1

Hotel Marina Reykjavik Board Meeting of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine (SSAI) 9th of June 2015 815 - 1700 Present: Sigridur Kalman (SK), Tom Silfvast (TS) Anne Berit Guttormsen (ABG), Lars Rasmussen (LR), Ivar Heijde Gøthgen (IHG), Leila Niemi-Murola (L N-M), Jon-Henrik Laake (J-HL), Søren Pischke (SP), Klaus Olkkola (KO), Mikael Bodelsson (MB), Alma Møller (AM), Susanne Wammen (SW), Håkon Trønnes (HT), Michael Haney (MH), Hans Kirkegaard (HK), Petra Portaankorva (PP),

Excused: Tarja Randell (TR), Anna Oscarsson – Tibblin (AO-T). Kari Hreinsson (KH), Ivar Gunnarsson (IG)

Heading Presenting Information/Discussion Follow-up/ decision When, what, how, who

1 Opening, election of chair, approving the agenda and minutes from last meeting

SK The SSAI board meeting was opened by the president and she was also elected as the chairman of the meeting. The agenda for the present meeting, and the minutes from the January meeting in Stockholm was approved. When going through the minutes the president used the opportunity to emphasize that we need clear rules for electing new people to different positions in the society. Further that we will adhere to what is stated in the articles concerning the nomination of national representatives to the committees and how to elect chair of the CPC, EdCom, RC and the editor in chief of AAS. It was also addressed that all

Agenda of the meeting is published on ssai.info. Minutes will be provided on request

2

RC members should be active researchers. This needs focus from the national societies. Minutes from the January meeting was approved.

2 Upcoming meetings

SK Dates and time for coming meetings

a. Winter meeting – Helsinki –January 14th- 16th 2016. Officers meeting 5 pm the 13th of January 2016

b. Summer meeting in Lund/Malmö - May 2016 – dates still not decided.

Approved

3 Status report of the President

SK SSAI is in good shape. The organization provides possibilities and is a meeting place. Amongst the meeting places is the educational programs and the committees. Networking is a keyword. The society is visible through the educational programs, the committees and the bi annual congress. The task of the board is to provide structure and support. A main issue is to recruit the right people to the different positions in the society and also to clarify what is expected from representatives in the diverse positions of the society.. One task for the board is to find a new logo.

The report from the president was approved by the board.

4 Update on the 33rd SSAI congress Island 10-12th June 2015

AM AM gives an update on the 33rd congress. She is applauded by the board. Super work, despite strikes and lack of manpower. > 1000 participants; Denmark 101, Finland 108, Iceland >100, Norway 127, Sweden 107, 400 delagates from countries outside Scandinavia. Among them 49 from Australia. Delegates from 38 countries. The theme of the congress is “Matters of the heart” and 17 sessions (35%) adheres to the theme; 28% of the talks will be performed by women. The congress comprises: Symposia - 49 (x 90 min), Anesthesia 23, Intensive Care 8 (+ pre-congress course 1.5 days in Mechanical ventilation), Pain/Emergency Medicine 10, Education, research, quality 8. 195 abstracts are submitted and 170 are accepted. The abstracts are published on the AAS webpage. One main sponsor, GE, and 22 exhibitors. A faculty of approx.150 people. Ingrid Lærdal will present the winner of the Lærdal price (Jean-Louis Vincent) on the opening ceremony. For further information, see the ppt.

The final program is impressive PPT attached

5 Update on the 34th SSAI

MB The 34th Congress will be held in the southern part of Sweden (Malmö/Lund). The venue had to be changed from Malmö Live to Malmö Massan due to inadequate rooms for exhibitors at

ppt attached

3

congress Malmö 2017

Malmö Live. The venue is central; 7 minutes from central Malmö, 22 minutes by train from Lund, 10 min by train from Copenhagen airport. There are four lecture Halls and several hotels (approx. 700 beds in the surroundings of 200 m. The congress will be arranged in collaboration with SFAI and will take place 6th – 8th of September 2017.

6 Update on the 35th Congress Denmark 2019

SW This issue was added to the agenda. The Danish society has started to prepare for the 35th SSAI congress. It will most probably take place in CPH. Jacob Trier Møller will probably be president. Suggested dates are 12th -14th of June 2019. One must, as soon as possible get information on when ESA is going to have their congress in 2019.

