The South and West Asian Chapter of the Extracorporeal Life Support Organization (SWAC ELSO) is established as an Affiliate Chapter of the Extracorporeal Life Support Organization (ELSO), a Non-Profit Corporation established in the State of Michigan, United States of America.
As such, SWAC ELSO shall abide to the bylaws of the Parent ELSO organization, and in particular the articles pertaining to the formation of Affiliate Chapters (Ref. Appendix A). The present bylaws are based on the latest version of the ELSO bylaws (as published on www.elso.org in April 2017).
ELSO, and therefore its Affiliate Chapter SWAC ELSO, is an international consortium of active clinical Extracorporeal Life Support (ECLS) Programs, engaged in research and education in the field of prolonged extracorporeal life support. In particular, it maintains a registry of, at least, use of Extracorporeal Membrane Oxygenation in active ELSO centers (the ELSO Registry).
SWAC ELSO federates the programs from the countries within the geographical area comprised of South Asia, West Asia, Africa, Central Asia and Russia (Ref. Appendix B).
Due to its international nature encompassing disparate legal systems, SWAC ELSO shall be considered as an Informal Organization, based on the internationally recognized principles and standards of conduct of a Non-Profit Organization.
In the event local legal requirements in any of the SWAC ELSO countries mandated the formation of a local legal entity, such legal entity shall abide to the present SWAC ELSO bylaws, which it will integrate in its incorporation documents.
SWAC ELSO Offices shall be deemed for practical purposes to be those of the Chairman, the Treasurer and the Secretary, as well as any other offices as the SWAC ELSO Steering Committee approves from time to time as necessary and appropriate to the activities of SWAC ELSO.
Each Extracorporeal Life Support Program within the SWAC ELSO Chapter geographical area that contributes cases to the ELSO Registry (a “Limited Data Set” from participating centers useful for quality assurance purposes) is considered to be an Active Institutional Member of the organization.
Active status of an Institutional Member is maintained for as long as the Institutional Member regularly contributes cases to the ELSO Registry and pays its dues. An Institutional Member is inactive if it has not reported any cases to the ELSO Registry for a period of twelve consecutive months, or if its dues are in arrears for more than six months.
Each SWAC ELSO Active Institutional Member may designate as many individual representatives as it wishes to participate at its own expense in the various activities of the organization.
Active Member status is required to participate in the activities of SWAC ELSO. Inactive Institutional Members and their individual representatives may not participate in the activities of the organization.
In accordance with the bylaws of the Parent ELSO organization, Institutional Membership is into SWAC ELSO, but formal registration, administration, payment of dues and ELSO Registry administration and operation shall remain with the Parent ELSO organization.
Corporate Membership may be held by corporations or organizations (such as Healthcare providers, Medical Industry companies, Hospitals or Health Institutions) who are active either in research and development of extracorporeal devices, drugs, and techniques, or who fund/purchase extracorporeal life support on behalf of the patient populations served by SWAC ELSO Member Centers.
Each SWAC ELSO Corporate Member may designate as many individual representatives as it wishes to participate at its own expense in the various activities of the organization.
Corporate Members shall not vote and may not attend SWAC ELSO Steering Committee meetings except by special invitation of the SWAC ELSO Steering Committee.
In accordance with the bylaws of the Parent ELSO organization, Corporate Membership is into SWAC ELSO, but formal registration, administration and payment of dues shall remain with the Parent ELSO organization.
Clinicians, research scientists, and members of regulatory and public health institutions are eligible and encouraged to participate as Individual Members in SWAC ELSO. Individual Members can be part of a SWAC ELSO Institutional Member Center or of a Corporate Member entity, or a clinician or scientist from a non-ELSO Center.
SWAC ELSO Individual Members may participate in all the activities of the organization.
Individual Members shall not vote and may not attend SWAC ELSO Steering Committee meetings except by special invitation of the Steering Committee.
In accordance with the bylaws of the Parent ELSO organization, Individual Membership is into SWAC ELSO, but formal registration, administration and payment of dues shall remain with the Parent ELSO organization.
