Journal Europeen des Urgences et de Reanimation最新文献

{"title":"La quête du chainon manquant","authors":"T. Schmutz, Y. Guechi, V. Ribordy","doi":"10.1016/j.jeurea.2021.10.009","DOIUrl":"10.1016/j.jeurea.2021.10.009","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 4","pages":"Pages 222-223"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47248321","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":"Développer une culture qualité au Centre de Réception et de Régulation des Appels (CRRA) du SAMU de Paris","authors":"C. Dautreppe,&nbsp;C. Telion","doi":"10.1016/j.jeurea.2021.10.006","DOIUrl":"10.1016/j.jeurea.2021.10.006","url":null,"abstract":"<div><p>Constituant la porte d’entrée du parcours de soins des patients, ce n’est que récemment que les Services d’aide médicale urgente (SAMU) ont introduit une démarche qualité dans leur organisation. Cet article présente le déploiement de cette démarche qualité mise en œuvre par le SAMU de Paris à travers le rôle clé de l’ingénieure qualité pour la réussite de la démarche. Il peut servir d’illustration de cette démarche pour les services qui auraient à s’y impliquer notamment dans le cadre de la future certification.</p></div><div><p>First step of patients care pathway, Emergency Medical Service (SAMU) have lately introduced a quality approach in their organization. This article presents this approach deployment realized in the emergency medical service of Paris (SAMU), through the pivotal role of the quality engineer to lead this project into success. This quality deployment could be an example for other services that would have to adopt this approach as part of a future certification.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 4","pages":"Pages 179-183"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47362086","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":"Images d’hier et d’aujourd’hui de la médecine d’urgence. L’ambulance médicalisée de réanimation (AR) des années 1970 et l’unité mobile hospitalière (UMH) de 2020","authors":"J.-S. Marx ,&nbsp;J.-B. Cazalaa","doi":"10.1016/j.jeurea.2021.10.017","DOIUrl":"10.1016/j.jeurea.2021.10.017","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 4","pages":"Pages 218-219"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44104619","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":"Zona ophtalmique atypique « sine herpete » en milieu hostile","authors":"L. Saint-Jean ,&nbsp;V. des Robert ,&nbsp;S.-P. Corcostegui ,&nbsp;M. Marechal ,&nbsp;J. Galant ,&nbsp;C. Boutillier du Retail","doi":"10.1016/j.jeurea.2021.10.011","DOIUrl":"10.1016/j.jeurea.2021.10.011","url":null,"abstract":"<div><p>La kératite herpétique est une forme d’herpès oculaire, elle est liée à une récurrence virale de primo-infection de l’Herpès Simplex Virus (HSV) ou du Virus Zona Varicelle (VZV) et peut toucher l’ensemble des tissus du territoire de la première branche du trijumeau (V1) : paupière, conjonctive, sclère, cornée, uvée, rétine et le nerf optique. Il s’agit d’une affection rare et grave, compte tenu de l’engagement du pronostic fonctionnel oculaire à terme. Le diagnostic est clinique, dermatologique et ophtalmologique et repose sur l’anamnèse. La prise en charge doit être précoce et associée à un suivi spécialisé étroit. Le traitement repose essentiellement sur les antiviraux, éventuellement associés à une corticothérapie locale sur avis spécialisé. Le pronostic est souvent favorable sous traitement, mais des séquelles ophtalmologiques sont possibles. Nous rapportons ici le cas d’un patient de 22 ans sans comorbidité ayant présenté une kératite herpétique inaugurale d’un zona ophtalmique atypique en milieu hostile.</p></div><div><p>Zosterian keratitis is an ocular herpes form, due to a viral recurrence of a primary infection to Herpes Simplex Virus (HSV) or to the Varicella Zona Virus (VZV) that can affect all tissues in the territory of the first branch of the trigeminal nerve (V1): eyelid, conjunctiva, sclere, cornea, uvea, retina and finally optic nerve. This is a rare and serious condition given the commitment of the full-term functional eye prognosis. The diagnosis remains clinical before the anamnestic argument beam, dermatological and ophthalmological examination. Care should be early and associated with close specialized follow-up. The treatment is mainly based on antivirals, either locally or generally, possibly associated with corticosteroids on special advice. Prognosis is often favourable under treatment, but eye sequelae could occur. We report here the case of a 22-year-old patient with no comorbidity who sufferered from an inaugural unusual zosterian keratitis of an ophthalmic zoster during hostil environnement.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 4","pages":"Pages 210-213"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47912997","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(21)00133-4","DOIUrl":"https://doi.org/10.1016/S2211-4238(21)00133-4","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 4","pages":"Page v"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211423821001334/pdfft?md5=ee184d15c37fa049f420b86ab8cfea0b&pid=1-s2.0-S2211423821001334-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136838725","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}

