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Medicalization (Physician-Staffing) of Extra-Hospital First Aid

Published online by Cambridge University Press:  28 June 2012

Alain Margenet
Affiliation:
From the Service d'Aide Medicale d'Urgence (SAMU) du Val-de-Marne, Hospital Henri Mondor, Creteil, France.
Catherine Desfemmes
Affiliation:
From the Service d'Aide Medicale d'Urgence (SAMU) du Val-de-Marne, Hospital Henri Mondor, Creteil, France.
Nicolas Dufeu
Affiliation:
From the Service d'Aide Medicale d'Urgence (SAMU) du Val-de-Marne, Hospital Henri Mondor, Creteil, France.
Pierre Huguenard
Affiliation:
From the Service d'Aide Medicale d'Urgence (SAMU) du Val-de-Marne, Hospital Henri Mondor, Creteil, France.

Extract

All requests for medical assistance need to be answered. In France, the public “Service d'Aide Medicale d'Urgence” (SAMU) receives the calls and can send, if necessary, mobile physician-staffed ambulances. SAMU works in coordination with the police, the fire brigade and general practitioners.

Response to the request for medical assistance from the public has been solved in different ways, such as agreement on a single call number for certain countries, and whether or not to use a physician-staffed system. In France, the first mobile emergency and resuscitation units (SMUR) were created in 1967. This initiative was taken by anesthesiologists, some surgeons, and military physicians belonging especially to the fire brigade of Paris, and to the seafaring-men of Marseille. The necessity of centralizing coordinating calls and radio controlling the public means of assistance has led to the creation of the Emergency Aid Services or SAMU.

Type
Part I: Research-Education-Organization
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1985

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References

1. Huguenard, P, Desfemmes, C, Meiroi, J. Organisation des soins medicaux d'urgence dans un departement de la region parisienne 7th International Symposium on Intensive Care, Rio de Janeiro, Brasil, Nov. 1978.Google Scholar
2. Meiroi, J. Creation, organisation et activite' du SAMU 94. Thesis. Creteil, 1975.Google Scholar
3. Huguenard, P, Niemeyer, E, Herve, C. Justification de l'aide medicale urgence (comparaison de deux series de polytraumatises avant et aprés la creation du SAMU 94) 22eme Assises de Medecine du Traffic. 22 Mars 1981.Google Scholar