7 Logo finding. S. Kalman, S. Pischke, A Møller Background S. Pischke

SP Thoughts around finding a new logo were presented. The logo should be simple and clean, identify brand, and it should be timeless. One should also be aware of colours. Further several members of the board gave a warning against using flags. Together with finding a logo the society should also identify a graphic profile. How to proceed? It was a vivid discussion on the questions presented by the president. The president also introduced group-sessions to the board. Questions to be discussed: 1. What is SSAIs corporate culture, 2. What is the target group, 3. How do we attract the target group, 4. What is the vision for SSAI the next 10 years?, 5. What should the logo tell? A referendum of the discussion will be provided by the president. A summary of the thoughts of the Board are attached as a pdf. The board approved contacting at least two professional design companies and SW was given the task to do so. SP also arranged a survey through ssai.info in order to engage the members. The timeline is to present the new logo at the GA in Malmö in two years.

The plans presented by SP on finding the new logo was approved by the board PPT attached Pdf. SSAI Board Logo discussion june 2015 (I’ve got the summary from Michael Haney, missing from Tom, Sören and Anne Berit)

8 Report from the committees

RC: LR

Format: Last year’s achievement, Plans for the future:

RC A main issue is to decide the rules for who is eligible for grants; What to prioritize? Early projects? Collaboration with other Nordic countries (or also other countries)? Young researchers? It is also of importance to make an application form that is suitable. The last 4 years the SSAI has supported projects with huge funding from other sources where the

RC The committee need to discuss the rules for who is eligible for grants The RC should take into

4

CPC: J-H L

small amount of money given by the SSAI seems to make a minor difference. The researchers that received grants the last 4 years have given a report back to RC. All but one, that has not started yet, has used the money given by the SSAI. The RC has also reviewed the abstracts for the present congress. One aim for the future might be to arrange a research seminar in connection with the biannual congress. The SSAI should also considerate to arrange a postgraduate course in research. This autumn there will be research seminar arranged by Copenhagen university hospital and LR will report from it on the next board meeting. For further information see the attached PPT.

CPC: Members Kai Kiviluoma – FI will be replaced by Pirjo Ranta during 2015, Morten Hylander (D), Thorgerdur Sigurdardottir – IS, Anna Oscarsson-Tiblin – SE , Jon Henrik Laake (Chairman). In the coming years CPC will focus on developing new guidelines and will also engage further in patient safety issues. Three guidelines will be updated: 1. Neuraxial block in patients with disturbed haemostasis (H Breivik, 2010), 2 Pre-hospital airway management (P Berlac, 2008), 3. Scandinavian clinical practice guidelines on general anaesthesia for emergency situations (Jensen AG, 2010). Two brand new guidelines are in the pipeline: a. Vasoactive agents for circulatory failure and b. Fluid and drug therapy in ARDS. During the present congress CPC is in charge of three sessions: I. Moving from good ideas and perceptions to evidence based practice; II. You can't argue with success, or can you? And III. Do you want to make a clinical guideline, a workshop.The co-operation with MAGIC and GIN-NORDIC will be continued. A Quality and Safety strategy as well as common quality indicators will be aimed for in co-operation with National Q&S organisations and national registries on. The CPC members will share the responsibilities and tasks within the CPC. Morten Hyllander Møller will take on the work with guidelines and Anna Oscarsson-Tiblin will be in charge of issues concerning patient safety. For further information see the attached PPT.

consideration the rules suggested by the board some 2 years ago (attached) To arrange a research seminar is considered as a very good idea The board approves Annukka Ylönen as the new head

5

EC: LNM EC: Helle Thy Østergaard (DK) 2007 – 2015 and Leila Niemi-Murola (FI) 2007 – 2015 are stepping down. Laila’s successor will be Annukka Ylönen. Annukka has a specialist degree from 2012 (University of Turku) and in 2016 she will have a special competence in medical education. Since 2012 she has worked as a clinical teacher at the university of Tampere. Her special interest is full scale simulation. The EdCom have performed a survey on educational needs and then especially on pedagogical education (electronic questionnaire to the major centers responsible for specialist training in Scandinavia). Altogether 33 responses (Finland 9, Iceland 1, Norway 11, Sweden 11). It was obvious that no inspections of the resident programs were needed but there was at need for pedacogical education of tutors and teachers. Hope for the future is to arrange a short course in education. For further information see attached PPT. The educational programs are running smooth but there is some dicsussions in the different countries about the cost of the programes. However, there are problems to recruit participants to the program in obstetrics. At a departmental level there might be some competition between the programs due to costs.

of the EdCom The reports from the committees are approved by the board.