{"title":"15 questions/réponses sur le « 112 »","authors":"François Braun","doi":"10.1016/j.jeurea.2021.10.013","DOIUrl":"10.1016/j.jeurea.2021.10.013","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 4","pages":"Pages 214-217"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44542176","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":"Étude de faisabilité de l’évaluation de la prise en charge d’un appel au Centre 15 au SAMU de Paris","authors":"C. Dautreppe,&nbsp;C. Telion","doi":"10.1016/j.jeurea.2021.10.007","DOIUrl":"10.1016/j.jeurea.2021.10.007","url":null,"abstract":"","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 4","pages":"Pages 220-221"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43948633","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":"Intérêts des anesthésies locorégionales périphériques en milieu périlleux","authors":"P. Mahiou ,&nbsp;R. Darren ,&nbsp;O. Desebbe ,&nbsp;F. Rocourt ,&nbsp;H. Bouaziz","doi":"10.1016/j.jeurea.2021.09.001","DOIUrl":"10.1016/j.jeurea.2021.09.001","url":null,"abstract":"<div><p>Traumatic injuries associated with adventure sports activities occur often in hostile environment. The regional anesthesia (RA) outside of the hospital settings has been demonstrated but not in hostile environment. So, we wondered if it was possible to carry out these RA for these very painful traumatized patients on the accident site and during their extraction-evacuation by helicoper. In a prospective observational study, 13 patients (6 women, 13 men) who benefited from a RA were included with types of accident and injuries. RA was determined and 3 situations were defined (impossible, difficult more than 1 attempt, easy to perform). Pain evaluated using visual analog scale (VAS) (0–10) measured at rescue team arrival (T0), ten minutes after RA (T10), after reduction and at helicopter evacuation. The type of accident was 14 skiing, 1 spelunking, 2 mountaineering, 1 snowshoeing, 1 paragliding and represented 11 fractures femurs, 3 legs, and 1 hand, 1 dislocation patella, 3 shoulders. Nineteen RA performed with 6 fascia iliaca blocks, 6 femoral nerve blocks, 3 interscalene blocks, 1 multiblock of nerve (median, radial, ulnar) at elbow and 3 sciatic nerve blocks. Seventeen blocks (89%) were technically straightforward and 2 (11%) difficult. Evaluation of pain showed an average VAS of 8 (7–9) before RA (T0), 1 (0–2) at T10, 0,4 (0–1) at T reduction and 0,3 (0–1) at T evacuation. All the pathologies were treated on place and helicopter evacuations were conducted in calm atmosphere. RA performed in difficult environment is feasible, effective and reproducible in extreme conditions. There is no limitation due to hostile terrain. RA techniques used must simple and fast but performed by trained physicians who are technical experts in order achieve a successful outcome in difficult terrain.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 3","pages":"Pages 155-161"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42753634","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":"Et si c’était un choc à la Bétadine® ?","authors":"O. Barbier ,&nbsp;J. Goret ,&nbsp;M. Bordes ,&nbsp;C. Pellerin ,&nbsp;S. Guez","doi":"10.1016/j.jeurea.2021.05.008","DOIUrl":"10.1016/j.jeurea.2021.05.008","url":null,"abstract":"<div><p>Les principaux agents responsables des réactions anaphylactiques peropératoires sont bien connus. Cependant lorsque le bilan allergologique initial est négatif, des explorations complémentaires doivent être réalisées afin d’identifier un nouvel allergène potentiel comme les antiseptiques. Nous présentons un cas de choc anaphylactique peropératoire rapporté à la Bétadine®.</p></div><div><p>The main causative agents for intraoperative anaphylactic reactions are well known. However, when the initial allergic assessment is negative, additional explorations must be carried out in order to identify a potential new allergen such as antiseptics. We present a case of intraoperative anaphylactic shock to Betadine®.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 3","pages":"Pages 170-172"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44218040","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":"Prise en charge d’un traumatisme thoracique sévère par l’application de Quick Clot Combat Gauze","authors":"J. Schmitt ,&nbsp;J. Bordes ,&nbsp;G. Lacroix ,&nbsp;J.-P. Avaro ,&nbsp;E. Meaudre","doi":"10.1016/j.jeurea.2021.06.003","DOIUrl":"10.1016/j.jeurea.2021.06.003","url":null,"abstract":"<div><p>La prise en charge des saignements massifs du médiastin postérieur chez les patients traumatisés sévère réside en une chirurgie de type damage control ou bien une artério embolisation. Nous rapportons le cas d’un traumatisé sévère présentant une burst fracture rachidienne compliquée d’un hémothorax massif nécessitant l’utilisation de compresses hémostatiques (Quick Clot Combat Gauze). Une telle prise en charge a déjà été décrite lors d’expériences animales ou bien exceptionnellement lors de cas cliniques. Les compresses hémostatiques pourraient être une alternative en cas d’hémostase chirurgicale difficile, mais leur usage intracorporel a besoin d’être étudié au travers d’essais randomisés contrôlés.</p></div><div><p>Management of life-threating posterior mediastinum hemorrhage in trauma patients patient consists in embolization or damage control surgery. Here we report a case of a trauma patient presenting a traumatic burst fracture with a massive hemothorax requiring hemostatic pads compression (Quick Clot Combat Gauze). Such a trauma management has been described in animal studies, and exceptionally in case reports. Hemostatic pads seem to be an alternative way to perform surgical hemostasis, but its intracorporeal use needs to be confirmed by further randomized control studies.</p></div>","PeriodicalId":38439,"journal":{"name":"Journal Europeen des Urgences et de Reanimation","volume":"33 3","pages":"Pages 151-154"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42160711","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}