The activities of SWAC ELSO will be directed by the SWAC ELSO Steering Committee. The responsibilities of the SWAC ELSO Steering Committee are:
The SWAC ELSO Executive Committee of the Steering Committee shall consist of:
The SWAC ELSO Executive Committee shall have overall responsibility of the SWAC ELSO activities.
The SWAC ELSO Steering Committee is comprised of:
Each country in the region participating in SWAC ELSO activities and having at least one Active SWAC ELSO Institutional Member shall have mandatory representation on the SWAC ELSO Steering Committee.
The number of representatives from each country shall be revised yearly to reflect the evolving number of Active SWAC ELSO Institutional Members. At the time of release of the present bylaws, the agreed numbers are five (5) representatives from India, and one (1) from each other country having at least one Active SWAC ELSO Institutional Member.
The number and origin of the Members-at-Large shall be adapted yearly, as part of the Annual Election, to comply to those agreed numbers, and in consideration of the fact that the Chairman, Chairman Elect, Past Chairman, Standing Committees Chairpersons, Treasurer and Secretary are de facto representatives of their countries.
All Members of the SWAC ELSO Steering Committee have voting power, to the exception of the Treasurer and the Secretary.
Members of the SWAC ELSO Steering Committee may be ECLS clinicians (doctors, nurses, respiratory therapists, perfusionists) or scientists.
To be eligible for SWAC ELSO Steering Committee Membership, and to the exception of the Parent ELSO organization representative (nominated by ELSO), a person must be part of an Active SWAC ELSO Institutional Member Center.
A position on the SWAC ELSO Steering Committee may be held by only one individual.
SWAC ELSO Chairmanship shall be based on:
This term is not renewable.
Each year, a new Chairman Elect shall be elected by the SWAC ELSO Steering Committee, among candidates from the existing SWAC ELSO Steering Committee satisfying the regional rotation requirement (if the active Chairman Elect is from South Asia, the candidates for new Chairman Elect shall be from West Asia, and vice versa).
To be eligible to the role of Chairman Elect, and in addition to being part of an Active SWAC ELSO Institutional Member Center, a candidate shall have served for at least one year as SWAC ELSO Steering Committee Member.
The yearly transition from Chairman Elect to Chairman, and from Chairman to Past Chairman shall be automatic and not require a vote, provided the person remains part of an Active SWAC ELSO Institutional Member Center.
Both the Treasurer and Secretary of SWAC ELSO shall serve for a five years term.
This term is not renewable.
Their tenure must be confirmed by a vote of the SWAC ELSO Steering Committee annually.
To be eligible to the roles of Treasurer or Secretary, a candidate shall be part of an Active SWAC ELSO Institutional Member Center, and sponsored by a director or associate director of his Center.
The Chairpersons of the SWAC ELSO Standing Committees shall serve a two years term, renewable once.
To be eligible to the role of Chairperson of a SWAC ELSO Standing Committee, a candidate shall be part of an Active SWAC ELSO Institutional Member Center, and shall have served for at least one year as SWAC ELSO Steering Committee Member or as a member of a SWAC ELSO Standing Committee.
The nomination of the representative of the Parent ELSO organization, as well as his term and eligibility, are the prerogative of the Parent ELSO organization. This position is therefore not subject to election and/or confirmation.
The general term of membership (applicable to Members-at-Large) shall be three years, renewable once.
SWAC ELSO Steering Committee Members shall be ineligible for reappointment to the Steering Committee for three years after completing an initial term and not having been re-elected to a second term, or having accomplished two successive terms in different positions. For clarification purposes, this provision defines a maximum of two successive terms, in the same position or in different positions.
For convenience and clarification, all terms begin at the SWAC ELSO Annual Conference Steering Committee Meeting following election and conclude at the SWAC ELSO Annual Conference Steering Committee Meeting in the year the term ends.
