Journal Europeen des Urgences et de Reanimation最新文献

{"title":"Envenimation vipérine responsable d’un syndrome de détresse respiratoire aiguë chez une adolescente au Gabon","authors":"S. Oliveira ,&nbsp;R. Okoue Ondo ,&nbsp;H. Birinda ,&nbsp;G. Edjo Nkilly ,&nbsp;P.E. Sougou ,&nbsp;C. Ollende ,&nbsp;N. Ekegue ,&nbsp;A.G. Ngongo Mato ,&nbsp;E.I. Ndongo Manguiya ,&nbsp;M.I. Ogalat Enyengue ,&nbsp;B.R. Bikanga ,&nbsp;R. Tchoua ,&nbsp;J.M. Mandji Lawson ,&nbsp;A. Sima Zue","doi":"10.1016/j.jeurea.2023.04.001","DOIUrl":"10.1016/j.jeurea.2023.04.001","url":null,"abstract":"<div><p>Il a été décrit par certains auteurs des cas de syndrome de détresse respiratoire aiguë (SDRA) secondaire à une envenimation vipérine associée à d’autres signes habituels liés au syndrome cytotoxique et hématotoxique. Nous rapportons le cas d’une adolescente victime d’une envenimation vipérine et d’un SDRA d’évolution favorable. La multiplication des doses de sérum anti-venin a probablement contribué au bon pronostic de la patiente.</p></div><div><p>Some authors have described cases of acute respiratory distress syndrome (ARDS) secondary to viperine envenomation associated with other usual signs related to cytotoxic and hematotoxic syndrom. We report the case of a teenager victim of viperine envenomation and ARDS with a favorable evolution. The multiplication of anti-venom serum doses probably contributed to the good prognosis of the patient.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 40-45"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49055115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FOrmation URgence MInimum pour le grand public : concept et réalisation FO.UR.MI","authors":"S. Tartière ,&nbsp;J. Desson ,&nbsp;O. Guerry ,&nbsp;F. Bastian ,&nbsp;le groupe des Fourmiteurs","doi":"10.1016/j.jeurea.2023.04.003","DOIUrl":"10.1016/j.jeurea.2023.04.003","url":null,"abstract":"<div><p>La formation FO.UR.MI a été créée à la fin des années 1980. C’est un des ancêtres des formations courtes à la RCP pour le public. Elle se caractérise pour une pédagogie participative. Elle a pour objectif d’apprendre mais surtout de comprendre les gestes à faire devant une urgence vitale. Elle explique aussi l’utilisation du 15 et du système d’urgence. Le rôle central de l’animateur, l’environnement non scolaire et la méthode pédagogique ont participé au succès de cette formation.</p></div><div><p>The FO.UR.MI training was created at the end of the 80s. It is one of the ancestors of the short CPR training courses for the public. It is characterized by a participatory pedagogy. Its objective is to learn but also to understand the actions to be taken in the case of a vital emergency. It also explains the use of the 15 talk-free emergency phone number and the EMS. The central role of the facilitator, the non-scholar environment and the atmosphere contributed to the success of this training.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 32-39"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46246766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Statement of the European EMS Leadership group concerning the organization of prehospital medical care in the event of a terrorist attack with an active shooter","authors":"Pierre Carli ,&nbsp;Cathal O’Donnell ,&nbsp;Fionna Moore ,&nbsp;Markku Kuisma ,&nbsp;Ervigio Corral ,&nbsp;James Ward ,&nbsp;Martin Smeekes ,&nbsp;Stephan Sollid ,&nbsp;Stefan Poloczek ,&nbsp;Freddy Lippert","doi":"10.1016/j.jeurea.2023.04.005","DOIUrl":"10.1016/j.jeurea.2023.04.005","url":null,"abstract":"<div><p>The European EMS Leadership Network proposes principles for consideration by EMS agencies concerning the risk of a shooting or terrorist attack with an active shooter. This risk is increasing and the response to such an event must be planned for. All agencies must be prepared to provide at least minimum adequate response to this type of attack. All EMS personnel should receive basic training on the danger of shootings, on how to protect themselves and the victims, and on haemorrhage control interventions. EMS tactical team preparation provides a specialized response and needs to be developed by all EMS. Their interoperability with regular EMS units and other emergency services field must be coordinated.</p></div><div><p>L’European EMS Leadership Network propose des principes à prendre en considération par les services médicaux d’urgence préhospitaliers (SAMU-SMUR) concernant le risque d’une fusillade ou d’une attaque terroriste avec un tireur actif. Ce risque augmente et la réponse à un tel événement doit être planifiée. Tous ces services doivent être prêts à fournir au moins une réponse adéquate minimale à ce type d’attaque. Tous leurs personnels doivent recevoir une formation de base sur le danger des tirs, sur la façon de se protéger et de protéger les victimes, et sur les interventions de contrôle des hémorragies. La préparation d’équipes tactiques préhospitalières fournit une réponse spécialisée et doit être développée par tous les services. Leur interopérabilité avec les équipes non spécialisées et les autres services d’urgence sur le terrain doit être coordonnée.