F Lapostolle

..We compare the quality of ECG recordings obtained with conventional and prewired electrodes in an emergency setting...

..The risk of thromboembolic events related to travel is not exclusively due to air travel. We report the case of a patient who presented pulmonary embolism after prolonged train travel...

..Law of the 4 March 2002 allowed patient's access to his medical record. This law could increase the number of requests in medical dispatching centers and prehospital intensive care units...

..The American Heart Association recently abolished the carotid pulse check during cardiopulmonary resuscitation for lay rescuers, but not for health care providers...

..Fall from height is a common cause of severe blunt urban trauma but this mechanism of trauma is poorly documented...

..Respect of guidelines for peripheral venous placement has never been studied in prehospital setting...

..This technique has been validated in smokers with relatively low CO concentrations, but its applicability to poisoning has not been demonstrated...

..The aim of this study was to determine, a posteriori, the parameters detecting an event in a French medical emergency dispatching centre (SAMU)...

..The aim of this study was to evaluate the accuracy of an IR thermometer in measuring temperature of warmed and cooled infusion fluids in fluid bags...

..To evaluate the usefulness of ultrasonographic examinations as a diagnostic tool for emergency physicians in out-of-hospital settings...

..an early call to the department of urgent medical assistance--Center 15 (SAMU-centre 15) is associated to shortest delays of reperfusion in case of myocardial infarction. However, patients are not always aware of this...

..We examined whether criteria related to patient characteristics, underlying disease, devices, or environment were associated with difficult peripheral intravenous access...

..To evaluate the use of antidotal therapy in patients with an elevated digitalis concentration following chronic or acute exposure...

..A previous study suggested that Fab fragments prescribed as first-line therapy might improve mortality rate. Our objective was to evaluate this approach...

..Thromboembolic stroke and patent foramen ovale were diagnosed in four patients with pulmonary embolus...

..Carbon monoxide detectors are currently used by the French prehospital medical teams. These detectors can also be used to measure expired breath carbon monoxide concentration. The interest of this measurement has never been studied...

..The aim of this study was to investigate whether the duration of air travel is related to the risk of pulmonary embolism...

..Despite an increasing AED availability, survival after cardiac arrest during flight remains exceptional...

..Its consumption is current in the United States for body-builders. Poisoning was involuntary, due to a dilution mistake. Toxicological analysis assessed this diagnostic. Such poisoning is exceptional in France...

..Tablet conglomerations are also variably radiopaque. We report 4 cases of clomipramine poisoning associated with formation of radiopaque masses, believed to be clomipramine, in the area of the stomach...

..To study the availability of antidotes in French emergency medical aid units (SAMU)...

..To assess the knowledge and skills of physicians staffing mobile intensive care units (emergency ambulances) in the management of severe acute pain in children...

..Assessment of skill of physicians staffed Mobile Intensive Care Units (MICU) in severe acute pain (SAP) management...

..The goal of this work was to study the availability of on site medical help and the real needs.Study design - Retrospective survey...

..To assess the characteristics and the incidence of morbidity of intubated asthmatic patients who received long-term paralysis...

..We studied the in-hospital course, long-term prognosis, and functional status of elderly patients with life-threatening cardiogenic pulmonary edema requiring mechanical ventilation...

..However, the anatomic superiority of this patient head position has not been established...

..In the same time, eight brain dead donors were managed by Samu 93 and were harvested leading to transplant 16 kidneys. Finally, 50% of overall kidney transplant activity in Seine-Saint-Denis was provided by NHBD grafts...

..To discriminate early ST-segment elevation myocardial infarction (STEMI) presenters at a high probability of successful pre-hospital thrombolysis (PHT) using a simple nomogram based on independent predictors of complete ST resolution...

..The fracture of T4 associated with the pleural lesion is probably responsible for the pneumorachis. Possible pathogenic mechanisms of this rare blunt chest complication are discussed...

..Airway characteristics were routinely assessed preoperatively, according to the anesthesiologists' usual practice...

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..The aim of the study was to compare in emergency settings 2 analgesic regimens, morphine with ketamine (K group) or morphine with placebo (P group), for severe acute pain in trauma patients...

..In France medical schools are part of free public universities. The length of medical training varies from 8 to 11 years according to speciality. Emergency Medicine is not recognised as a stand alone specialty...

..Previous studies have described transient postoperative rises in serum aminotransferase levels and decreases in prothrombin time and factor V levels. We have examined paracetamol metabolism after liver resection...

..The objective of this study is to assess the incidence of intracuff excessive pressure in the out-of-hospital setting...

..The aim of this study was to compare, by a randomized double-blind method, morphine (M) and fentanyl (F) in a prehospital setting...

..The majority of such injuries may be diagnosed with relatively simple tests such as chest radiographs. Transesophageal echocardiography and CT scan are becoming the corner-stone of evaluation of severe chest trauma patients...

..In recent years, optimization of these different components has led to improved patients' outcomes in this still life-threatening condition...

..Orotracheal intubation with planned neuromuscular blockade and in-line cervical alignment remains the safest and most effective method for airway control in patients who are severely injured...

..Any delay in administering the treatment can negatively impact the prognostic. The availability of such treatments should therefore be organized during the prehospital phase...

..Use of portable blood analyser in prehospital care should be considered in case of suspected massive poisoning by ethylene glycol...

..Outcome was favorable with symptomatic treatment and the patient was discharged home eight days later. Pneumomediastinum is an exceptional complication after ecstasy recreational use. Physician should be aware of the risk of such event...

..The aim of this study was to evaluate the renal tolerance of a hypertonic-hyperoncotic solution (HHS) administration during uncontrolled hemorrhagic shock (UHS)...

..However, little is known about the incidence, preventability and severity of ADEs resulting in emergency department visits. To address this issue, we conducted a prospective survey in emergency departments of French public hospitals...

..To evaluate the interest of carbon monoxide (CO) detector used by general practionners visiting patients at home...

..Even the intuitive relation between the distance fallen and mortality rate has been questioned. Our objective was to determine factors predictive of increased mortality rate in victims of falls from height...

..Patients who recover their blood pressure with interventions before hospital admission and those with anaphylactic shock have a better outcome than other patient sub-groups...