A vacancy on the SWAC ELSO Steering Committee may exist at the occurrence of the following conditions:
For any given vacancy, the SWAC ELSO Executive Committee, by an affirmative vote of a majority of its Members, shall decide whether said vacancy is to be filled immediately through a partial election, or postponed to next election cycle prior to the next Annual Conference.
The SWAC ELSO Steering Committee, by an affirmative vote of a majority of the Members then currently in office, may remove a Steering Committee Member without cause at any regular or special meeting, provided a quorum is achieved. Removal of either the Chairman or the Chairman Elect however requires formal approval of the representative of the Parent ELSO organization.
SWAC ELSO shall organize an Annual Conference, to be held during the first quarter of the calendar year. The Annual Conference shall follow the guidelines and priorities set by the SWAC ELSO Steering Committee.
The format, program, scientific content, and syllabus of the Annual Conference shall be defined by the organizing country and/or organizing Institutional Member Center, and approved by the SWAC ELSO Executive Committee.
The Annual Conference shall provide at least for:
During the SWAC ELSO Annual Conference shall be held a formal physical meeting of the SWAC ELSO Steering Committee (ref. Article 5.3), during which the location of the next two conferences shall be decided.
The SWAC ELSO Steering Committee Member (or one of the Members) representing the country in which the next conference is to be held shall be responsible of the organization of said conference on behalf of the Steering Committee, and shall report in this capacity to the SWAC ELSO Executive Committee.
Elections shall be held annually prior to the Annual Conference to fill the open positions (including vacancies) within the SWAC ELSO Steering Committee, and in particular the positions associated to the natural end of the term of a SWAC ELSO Steering Committee Member.
Each Active Institutional Member shall have one vote for every open position. The voting representative shall be the Institutional Member’s ECLS Program Director or his or her designee.
The vote shall be held electronically (mail or any other electronic voting system), from a slate of candidates provided by the SWAC ELSO Steering Committee for each open position. The candidates receiving the more votes for each open and/or vacant position shall be elected (a qualified majority is not required). If, for any given open position, there is an even number of voters and the vote results in a tie, then the SWAC ELSO Chairman vote shall be the deciding vote.
No quorum is required for the election to any of the open position.
The election process shall be as follows:
The adjustment and reconciliation of the number of Members-at-Large is achieved as follows:
Suitable time shall be allowed for the election process, the annual timing of which shall be adjusted according to the planned date of the SWAC ELSO Annual Conference.
To this effect, the election process shall be typically based on:
SWAC ELSO Steering Committee Meetings shall be held at least twice annually.
One of the SWAC ELSO Steering Committee Meetings shall be held during the SWAC ELSO Annual Conference, in physical form, and shall constitute the SWAC ELSO Annual Meeting.
Any other SWAC ELSO Steering Committee Meetings may be held in such form (physical form, voice or video teleconference, or rotating mail resolutions) and at such time as shall be determined by the SWAC ELSO Executive Committee.
The Chairman or any three voting SWAC ELSO Steering Committee Members may call a special meeting of the Steering Committee with two calendar weeks’ notice provided to each Member of the Steering Committee.
The SWAC ELSO Annual Meeting shall be chaired by the Chairman of the Steering Committee, or his designee. Other SWAC ELSO Steering Committee Meetings may be chaired by the Chairman or the Chairman Elect, or their designees.
All votes of the SWAC ELSO Steering Committee require a simple majority, provided a quorum is achieved.
A quorum on the SWAC ELSO Steering Committee shall be constituted when all three following conditions are achieved:
In case of a physical meeting, quorum shall be assessed counting the Members physically present, as well as Members in video or telephone communication during all or part of the meeting with the Members physically present.
In case of a voice or video teleconference meeting, quorum shall be assessed counting the Members having participated to the teleconference in all or in part.
In case of rotating mail resolutions, quorum shall be assessed counting the number of affirmative answers received after a period defined in the circulated resolution which shall be of no less than three calendar days. Circulated resolutions may be issued by the Chairman, the Chairman Elect, or the Secretary acting in their name.
