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SAMU terms disambigation
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REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 1
SAMU IEMS MICUS Public Health and Medical Deffinitions
Miguel MARTINEZ ALMOYNA (MD MCU)
SAMU
SAMU is the international logo for the Public Medical Emergency Exclusive Call Center for Alerting, Requesting, and Regulating the real Needs and giving the most efficient Medical Emergency Response. It has a local name in several countries
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 2
SAMU in popular speaking is used also
• For the function or premises of the SAMU center
• For the response dispatched by the proper SAMU as Ambulances or MICU
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 3
MICU of SAMU Services• Disseminated in the regional area of Medical Regulation
of a SAMU these Mobile Intensive Care Unities are based on peripherical bases and are labelled with the logo of this « SAMU »
• They are one of the SAMU response in case of Out of Hospital Medical Intensive Care needs
• They are the first to intervene and represent the SAMU on the scene for Emergency Public Health disasters
REG0ENG Deffinitions of SAMU M Martinez Almoyna 2004 4
MEDICAL REGULATION AND EMERGENCY TELEMEDECINE ARE THE PRINCIPAL
MISSIONS OF THE SAMU
These functions of the Medical Regulator Physician and his Assistents are described in
the next Medical Regulation Courses for individual or collective medisanitary
emergencies and crises
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
5
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 6
French IEMS (like deffined in Declaration of Jalisco)
MOH civil defense specific organisation
for disastrous sanitary events
1. Pre hospital network sub-system2. Hospital network sub-system3. SAMU control and medical regulation
sub-system
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
7
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**)
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
8
THE NATIONAL EMERGENCY CARE HOSPITAL
SUB- SYSTEM NETWORK
= Secondary hospital emergencies 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
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
9
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
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 10
Toulon
Angoulême
Périgueux
Bordeaux
Mont-de-Marsan
Agen
Auch
TarbesPau
Foix
Toulouse
Montauban
Cahors
Aurillac
Niort
La Rochelle
Rodez
Albi
Carcassone
Montpellier
Mende
Privas
Le Puy
Lyon
Bourg-en-Bresse
Annecy
Chambery
Grenoble
Valence
Gap
Avignon
Marseille
Perpignan
Digne
Lons-le-Saunier
MaconMoulins
DijonBèsançon
Vesoul
Épinal Colmar
StrasbourgNancy
Metz
Bar-le-Duc
ChaumontTroyes
Auxerre
BourgesNevers
Chateauroux
Poitiers
Angers
Le Mans
Alencon Chartres
Orléans
Blois
La Roche-sur-Yon
Nantes
Vannes
Quimper
St-Brieuc
RennesLaval
Saint-LoCaen
Évreux
Rouen
Amiens
Arras
Lille
Laon
Charleville-Mézières
Châlons-sur-Marne
Versailles
Beauvais
Gueret
Limoges
Tulle
Bastia
Ajaccio
Nice
St.Etienne
Clermont-Ferrand
Tours
Evry
Mulhouse
Nîmes
Bayonne
Brest
Le Havre
Calais
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
1617
18
19
21
22
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24
25
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27
28
29
30
31
32
33
34
35
36
37
38
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40
41
42
43
44
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46
47
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50
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59
60
61
62
63
64
65
66
67
68
69
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71
72
73
74
76
78
79
80
89
2A
2B
95
91
87
88
81
82
8586
84
83
Aveyron
Lot
Ariège
Gers
Garonne
(Haute)
Pyrénées
(Hautes)
Tarn
Tarn-et-
Garonne
Pas-de-Calais
Nord
Vendée
Sarthe
Maine-et-
Loire
Loire-Atlantique
Mayenne
Aisne
Oise
Somme
Charente
Charente-
Maritime
Vienne
Sevres
(Deux)
Alpes
(Hautes)
Alpes de Haute-
Provence
Alpes-
Maritimes
Bouches-du-
Rhône Var
Vaucluse
Ain
Savoit
(Haute)
Savoie
Isère
Loire
Rhône
Ardèche
Drôme
Corse-
du-Sud
Haute-Corse
Rhin (Haut)
Rhin (Bas)
Gironde
Dordogne
Lot-et-
Garonne
Landes
Pyrénées-
Atlantique
Puy-de-Dôme
Loire (Haute)Cantal
Allier
Manche
Orne
Calvados
Côte-d'Or
Niévre
Saône-et-Loire
Yonne
Eure-et-Loire
Cher
Loir-et-Cher
Indre
Indre-et-Loire
Loiret
Marne
Marne
(Haute)
Aube
Ardennes
Saône
(Haute)
Doubs
Jura
Belfort
Eure
Seine-Maritime
Val-d'Oise
Yvelines
Seine-et-
Marne
Essonne
94
93 Seine-St.Denis94 Val-de-Marne
92 Hauts-de-Seine
75 Paris
Lozère
Gard
Aude
Pyrénées-
Orientales
Hérault
Creuse
Corrèze
Vienne
(Haute)
Meuse
Meurthe-et-
Moselle
Moselle
Vosges
FinistèreCôtes d'Armor
Ille-et-Vilaine
Morbihan
Alsace
Lorraine
Aquitaine
Basse- Normandie
Bretagne
Auvergne
BourgogneCentre
Champagne-Ardenne
Franche-Comté
Haute-Normandie
Ile de-
Languedoc-Roussillon
Limousin
Midi-Pyrénées
Pays-de-la-Loire
Nord-Pas-de-Calais
Picardie
Provence-Alpes-Côte-d'Azur
Poitou-Charente
Rhône-Alpes
Corse
France
92
Pontoise
Melun
9377
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 11
THE SAMU SUB-SYSTEM SYSTEM IMPLANTED IN EACH « DEPARTEMENT » CAPITAL TOWN HOSPITALSAS 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
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
12
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
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
13
The Hospital and SAMU « Plan Blanc » emergency care IEMS sub-system
Four tiered1 local Hospital « white plan »2 « Departement network » SAMU + DDASS « white plan
blanc »3 Civil Defense Zone regional network « zonal white plan » ARH+DRASS+Regional SAMU4 MOH + SAMU de Paris = national and international
disasters (+Foreign Office)
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 14
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 …
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 15
A NATIONAL SAMU NETWORK BUT WITH 3 LEVELS
1. « Départements » SAMU (and
neighbouring « departements »)2. « Public Health Civil Defense
Zones » regional SAMU3. « BMOH + SAMU of Paris »
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 16
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
17
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
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 18
For More Informations on Public Health Civil Defense
Emergency Tele-medecine and SAMU regulation
• [email protected]• SLIDESHARE Miguel Martinez
Almoyna
REG0ENG Deffinitions of SAMU orgaization M Martinez
Almoyna 2004
19
French MOH and SAMU documents on Public Health Civil Defense
• WWW.sante.gouv.fr• www.samudeparis.org
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004
20
WWW.sante.gouv.fr/dossiers/planblanc2004.pdf
REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 21
SAMU network in a real Public Health Integrated EMS is the
nervous system of both day to day and disaster medicosanitary
emergencies