9 Report from the treasurer

TS The financial situation is solid. Per 31.12 2014 cash is DK 2.274.767, per 31.5 2015 cash is DKK 1.677.000, fixed assets per 31.12.2014 is DKK 6.023.245. Invetsments in bonds Q1/15 DKK 800 000. Income mainly come from membership fee; DKK 379 350 and grants from the ACTA foundation; 165 000 DK and from the Turku congress; DK 445 600. One goal has been altogether (cash and assets) to have assets approx DKK 8M. We are there, which means that we might use more money on both educational and scientific activities.

PPT attached The report is approved by the board

10 Report from the Acta Foundation

IG The main goal of the ACTA Foundation is to create the financial basis for continuous publication of ACTA. The Foundation is economically totally separated from the finances of SSAI and runs a budget of its own. The economy of the foundation is solid. Over the last 15 years the foundation has supported the society with DK > 15 M. For further information view the attached pdf file.

PDF attached The report is approved by the board

11 Report from SP The AAS earns money for the society. AAS publish about 25% of submitted articles, PPT attached

6

the Editor in chief of AAS

approx. 200 articles a year. More editorials are needed, should be 1-2/issue. Since 2009 a standardised reporting of clinical research CONSORT has been implemented. Interventional trials have to be registered before patient enrolment. Authors have to report conflict of interest and funding. Less case reports and letters are published. Further AAS publishes less animal studies since it seems that these are less appreciated by the readers. AAS has also established a Cooperation with other journals (misconduct). The financial situation of the journal has improved over the past 6 years. Most subscribers do not receive a printed copy. Online Open is etablished and AAS is well esteemed. Fo further information see attached PPT.

The report is approved by the board

12 The webpage SP The new webpage works well with several new options. Among them login for the programs. The board is very satisfied with the work performed by the webeditor/webmaster Søren Pischke. The cost for renewal of the webpage has up to now been 12500 euro. At presence the webpage is sustainable. Last 30 days the webpage has had 2190 visits. There are only 75 subscribers to the Newsletter. SP want input on what to publish on ssai.info.

PPT attached SP will continue to improve SSAI.info The report was approved by the board.

13 Preparation for the General Assembly

SK The agenda for the GA was published on SSAI.info in due time. PPT of the topics and presentation planned for the GA is attached.

14 The report from the national societies

The presidents

Denmark (SW) The Danish society has a tight economic situation. The full board comprises 16 members. Hans Kirkegaard will step down after this meeting and Susanne will step down in a year. One issue that is important at the moment is a discussion with the ethical committees on informed consent in ICU research projects. Finland (KO): There is a new government in Finland and health care is facing economic problems. Costs are supposed to be cut by several million Euros. There is a national

7

specialist exam in Finland and there is still a discussion going on if The European Diploma of anesthesiology (ESA) is going to replace the national exam. A volunteer auditing has started of the training hospitals. In the larger hospitals there is no shortage of manpower. There are an increasing numbers of Estonian and Russian doctors that are working and applying for work in Finland. Iceland (KH): No report since AM had to leave the meeting earlier Norway (HT): The number of members is about 1300. The webpage (NAFweb) is well functioning which is also true for NAForum. Recently a new guideline on intensive care was approved by the Society, and is on external hearing. At the moment the a guideline on anaesthesia is under review, earlier update was in 2010. There is also intense discussion about the upcoming speciality in Emergency medicine. Sweden (MH): The SFAI is healthy. Most Swedish anaesthesiologists are members. There is too little focus/attention on SSAI among Swedish anaesthesiologists. Departments restrict the number of participants on congresses. Most members have AAS electronic. There is a harmonization towards Europe and KVAST has a strong inspection process towards hospitals. Another issue is that departmental heads are reluctant concerning promoting younger specialists. There is an initiative to remove anaesthesia training from AT.

15 International affaires

No reports were given

16 Close of the meeting

SK The meeting was closed by the President