[Equipment of a mobile pediatric intensive care unit].
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Biomedical subjects
Publications and source records attributed to L Serre.
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Analytical study of treatment of information from a primary intervention by the S.A.M.U. were brought about with the aim of performing a "statistical" study of enumeration of the various possibilities, using three "standard" programmes. After exploitation of the statistical data, the card index is stocked on conventional magnetic tape and verified by different parameters permitting its identification. In addition, the concatenation of different card indices is easy to obtain, which makes it possible to carry out research into all existing file cards regardless of the month or year.
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Survical time of a man immerged in sea water at a mean temperature of 20 degrees C was 65 hours. This remarkable tolerance of a professional diver to hypothermia is attributed to his adapted clothing and safety equipment, and to favourable atmospheric conditions. On the light of this accidental immersion, one must reconsider out of date concepts concerning sea rescue with respect to water temperature, clothing equipment of the ship-wrecked, meterological conditions and circonstances of accident.
It is of no much use to try to assess the cardiovascular condition of patients with impending or confirmed shock by taking the blood pressure with the classical arm cuff, especially if arterfacts such as noise, vibrations, shaking etc... are interfering. Instant continuous measurement of blood pressure by means of arterial cannulation avoids those drawbacks and is a sure and efficient method of assessment of an often unstable, precarious and sometimes aggravated cardio-vascular condition by the very transportation. The S.A.M.U. of Montpellier used this technique in 15 cases. The authors are reporting their experience and also are evoking some technical problems that may occur.
The authors used for transportation of neonates in severe idiopathic respiratory distress the continuous perithoracic negative pressure method suggested by OUTBRIGE and STERN in neonate intensive care. The authors are describing the material used and are presenting their first encouraging results. This technique improves conditions and therapeutic efficiency in thus treated infants. The easy handling and accessibility of apparatus constitue an efficient and not too aggressive mean of treatment of those particularly frail and difficult to treat infants during transportation.
The setting up of a computing device to exploit the files of first transports at the MONTPELLIER SAMU was started essentially in order to constitute a document both accurate and of easy access, able to memorize the physical and mental behaviour of a patient in a transient state. The results thus obtained include: 1 -- An analytical study with a part devoted to general data such as the number of injured people or of patients, the number of calls from various sources, the means of intervention etc. and a more specific part dealing with type of accident the determination of the traumatic impacts, the first therapy etc.; 2 -- A synthetical study that constitutes the second phase of the dealing with information thanks to the drawing up of graphs indicating the number of calls per accident according to the time, the age, the number of serious cases etc.
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