If at any time the SWAC ELSO Steering Committee consists of an even number of Members being present and a vote results in a tie, then the vote of the SWAC ELSO Steering Committee Chairman shall be the deciding vote.
If a quorum is not present at a meeting, the SWAC ELSO Steering Committee Members being present may adjourn the meeting from time to time without further notice until a quorum shall be present.
Routine day to day decisions shall be made by the SWAC ELSO Executive Committee.
Such activities may be held in physical form, voice or video teleconference, or rotating mail resolutions, at the discretion of the SWAC ELSO Executive Committee.
The quorum shall be of two Members out of the three Members of the SWAC ELSO Executive Committee.
It shall be the prerogative of the SWAC ELSO Executive Committee to determine which decisions are considered day to day and managed at Executive Committee level, and which decisions require extension to all or part of the SWAC ELSO Steering Committee Members.
Decisions taken by the SWAC ELSO Executive Committee shall be communicated to the Secretary for recording, and to the other SWAC ELSO Steering Committee Members on an ad hoc basis.
Under the overall direction of the SWAC ELSO Steering Committee, the business and activities of SWAC ELSO will be conducted by the SWAC ELSO Standing Committees.
The responsibilities of these Standing Committees shall be defined by the SWAC ELSO Steering Committee, as well as their annual budgetary allocation.
The Standing Committees structures used by the Parent ELSO organization or by other Affiliate Chapters need not be used by SWAC ELSO Standing Committees, and may include topic-specific subcommittees or regional subcommittees. The structure and organization of a Standing Committee shall require approval by the SWAC ELSO Steering Committee (ref. Article 4.1).
The list of SWAC ELSO Standing Committees is provided in Appendix C, and may be amended from time to time by the SWAC ELSO Steering Committee.
The Standing Committees’ Chairpersons shall be responsible for implementing the SWAC ELSO Steering Committee directions and guidelines. The Standing Committees’ Chairpersons may proceed with committee business independently of the other Standing Committees’ Chairpersons. They may circulate drafts of protocols, ELSO Registry forms for reports, newsletter, conference information, etc. as necessary and appropriate. If these activities result in an official policy recommendation then the guidelines outlined below (ref. Article 5.6) shall apply.
Participation to a SWAC ELSO Standing Committee activities shall be open to Active SWAC ELSO Institutional Members staff on a voluntary basis.
Each Standing Committee Chairperson shall report on the activities of the Committee to the SWAC ELSO Steering Committee at regular intervals, and shall report to the Institutional Members at the Annual Conference.
Standing Committee reports to the Institutional Members are intended to be a summary of work completed and an outline of work in progress.
More extensive discussion of Standing Committees activities shall take place at open Standing Committee meetings at the time of the Annual Conference.
All internal and external official policy statements require the approval process outlined below. For the sake of clarification, SWAC ELSO Center guidelines, referral guidelines, statements regarding the clinical specialist roles, standardized SWAC ELSO manuals and training courses, or ELSO Registry access policies, constitute official policy statements.
The sequence for distribution and review of official policy statements is as follows:
The document can be vetoed (and therefore rejected) at any time in the process by a simple majority vote of the Parent ELSO organization Board or Steering Committee, or by decision of the SWAC ELSO Executive Committee.
The SWAC ELSO Treasurer will supervise the financial operations of SWAC ELSO and report to the SWAC ELSO Steering Committee.
An annual report shall be prepared and presented for approval at the SWAC ELSO Annual Meeting during the SWAC ELSO Annual Conference. The final approved annual financial report shall be generated within three months following the Annual Conference. It shall be submitted to the Parent ELSO organization.
The SWAC ELSO Treasurer shall have the responsibility for keeping and maintaining adequate and accurate accounts for funds received and distributed.
SWAC ELSO accounts will be held within one or several Active Institutional Member Center(s) as approved by the SWAC ELSO Steering Committee from time to time.