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 28-31"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41754480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Médecine en milieu isolé. Application aux Terres australes et antarctiques françaises","authors":"T. Gault ,&nbsp;P. Laforet","doi":"10.1016/j.jeurea.2023.04.004","DOIUrl":"10.1016/j.jeurea.2023.04.004","url":null,"abstract":"<div><p>Les Terres australes et antarctiques françaises sont des territoires parmi les plus isolés et extrêmes qui soient. Néanmoins, chaque année, des missions scientifiques y sont organisées. Afin d’assurer la sécurité des expéditionnaires, elles sont toutes médicalisées, ce qui requiert la mise en place d’une logistique et de procédures bien particulières. Cette organisation repose sur l’anticipation des risques, et se traduit par une formation spécifique préalable des médecins ainsi que l’élaboration de protocoles et d’un réseau de télémédecine de support, adaptés au terrain. Ces grands principes se retrouvent en France et à l’étranger pour la plupart des sites isolés, faisant émerger une discipline à part entière : la médecine en milieu isolé.</p></div><div><p>The French Southern and Antarctic lands are among the most isolated and extreme territories. Nevertheless, every year, scientific missions are organized there. In order to ensure the safety of the participants, they are all medicalised, which requires the implementation of very specific logistics and procedures. This organization is based on anticipating risks, and results in specific training for doctors as well as the development of protocols and a support telemedicine network, adapted to the field. These main principles are found in France and abroad for most isolated sites, giving rise to a new medical speciality: medicine in remote environment.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 6-12"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44570125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gestion de la crise covid à bord d’un navire de marine marchande : Atalante","authors":"P. Bourlet","doi":"10.1016/j.jeurea.2023.04.002","DOIUrl":"10.1016/j.jeurea.2023.04.002","url":null,"abstract":"<div><p>Le navire <em>Atalante</em> de la marine marchande effectuait une mission scientifique en mars, avril 2020 alors que la pandémie de Covid se répandait sur la planète. Le personnel de bord a été confronté à un double risque, la rupture de soins médicaux courants et l’apparition d’un cluster à bord. Ces deux risques ont été évités en s’adaptant rapidement et efficacement à cette situation exceptionnelle. Une suppléance à la médicalisation habituelle a été mise en place et les mesures sanitaires ont été appliquées avec rigueur. Cette réponse est intéressante à considérer en cas de SSE (Situations sanitaires exceptionnelles) impliquant la médecine en situation d’isolement.</p></div><div><p>The merchant navy vessel<em>Atalante</em> was on a scientific mission in March, April 2020 as the Covid pandemic spread across the planet. The maritime crew were faced with a double risk, the interruption of routine medical care and the appearance of a cluster on board. These two risks were avoided by adapting quickly and effectively to this exceptional situation. A replacement for the usual medical treatment has been put in place and health measures have been rigorously applied. This answer is interesting to consider in the event of SSE (exceptional health situations) involving medicine in a situation of isolation.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 13-20"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44329047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Première vague COVID-19, trois ans déjà…","authors":"Prof P. Carli,&nbsp;Dr C. Telion","doi":"10.1016/j.jeurea.2023.05.001","DOIUrl":"10.1016/j.jeurea.2023.05.001","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 1-3"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43294059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sommaire","authors":"","doi":"10.1016/S2211-4238(23)00021-4","DOIUrl":"https://doi.org/10.1016/S2211-4238(23)00021-4","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Page v"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49875165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Médecine en milieu isolé : un sujet plus que jamais d’actualité","authors":"Dr P. Laforet (médecin des Terres australes et antarctiques françaises et Président de la SOFRAMMI)","doi":"10.1016/j.jeurea.2023.05.002","DOIUrl":"10.1016/j.jeurea.2023.05.002","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 4-5"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42683866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation de grande ampleur: l’exercice international de réponse aux catastrophes de Madrid","authors":"E. Corral Torres ,&nbsp;M. Heredero Rodríguez ,&nbsp;R. Cervantes Saavedra ,&nbsp;E. Gacimartín Maroto ,&nbsp;F.J. Gómez Mascaraque ,&nbsp;M. Marcos Alonso ,&nbsp;C. Rodríguez Blanco ,&nbsp;J.J. Giménez Mediavilla ,&nbsp;C. Camacho Leis","doi":"10.1016/j.jeurea.2023.02.001","DOIUrl":"10.1016/j.jeurea.2023.02.001","url":null,"abstract":"<div><p>L’exercice international de médecine de catastrophe de Madrid a rassemblé, dans le cadre d’une simulation d’attentats terroristes multisite de grande ampleur, plus de 500 participants provenant de 45 services médicaux d’urgence, de services de secours, et des forces de l’ordre. Les services médicaux d’urgence déployés provenaient de 16 régions d’Espagne et de 9 pays. Cette simulation a montré qu’il était possible à des équipes internationales et espagnoles de partager les mêmes protocoles au cours d’un attentat terroriste. Cet exercice a été très réaliste par la simulation avec des décors des effets pyrotechniques, des poursuites de véhicules et la présence de plus de 100 plastrons pris en charge au cours de fusillades, explosion, prise d’otages. Les évacuations par des convois d’ambulances médicalisées ont été effectuées en temps réel et couplées avec des exercices d’accueil massif de victimes dans les hôpitaux. Cet exercice a plusieurs particularités: les équipes engagées sur le terrain n’avaient aucune information préalable sur le scénario pour lequel ils étaient mobilisés; l’exercice s’est déroulé en temps réel, pendant une heure 15, devant plus de 3500 spectateurs rassemblés sur des gradins en face du théâtre des opérations. Cette représentation publique destinée à informer la population sur la réponse des services publics aux attentats terroristes a eu un fort impact médiatique.