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Biomedical subjects

C Hervé

Publications and source records attributed to C Hervé.

At least 127 records · Page 7Linked to original sources
PubMed1986

Pre hospital intensive care in multiple trauma children.

From January 1979 to December 1984, 1,272 calls, concerning injured children, aged 11 days to 15 years, justified the intervention of a Mobile Medical Emergency and Intensive Care Service, in the department of "Val-de-Marne" near Paris. Three hundred and twenty-two were very serious trauma children (25%); 45 were in cardiac arrest, and 41 died on the scene of the accident despite the intensive cares delivered by the anesthetists or pediatricians. Two hundred and eighty-one children were hospitalized in an intensive multiple trauma pediatric unit (97 cases) or in a neurosurgical pediatric unit (184 cases). The mode of accident was traffic accident (252), fall (48), fire arms (4), knife wounds (7), hanging or strangulation (9), others (2). They concerned 119 females and 203 males. 126 were multiple trauma children (40%). 37% of these accidents happened between May and July, and 40% occurred between 3 to 6 p.m. The 322 children immediately received medical care but 26% died during their hospitalization (17% in the first 24 hours). Thus mortality rate is 35% (114 cases).

Accidents, Traffic↗
PubMed1984

Emergency medical care in France.

Emergency Medical Aid (AMU) has existed on an organized basis in France for ten years. Considering that every call for medical assistance requires an answer the SAMU (Emergency Medical Aid Service) acts as a switchboard. Its implantation in a hospital and its powerful centralized telecommunications make it possible to adapt responses to the type of case: serious ones require sophisticated equipment, whereas non-serious ones come under a General Practitioner. Treatment is free. Minor cases are taken care of by "omnipractitioners" who can be contacted by the SAMU via portable radio transceivers. Serious cases are dealt with by the Mobile Emergency and Intensive Care Service (SMUR); they either drive or fly to the spot within an average time-limit of ten minutes. The SMUR teams are composed of a physician, a nurse, often a student and a driver or a pilot. The physician makes the diagnosis, radios a description of the case and gives first-aid treatment. The minimal SMUR equipment fits into two cases. The SAMU also have other missions such as: teaching, prevention, disasters. The French system is aimed at reducing inequality in emergency situations and guaranteeing the whole population permanent medical care. Its cost to the public, however, is only +1 per inhabitant per year.

Emergency Medical Service Communication Systems↗
PubMed1984

Neonatal distress. Interest of early medical care and medicalized transport.

From January 1979 to December 1981, amongst the 1200 interventions concerning neonatalogy, SAMU'94 pediatric unit was called out 1070 times for newborns less than 8 days old (i.e. 36% of the pediatric unit entire activity). These were being transferred: either from their birth place to a neonatology department, or to an intensive care unit; either from a neonatalogy department to a medical or surgical intensive care unit (the first transport having not been medicalized then). Have not been included in our study: newborns transferred from one intensive care unit to another, or just after an operation, or for special investigations (catheterization, ultrasound scanning, computerized tomography. . .). Concerning those 1070 newborns, two facts were noticed: Firstly, their initial clinical state was unstable. Secondly, diagnoses were very often made by clinical examination alone: in 3% of the cases, the situation was desperate with decease despite intensive resuscitation; 6.4% belonged to preoperative surgical pathology; 8.6% were born at home; 60% required hospitalization in a medical intensive care unit; and 30% only needed simple attendance in a pediatric department. Thus, before their admission to the adequate hospital 70% of the transfered newborns required and benefited from the pediatric mobile team's adjusted medical care.

Ambulances↗
PubMed1984

Serious suicides. Short and long-term results. One hundred and fifty six cases with a follow-up period of 1 to 7 years.

By serious suicides we mean all suicide attempts in which the wish to die was clearly expressed by the patient. Hospitalization in intensive care is indispensable (lasting 3 days on average, 1 to 34 days in extreme cases). From January 1977 to December 1982, 156 patients, aged 10 to 55, were admitted on the basis of this criterion (i.g. 6 1/2% of all our patients), 60% of them men. The mode of suicide was often violent: voluntary fall: (44 or 28%) 15 dead; hanging: (11 or 7%) 3 dead; fire arms: (48 or 30%) 23 dead; knife wounds: (13 or 7%) 2 dead; drug and/or chemical poisoning: (33 or 23%) 6 dead; others: (7 or 5%) 4 dead. In 34% of the cases (54 cases), death was immediate. For longterm results the follow-up lasts from 6 months to 6 years. Only 12 patients (7 1/2%) had attempted to kill themselves prior to their admission in our service. Out of the 103 patients still alive, 30 (29%) were contacted on the phone, and agreed to answer the questionnaire, whatever their mode of suicide, sex or age. The survey focused on their medico-surgical problems, their socio-professional activities, both previous and subsequent to hospitalization. Whatever the diagnosis at the moment of hospitalization, no disabling after-effects were noticed among the subjects. Only 3 of our patients (2,8%) have made a second attempt, 2 of which have been fatal. The results of this survey show the beneficial action of emergency medical aid and intensive care in the treatment of suicides, which represent a unique event in the patient's life rather than a chronic psychiatric syndrome. In the long term these results preclude further attempts or advice to commit suicide.

Adolescent↗