SWAC ELSO, as an Affiliate Chapter of the Parent ELSO organization, shall be financed through the following:
Authority to pay from the SWAC ELSO fund will be as follows:
If, during any given year, the SWAC ELSO annual budget or the SWAC ELSO cumulated accounts exceed US $100,000, the SWAC ELSO Treasurer shall provide for a financial audit of SWAC ELSO by a qualified third party. Below this US $100,000 threshold, such audit shall not be mandatory, and may be conducted by the Parent ELSO organization at its discretion.
The Secretary and the Treasurer shall maintain and keep the SWAC ELSO Records pertaining to their respective responsibilities in their offices, and shall ensure that electronic versions are periodically updated and made available at the Chairman’s and the Chairman Elect’s offices.
Access to the records shall be granted at any time to the Parent ELSO organization representative within the SWAC ELSO Steering Committee.
Both Secretary and Treasurer, as custodians of all records and documents of SWAC ELSO, shall have the duty to transmit all records (physical and electronic) pertaining to their respective responsibilities, to their respective duly elected successors.
These bylaws may be amended by the affirmative vote of the majority of the SWAC ELSO Steering Committee Members then in office, according to the voting and quorum dispositions detailed in Article 5.3.
The SWAC ELSO Steering Committee shall ensure that the SWAC ELSO bylaws remain compliant with the bylaws of the Parent ELSO organization as they might be amended from time to time.
The SWAC ELSO Steering Committee shall ensure that the SWAC ELSO bylaws are reassessed from time to time to meet the evolving needs of SWAC ELSO. The time between two such reassessments shall never be more than five years.
Drafted June 2017 – Released August 2017
Reviewed by SWAC ELSO Steering Committee and by ELSO Parent organization
Appendix A – ELSO bylaws terms pertaining to Affiliate Chapters
Following text is the direct copy of ELSO Parent organization Article 10 pertaining to Affiliate Chapters, and the related requirement.
ARTICLE 10. AFFILIATE CHAPTERS
Affiliate Chapters
Chapter Authority
Chapter Finances
Additional ad hoc allocations from ELSO as authorized by the parent Steering Committee.
Appendix B – SWAC ELSO geographical area
Sub-regions summary at date present bylaws:
Area | Countries | Active | Centers |
South Asia | 8 | 2 | 14 |
West Asia | 17 | 6 | 14 |
Africa | 53 | 3 | 9 |
Central & North Asia | 6 | 2 | 5 |
Total | 28 | 35 |
SWAC ELSO countries list with Active Institutional Member Centers at date of present bylaws:
(Country names are standard denomination and may not reflect official names)
Area | Countries | Status | Centers |
South Asia | Afghanistan | ||
South Asia | Bangladesh | ||
South Asia | Bhutan | ||
South Asia | India | Active | 13 |
South Asia | Maldivians | ||
South Asia | Nepal | ||
South Asia | Pakistan | Active | 1 |
South Asia | Sri Lanka | ||
West Asia | Armenia | ||
West Asia | Azerbaijan | ||
West Asia | Bahrain | ||
West Asia | Georgia | ||
West Asia | Iran | Active | 2 |
West Asia | Iraq | ||
West Asia | Jordan | ||
West Asia | Kuwait | Active | 2 |
West Asia | Lebanon | ||
West Asia | Oman | Active | 1 |
West Asia | Palestine | ||
West Asia | Qatar | Active | 1 |
West Asia | Saudi Arabia | Active | 6 |
West Asia | Syria | ||
West Asia | Turkey | ||
West Asia | United Arab Emirates | Active | 2 |
West Asia | Yemen | ||
Africa | Algeria | ||
Africa | Angola | ||
Africa | Benin | ||
Africa | Botswana | ||
Africa | Burkina Faso | ||