</p></div><div><p>The Madrid International Disaster Medicine drill simulating a multi-site terrorist attack has brought together more than 500 participants from 45 emergency medical services (EMS), rescue services, and law enforcement agencies. The EMS deployed came from 16 regions in Spain and 9 countries. This simulation showed that it was possible for international and Spanish teams to share the same protocols during a terrorist attack. This exercise is particular by the very realistic aspect of the simulation with urban decorations, pyrotechnic effects, and car chases. More than 100 simulated victims were managed of during shootings, explosions, and hostage takings. Evacuations by medical ambulance convoys were carried out in real time and coupled with mass reception exercises for victims in hospitals. This exercise has several particularities. The teams engaged in the field had no previous information on the scenario for which they were deployed. The exercise took place in real time, for an hour and 15<!--> <!-->minutes, in front of more than 3,500 spectators gathered on bleachers in front of the theater of operations. This public performance intended to inform the population about the response of public services to terrorist attacks had a strong media impact.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"35 1","pages":"Pages 21-27"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46301519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"National Ambulance Service in Hungary – graduated system for the prehospital medicalization","authors":"A. Pandur ,&nbsp;G. Priskin ,&nbsp;B. Toth ,&nbsp;G. Furedi ,&nbsp;B. Radnai ,&nbsp;J. Betlehem ,&nbsp;B. Schiszler","doi":"10.1016/j.jeurea.2022.11.001","DOIUrl":"10.1016/j.jeurea.2022.11.001","url":null,"abstract":"<div><p>The prehospital emergency medical services are provided by the National Ambulance Service (NAS) in Hungary. In this article, a short description of the organizational structure in the National Ambulance Service are described with the intention to highlight future directions in emergency medical services, as well as the influence of international trends in emergency patient care. In Hungary, the national ambulance service has centralized and uniform equipment throughout the country. The ambulance cars are staffed by two or three crew members trained in rescue, stabilization of the patient's status, transport, and advanced care of traumatic and medical emergencies. There are three major levels of care provided by ambulance personnel: a basic level ambulance crew (Emergency Medical Technician Unit), a second level (Ambulance Officer Unit), and the highest level (Emergency Physician Unit). The advanced paramedic has the same competences in the prehospital care as an emergency physician. Although the Hungarian Ambulance Service has a very long and meaningful past new challenges on the prehospital emergency care are inevitable and continuous development is necessary for save more life.</p></div><div><p>Les services médicaux d’urgence préhospitaliers font partie du Service national d’ambulance (NAS) en Hongrie. Dans cet article, une brève description de la structure organisationnelle du NAS est présentée dans le but de mettre en évidence les orientations futures des services médicaux d’urgence, ainsi que l’influence des tendances internationales dans les soins d’urgence aux patients. En Hongrie, le Service national d’ambulance dispose d’un équipement centralisé et uniforme dans tout le pays. Les ambulances sont dotées de deux ou trois membres d’équipage formés au sauvetage, à la stabilisation de l’état du patient, au transport et aux soins spécialisés des urgences traumatiques et médicales. Il existe trois principaux niveaux de soins fournis par les personnels des ambulances: une équipe d’ambulance de niveau de base (unité avec un technicien médical d’urgence), un deuxième niveau (unité paramédicale spécialisée ou avec un « officier » d’ambulance) et le niveau le plus élevé (unité avec un médecin d’urgentiste, ambulance de réanimation). Le « paramédic » spécialisé a les mêmes compétences dans les soins préhospitaliers qu’un médecin urgentiste. Bien que le service d’ambulance hongrois ait un passé très long et significatif, de nouveaux défis concernant les soins préhospitaliers d’urgence sont inévitables et un développement continuel est nécessaire pour sauver plus de vies.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"34 4","pages":"Pages 166-172"},"PeriodicalIF":0.0,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211423822000700/pdfft?md5=8afc15944223e00f19c575073af6fda5&pid=1-s2.0-S2211423822000700-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45244477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}