Une bonne source d'info sur le sujet serait fort probablement Andr� Lavoie de l'Enfant J�sus de Qc , chercheur en traumatologie et qui conna�t bien le milieu pr�hospitalier. Certaines �tudes favorisant le BLS scoop-and-run comparant Montr�al, Toronto et Los Angeles a, je crois, �t� publi�e � l'�t� 2001.
Daniel Lefran�ois -----Message d'origine----- De : Alain Vadeboncoeur <[EMAIL PROTECTED]> � : URG-L Mailing List <[EMAIL PROTECTED]> Date : 17 mars, 2002 10:29 Objet : URG-L: Fw: [EMED-L] Princess Diana >Bonjour > >Pas pour relancer un vieux d�bat, mais ceci pose tout de m�me une question >int�ressante: > >1) O� se situe l'�vidence la plus solide pour la comparison "scoop and run" >avec le "stay and play" en trauma, pour ceux qui ont r�vis� � fond la >question? > >Par ailleurs, les d�lais �voqu�s ici sont tout de m�me surprenant. > >CIao > >ALain Vadeboncoeur >----- Original Message ----- >From: "James S. Cohen, RR" <[EMAIL PROTECTED]> >To: <[EMAIL PROTECTED]> >Sent: Saturday, March 16, 2002 10:36 PM >Subject: [EMED-L] Princess Diana > > >> To those of you with a particular interest in trauma EM or pre-hospital >care >> EM I shall recount some particulars of the night Princess Diana died >(August >> 31, 1998) as a lead up to some questions. >> >> The Mercedes crashed at 12:23 a.m. in a tunnel killing Prince Fayed and >his >> driver. At 12:26 a.m. Dr. Frederic Maillez, a French EP, arrived. At >12:29 >> a.m. a military ambulance arrived. At 12:40 a.m. the SAMU ambulance >> arrived. This is the highest level "EMS" ambulance in France and all have >> physicians on board. Diana was reported to be saying "My God, what >> happened" immediately after the accident. She was treated at the scene >> until 1:20 a.m. at which time the SAMU began the trip to the hospital >> (Piete'-Salpetrier) that was 3.7 miles away. She arrived at the hospital >at >> 2:01 a.m. Her prehospital care consisted of IVFs, (no blood), >intubation, >> external cardiac compressions, and possibly intracardiac epinephrine >> (conflicting data on this last item). At the hospital she received a >> thoracotomy, bypass etc. Her reported injuries were a tear of the left >> pulmonary vein (repaired during surgery), 3 cm lac to forehead, cut lip, >> some crushed ribs, fracture right arm, 8 cm cut right thigh. >> >> Thus, it took about 1 hour 20 minutes from the SAMU arrival to delivery to >> the hospital. At that time of night, with minimal traffic, the trip could >> have taken 5-10 minutes. >> Clearly, the French pre-hospital trauma system differs radically from the >> American one. Fending off criticism French medical authorities have >stated >> that they believe in stabilizing patients at the scene prior to transport. >> As for the slow ride to the hospital (average speed was 5 mph) they have >> stated that the slow ride was necessary to avoid bumps, shocks, and other >> acceleration/deceleration forces that would worsen the patient's >condition. >> >> Can anyone provide any references that support or otherwise "explain" >> (translation-think politics) the French system? Although such references >> likely originated in France they may have been cited in English language >> journals. (nb-French citations OK, I can read French). Can anyone tell me >> what other countries of the world use this French model? Does your EMS >> system have any units that carry Type O neg blood for administration in >the >> field? Finally, what are the major studies in the USA that established >the >> "scoop and run, verses stay and play" model? >> >> thanks, >> >> James S. Cohen >> [EMAIL PROTECTED] >> >> To unsubscribe, send the command "SIGNOFF EMED-L" to >[EMAIL PROTECTED] >
