Retour d’expérience des attentats du 13 novembre 2015. Rôle spécifique des hôpitaux de proximité

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• 作者：E. Debuc ; J. -P. Fontaine ; C. Ogereau…
• 关键词：Attentat ; Plaie par balle ; Service d’urgences ; Tri ; Retour d’expérience ; Urgences absolues ; Attack ; Gunshot wound ; Emergency services ; Triage ; Feedback ; Absolute emergencies
• 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：31-38
• 全文大小：703 KB
• 参考文献：1.Direction de l’hospitalisation et de l’organisation des soins (DHOS) (2002) Circulaire DHOS/HFD no 2002/284 du 3 mai 2002 relative à l’organisation du système hospitalier en cas d’afflux de victimes. www.sante.gouv.fr/IMG/pdf/circulaire_du_2_mai_2003-2.pdf (dernier accès le 2 décembre 2015)
  2.Ministère de la Santé, de la Famille et des Personnes handicapées (2002) Explosion de l’usine AZF de Toulouse le 21 septembre 2001. Rapport de mission, enseignement et propositions sur l’organisation des soins. Septembre 2002. http://​www.​ladocumentationf​rancaise.​ fr/var/storage/rapports-publics/034000001.pdf (dernier accès le 2 décembre 2015)
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  6.Gutierrez de Ceballos JP, Turégano Fuentes F, et al (2005) Casualties treated at the closest hospital in the Madrid, March 11, terrorist bombings. Crit Care Med 33:S107–S12CrossRef
  7.Hirsch M, Carli P, Nizard R, et al (2015) The medical response to multisite terrorist attacks in Paris. Lancet 368:2535–8CrossRef
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  9.Ministère de la santé et des solidarités (2006) Guide d’aide à l’élaboration des plans blancs élargis et des plans blancs des établissements. Édition 2006, annexe à la circulaire no DHOS/CGR/2006/401 du 14 septembre 2006 http://​www.​ sante.gouv.fr/IMG/pdf/plan_blanc_2006.pdf (dernier accès le 2 décembre 2015)
  10.Virenque C (2005) Le Plan Blanc: afflux massif de victimes. Réanimation 14:712–5CrossRef
  
• 作者单位：E. Debuc (1) (2)
  J. -P. Fontaine (3)
  C. Ogereau (3)
  C. Tournon (1) (2)
  O. Peyrony (3)
  P. Berrebi (1) (2)
  J. Azuar (3)
  O. Gardy (1) (2)
  B. Sakarovitch (1) (2)
  F. Geffrier (1) (2)
  Y. Yordanov (1) (2)
  D. Pateron (1) (2)
  
  1. Service des urgences, centre hospitalier universitaire Saint-Antoine, Assistance publique-Hôpitaux de Paris (AP–HP), 184, rue du Faubourg Saint-Antoine, F-75012, Paris, France
  2. Sorbonne universités, UPMC Univ Paris 06, F-75005, Paris, France
  3. Service des urgences, centre hospitalier universitaire Saint-Louis, AP–HP, 1, avenue Claude-Vellefaux, F-75010, Paris, France
  
• 刊物主题：Emergency Medicine; Anesthesiology; Intensive / Critical Care Medicine;
• 出版者：Springer Paris
• ISSN：2108-6591

文摘

During the terrorist attack on 13 November 2015 in Paris, Saint-Antoine and Saint-Louis Hospitals, which were in close proximity to the areas involved, were included in the Emergency Plan overseen by the French Emergency Medical Services (Samu), as nearby hospitals. The aim of this article is to describe the activity and the type of patients who came into these two hospitals and present the areas highlighted during the feedback sessions organised in these establishments. The alarm was raised in both hospitals through the arrival of the first gunshot victims. Forty-five patients were brought to the Emergency department of Saint-Antoine Hospital (6 were classified as absolute emergencies [Aes] and 39 as relative emergencies [Res]) and 26 to Saint-Louis Hospital (10 as AEs and 16 as REs). The cooperation of all of the organisations involved in treating the casualties was a fundamental part of the success of the emergency plan. The solidarity demonstrated during the event, as well as the professional expertise enabled these emergency departments to operate effectively. Operational challenges and suggested improvements affect each stage of the treatment process, even if it was only relatively short, i.e. around 12 hours. Hospitals close to an event with multiple victims are called upon in a specific way, and each hospital must be prepared for such an eventuality. French Emergency Medical Services (Samu) dispatch rules should avoid sending AE patients to nearby hospitals. Keywords Attack Gunshot wound Emergency services Triage Feedback Absolute emergencies