Retour d’expérience des attentats du 13 novembre 2015. La régulation médicale zonale

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• 作者：M. Nahon ; N. Poirot ; J. S. Marx ; M. Lejay…
• 关键词：Attentats terroristes multisite ; Samu ; Smur ; Mobilisation ; Organisation ; Sectorisation ; Triage ; Damage control ; Plan Blanc ; Plan Camembert ; Multisite terrorist attacks ; Samu ; Smur ; Mobilization ; Organization ; Sectorization ; Triage ; Damage control ; White plan ; Camembert plan
• 刊名：Annales fran?aises de m¨¦decine d'urgence
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：6
• 期：1
• 页码：16-21
• 全文大小：1,104 KB
• 参考文献：1.Hirsh M, Carli P, Nizard R, et al (2015) The medical response to multisite terrorist attacks in Paris. Lancet 386:2535–8CrossRef
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  3.Tourtier JP, Palmier B, Tazarourte K, et al (2013) The concept of damage control: extending the paradigm in the prehospital setting. Ann Fr Anesth Reanim 32:520–6CrossRef PubMed
  4.Baker DJ, Télion C, Carli P (2007) Multiple casualty incidents: the prehospital role of the anesthesiologist in Europe. Anesthesiol Clin 25:179–88CrossRef PubMed
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• 作者单位：M. Nahon (1)
  N. Poirot (1)
  J. S. Marx (1)
  M. Lejay (1)
  S. Tartière (1)
  C. Chastre (1)
  C. Fuilla (1) (2)
  P. Pelloux (1)
  B. Vivien (1) (3)
  C. Télion (1)
  P. Carli (1) (3)
  
  1. Assistance Publique - Hôpitaux de Paris, Centre Hospitalier Universitaire Necker - Enfants Malades, Samu de Paris, service d’anesthésie-réanimation, 149 rue de Sèvres, F-75730, Paris cedex 15, France
  2. Direction Centrale du Service de Santé des Armées, 60 boulevard du Général Marcel Valin, F-75509, Paris cedex 15, France
  3. Université Paris Descartes – Paris V, 12 rue de l’École de Médecine, F-75270, Paris cedex 06, France
  
• 刊物主题：Emergency Medicine; Anesthesiology; Intensive / Critical Care Medicine;
• 出版者：Springer Paris
• ISSN：2108-6591

文摘

To face the multisite terrorist attacks on November 13, 2015, a medical zonal regulation system was set up at the Samu de Paris in order to coordinate the 8 Samu of the Îlede- France region. This system, by using a sectorization strategy of the medical means (mobile intensive care unit [MICU]) and hospital resources, enabled on site medicalization, regulation and transportation by medical teams of most of the patients presenting immediate emergencies. MICU and hospitals were kept available in case the situation had worsened (especially on the Bataclan site) or other attacks had occurred. The analysis of this experience shows many strong points but also useful areas of improvement for all those who might face such event. Keywords Multisite terrorist attacks Samu Smur Mobilization Organization Sectorization Triage Damage control White plan Camembert plan