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

Abstract

Pour faire face à l'attentat terroriste multisite du 13 novembre 2015, une régulation médicale zonale des huit Samu de la région Île-de-France a été mise en place au Samu de Paris. Elle a permis, en utilisant une stratégie de sectorisation des moyens Smur et des ressources hospitalières, la médi-calisation des sites, la régulation et le transport par des équipes médicales de la majorité des victimes en urgence absolue. Des moyens Smur et des hôpitaux ont pu être gardés en réserve pour faire face à une aggravation de la situation (notamment sur le site du Bataclan) et à d'éventuelles autres attaques. L'analyse de cette expérience montre de nombreux points forts mais aussi des pistes d'amélioration utiles pour tous ceux qui seraient confrontés à un tel événement.Abstract 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 Île-de-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.

Retour d’expérience des évacuations par train à grande vitesse de patients en syndrome de détresse respiratoire aiguë sur infection à Covid-19 : les missions Chardon

“…Dans la suite des attentats de novembre 2015, la question de transfert de nombreuses victimes d'une zone de défense vers une autre s'est posée [2]. Le TGV est apparu comme un vecteur de choix.…”

Ontology-Driven Multicriteria Decision Support for Victim Evacuation

“…That is to say, the resource allocation is a big challenge for ERs during the operational response phase and it becomes a very complex process especially when it concerns a multi-site response with limited resources. Indeed, feedback from the response to the 11/13 Paris attacks underlined the need to improve victims' evacuation strategies in order to preserve victims' lives (Nahon et al, 2016). Specifically, on the night of the terrorist attacks, and because of a disorganized multi-agency and multi-site response, there were two sites, where victims did not receive medical care (Philippe et al, 2015).…”

An Ontological Approach to Enhancing Information Sharing in Disaster Response

“…[61] Furthermore, firefighters and healthcare units pointed out that the use of radio communication mean such as ANTARES network was unsatisfactory during the different interventions. Indeed, in the night of the terrorist attacks, there were two sites where victims did not receive medical care due to a lack of communication between firefighters and healthcare units [62].…”