Africa | Burundi | ||
Africa | Cameroon | ||
Africa | Cape Verde | ||
Africa | Central African Republic | ||
Africa | Chad | ||
Africa | Comoros | ||
Africa | Congo Brazzaville | ||
Africa | Côte d’Ivoire | ||
Africa | Democratic Republic of the Congo | ||
Africa | Djibouti | ||
Africa | Egypt | Active | 1 |
Africa | Equatorial Guinea | ||
Africa | Eritrea | ||
Africa | Ethiopia | ||
Africa | Gabon | ||
Africa | Gambia | ||
Africa | Ghana | ||
Africa | Guinea | ||
Africa | Guinea Bissau | ||
Africa | Kenya | Active | 1 |
Africa | Lesotho | ||
Africa | Liberia | ||
Africa | Libya | ||
Africa | Madagascar | ||
Africa | Malawi | ||
Africa | Mali | ||
Africa | Mauritania | ||
Africa | Mauritius | ||
Africa | Morocco | ||
Africa | Mozambique | ||
Africa | Namibia | ||
Africa | Niger | ||
Africa | Nigeria | ||
Africa | Rwanda | ||
Africa | Senegal | ||
Africa | Seychelles | ||
Africa | Sierra Leone | ||
Africa | Somalia | ||
Africa | South Africa | Active | 7 |
Africa | South Sudan | ||
Africa | Sudan | ||
Africa | Swaziland | ||
Africa | Tanzania | ||
Africa | Togo | ||
Africa | Tunisia | ||
Africa | Uganda | ||
Africa | Zambia | ||
Africa | Zimbabwe | ||
Central & North Asia | Kazakhstan | Active | 1 |
Central & North Asia | Kirghizstan | ||
Central & North Asia | Uzbekistan | ||
Central & North Asia | Tajikistan | ||
Central & North Asia | Turkmenistan | ||
Central & North Asia | Russia | Active | 4 |
Total | 84 | 13 | 42 |
Appendix C – SWAC ELSO Standing Committees
At the date of release of the present bylaws, SWAC ELSO establishes the following four Standing Committees.
Their number and missions may be revised from time to time by decision of the SWAC ELSO Steering Committee.
Education, Simulation and Communication Standing Committee
(Short description to be updated and validated by Standing Committee Chairman)
Research Standing Committee
(Short description to be updated and validated by Standing Committee Chairman)
Registration and Protocols Standing Committee
(Short description to be updated and validated by Standing Committee Chairman)
Devices and Technology Standing Committee
(Short description to be updated and validated by Standing Committee Chairman)
Postion | Name | Country | Email Address |
Chairman | Venkat Goyal | India | venkatgoyal@hotmail.com |
Chairman-Elect | Ibrahim Fowzy Hassan | Qatar | ihassan@hamad.qa |
Past-Chairman | Malaika Mendonca | UAE | malaikamendonca@gmx.net |
Parent ELSO representative | Peter Rycus | ELSO | prycus@med.umich.edu |
Chairman Steering Committee Edu/Simu/Comm | Poonam Malhotra | India | drpoonamaiims@gmail.com |
Chairman Steering Committee Research | Vivek Gupta | India | dr_vivekg@yahoo.com |
Chairman Steering Committee Registry /Protocols | Ali Boroujerdi Alavi | Iran | aba2002ir@yahoo.com |
Chairman Steering Committee Devices & Technology | Yatin Mehta | India | yatinmehta@gmail.com |
Treasurer | Sandeep Dewan | India | |
Secretary | Pranay Oza | India | drpranay.oza@gmail.com |
Member at Large | Maqsood Elahi | Pakistan | manzoor_elahi@hotmail.com |
Member at Large | Huda Al Foudri | Kuwait | h_alfoudri@hotmail.com |
Member at Large | Said Al Hanshi, MD | Oman | abushatha50@hotmail.com |
Member at Large | Sultan AlAmri | KSA | alamri300@hotmail.com |
Member at Large | Akram Abdelbary | Egypt | akram_bary@yahoo.com |
Member at Large | Joseph Leo | Kenya | joseph.lelo@flydoc.org |
Member at Large | Gerry Capatos | South Africa | gerry@mweb.co.za |
Member at Large | Timur Lesbekov | Kazakhstan | lesbekovt@mail.ru |
Member at Large | Jana Assy | Lebanon | ja101@aub.edu.lb |