89.9

Dansk Hjertestop Register Ask Ask

Pan-Asian ResuscitationOutcomes Study

231,494,729 60.0

Utstein Japan 127,094,745 100

Regional registry

Pavia CARe in Pavia, Italy 547,435 1.0

TIRECA in Ticino of Canton, Switzerland

8,287,000 10.0

Helsinki cardiac arrest registry, Finland

639,222 12.0

Norwegian Cardiac Arrest Registry 5,235,354 93.0

CARES in USA 323,000,000 33.0

SHARE in Arizona, USA 6,931,071 2.2

Draft

Patient-6 (Bystander CPR)

49.2 58.638.9

21.1 23.1 12.9

79

22 25.4

27 16.6 40.9 18.6 14

0

20

40

60

80

100

Conventional CPR CC-CPR

%

Draft

Patient-7 (AED use)

1.5 3.6 1.5 1

27.1

1.812

3.7 2.10.1 1.5 0.8

6.5

41.7 1.3

0

10

20

30

40

50

Bystander AED use Bystander AED shock delivered

%

Draft

Check for Switzerland

7.2 7.86

3.36.3

3.67.6

5.78.5 8.1

20.418.2

15

10.58.4

12

6.2

0

10

20

30

40

50 OHCAO in UK Dansk Hjertestop RegisterPan-Asian Resuscitation Outcomes Study Utstein JapanPavia CARe in Pavia, Italy TIRECA in Ticino of Canton, SwitzerlandHelsinki cardiac arrest registry, Finland Norwegian Cardiac Arrest RegistryCARES in USA SHARE in Arizona, USA

%

Outcome-1: All EMS treated OHCA including EMS witnessed

Either discharged alive or 30 day survival Good neurological outcome at hospital discharge or 30 days

**

*Data were 30 days survival.(No data of CPC from England, Denmark, Norway.)

Draft

21.6

41

25.7

17.3

33.8

23.8

29.8

21.124.4 24.4

34.9 33.333.429.931

23.8

0

10

20

30

40

50

60 OHCAO in UK Dansk Hjertestop RegisterPan-Asian Resuscitation Outcomes Study Utstein JapanPavia CARe in Pavia, Italy TIRECA in Ticino of Canton, SwitzerlandHelsinki cardiac arrest registry, Finland Norwegian Cardiac Arrest RegistryCARES in USA SHARE in Arizona, USA

%

Outcome-2: Shockable bystander witnessed (EMS witnessed excluded)

Either discharged alive or 30 day survival

Draft

Good neurological outcome at hospital discharge or 30 days

(No data of CPC from England, Denmark, Norway.)*Data were 30 days survival.

*

Enabling Strategy: Funding and Sustainability

Goals Priority Actions Tasks Deliverables Short Term 6 to

12 months


Medium Term

2-3 years

Long Term

3-5 years

Lead Team Members

Identify past or predicted expenditures

Meeting expenses IT expenses KSU Travel Costs Prior budget estimates

From AHA (Brian Eigel) From AHA (Brian Eigel) Laurie Morrison may have Data from each Council chair 2011 Budget from Bill Montgomery

Summary of itemized past costs

Develop new run rate based on assumed similar costs

Explore new Revenue – Fundraising

Connect ILCOR staff or volunteer with AHA, ERC, and other council Development teams

Peter Fromm may know staff

Active fundraising contacts by ILCOR (separate from AHA)

Funds to ILCOR directly. activate our industry partners to potentially assist with this (e.g. Laerdal Global Health, Zoll Foundation, Medtronics Foundation, etc…)

Enabling Strategy: Funding and Sustainability

Goals Priority Actions Tasks Deliverables Short Term 6 to

12 months


Medium Term

2-3 years

Long Term

3-5 years

Lead Team Members

Explore new Revenue - Royalties

Identify Councils willingness to pay fee for Guidelines developed from CoSTR

Direct question to each Council Chair

Estimate of amount within reach of Council Develop schedule based on population, GDP or similar indices

Identify revenue from sales or fees for training developed from CoSTR

Each Council to provide Estimate of revenue to Councils

Direct payments by Councils to ILCOR sufficient to support ILCOR staff person

Continued revenue to match run-rate

ECC GL Focused Update and ILCOR Summary Timeline 2018 (v1, 9/20/17)Begin End Notes

Author names/contact information for writing groups due to Sci Pubs so RWI can be collected

1 month before MOC meeting date

MOC dates Nov 30, 2017; Jan 8, 2018; Feb 15, 2018; MOC must approve writing groups before writing begins

MOC Forms/RWI Tables completed and submitted

2 weeks before MOC meeting date

SACC meeting--present and explain new ECC GL Focused Updates and ILCOR Summary process

February 2018 Contact Angela Agens for date of SACC meeting and due date for materials

Final manuscript files submitted to Scientific Publishing

Friday3/2/2018Noon CT

Submit final files approved by writing groups, not drafts in progress

Peer review Monday3/5/2018Noon CT

Monday4/2/2018Noon CT

4 weeks

Writing group revision after peer review



2 weeks

Peer Reviewer approval after revision



2 weeks

SACC review Monday4/30/2018Noon CT


3 weeks

Revision after SACC review Monday5/21/2018Noon CT


2 weeks

Executive Committee Summaries due to Scientific Publishing

Friday 6/1/2018 Noon CT

Final approval by SACC Monday6/4/2018Noon CT


1 week

Executive Committee review and approval



1 week

Final files sent to production Week of 6/25/2018

5 weeks

First proof estimated availability for review

Week of 7/23/2018

XML files also requested and sent to Resuscitation to begin their process

Changes to first proofs due Friday 8/3/2018Noon CT

First proof changes sent to Resuscitation

Second and final proof review Week of 8/13/2018

Final sign off on all page proofs Friday 8/31/2018Noon CT

Files final for ECC use for products, etc.

Week of 9/10/2018

Publication online (typeset version) Week of 10/15/2018Time TBD

Future ILCOR Face-to-Face Meeting Hosting Proposals: Requirements in the Request for Proposal

The RFP should be structured as outlined and contain the elements that follow:

1. The presentation should last no longer than 5 minutes 2. The proposal is in PowerPoint mode and may have accompanying

documents either in handouts or brochures. 3. The proposal must be submitted to ILCOR and circulated to the

delegates with the agenda. 4. The Proposal has support of the ILCOR council and region it

represents. 5. Essential elements of the RFP include the following:

a. Dates of meeting b. Associated council meetings c. Location d. Representative hotel rates e. Sample airfares f. Local or regional attractions g. Why the hosting council wishes to host meeting h. Status of local funding for meeting logistics (AV, meals, etc) i. Ability of requesting organization to financially host the

meeting

ILCOR General Assembly Meeting Agenda November 10, 2017 … ILCOR Anaheim Meeting... · ILCOR...

Documents

Transcript of ILCOR General Assembly Meeting Agenda November 10, 2017 … ILCOR Anaheim Meeting... · ILCOR...