Reg700 eng france iems and samu networks and public health disaster plans
1. M Martinez Almoyna 2004 French Public Health Intergrated EMS 1
A Public Health Civil Defense network
for french hospitals and SAMU:
TOWARDS AN INTEGRATED
NATIONAL EMERGENCY
MEDICAL SYSTEM (IEMS) AND
NETWORK
Miguel MARTINEZ ALMOYNA (MD MCU)
2. M Martinez Almoyna 2004 French Public Health Intergrated EMS 2
French IEMS
(like deffined in Declaration of Jalisco)
MOH civil defense specific
organisation
for disastrous sanitary events
1. Pre hospital network sub-system
2. Hospital network sub-system
3. SAMU control and medical
regulation sub-system
3. M Martinez Almoyna 2004
French Public Health
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THE NATIONAL EMERGENCY CARE
PRE-HOSPITAL
SUB- SYSTEM NETWORK
= Primary Care network for GP
Emergencies+
= Emergency Ambulance fleet
resources for emergency
transporting patients (MICU*,
Rescue Units*, Ambulances**)
4. M Martinez Almoyna 2004
French Public Health
4
THE NATIONAL EMERGENCY CARE
HOSPITAL
SUB- SYSTEM NETWORK
= Secondary hospital emergency and MICU
(SMUR) resources are monitored by local
(and neighbouring SAMU)
= Tertiary , Specialized emergency and ICU
resources are monitored by neighbouring
and regional SAMU
= Zonal leading Hospitals for NBC disasters
5. M Martinez Almoyna 2004
French Public Health
5
The French SAMU and SMUR
Network for Emergency Care
• In day to day medical individual
emergencies
• In collective public health mass
emergencies
• In France (continental and islands!) and
even in foreign countries
7. M Martinez Almoyna 2004 French Public Health Intergrated EMS 7
THE SAMU SUB-SYSTEM SYSTEM
IMPLANTED IN EACH « DEPARTEMENT »
CAPITAL TOWN HOSPITALS
AS TWO ROLES IN CASE OF EMERGENCY
The responsible physician (SAMU medical regulator
physician) as the two roles
A technical medical role for deciding and organizing
the initial medical emergency care
An Administrative Authority emergency Delegated
Role for deciding alerting and initiating « plans
blancs » and « plan rouge » Public Health
emergency resources involvment
8. M Martinez Almoyna 2004
French Public Health
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The French SAMU emergency tele-medecine
system and network improoves not only
quality of care but also equity of resources
distribution!
A national medical emergencies specific and
protected exclusive hotline (15)
Plus a health care tele-communication
network beetween emergency regional
integrated medical emergency hospital (ER
OR ICU) and out of hospital resources (MICU
Ambulances)
Plus a MOH national civil defense policy
9. M Martinez Almoyna 2004
French Public Health
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The Hospital and SAMU
« Plan Blanc » emergency
care IEMS sub-system
Four tiered
1 local Hospital « white plan »
2 « Departement network » SAMU + DDASS « white
plan blanc »
3 Civil Defense Zone regional network
« zonal white plan » ARH+DRASS+Regional SAMU
4 MOH + SAMU de Paris = national and
international disasters (+Foreign Office)
10. M Martinez Almoyna 2004 French Public Health Intergrated EMS 10
Exemples:
• An explosion in Toulouse
• A mass casualty in a Corsica Island
Stadium or Charles de Gaule Airport
• An Paris subway attentate
• A disaster in Latin America or an Air
France aircraft terrorist attack …
11. M Martinez Almoyna 2004 French Public Health Intergrated EMS 11
A NATIONAL SAMU NETWORK BUT
WITH 3 LEVELS
1. « Départements » SAMU (and
neighbouring
« departements »)
2. « Public Health Civil Defense
Zones » regional SAMU
3. « BMOH + SAMU of Paris »
13. M Martinez Almoyna 2004
French Public Health
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A NATIONAL COORDINATED (?)
AN EMERGENCY CARE PUBLIC
HEALTH SYSTEM?
A REAL INTEGRATED EMS
(IEMS)
Ministery of Health +
Military Defense
Civil Defense Fire Men Rescue (plan
Rouge)
Private, ONG
Foreign Office
14. M Martinez Almoyna 2004 French Public Health Intergrated EMS 14
For More Informations on
Public Health Civil Defense
Emergency Tele-medecine and
SAMU regulation
• migmigmig@orange.fr
• SLIDESHARE Miguel Martinez
Almoyna
15. M Martinez Almoyna 2004
French Public Health
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French MOH and SAMU
documents on Public
Health Civil Defense
• WWW.sante.gouv.fr
• www.samudeparis.org
16. M Martinez Almoyna 2004
French Public Health
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WWW.sante.gouv.fr/dossiers/planblanc2004.pdf
17. M Martinez Almoyna 2004 French Public Health Intergrated EMS 17
SAMU network in a real Public
Health Integrated EMS is the
nervous system of both day to
day and disaster medicosanitary
emergencies