SAMU Medical Regulation deffinitions

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SLIDES SET N° 9 ON SAMU
MEDICAL REGULATION
MARTINEZ ALMOYNA
MD MCUPH
SAMU of Paris
PHYSICIAN MANNED
MEDICAL REGULATION OF
EMERGNECIES IN THE

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Regulus
The little King not the great REX
The King delegates his autority to his vizir for
rapid emergency decision taking when he
sleeps…

3. To Regulate Regulator
Regulation
Keeping stability of
the fluxe, the pressure,
in SAMU Medical
Regulation Room
O Vizir , the SAMU
Regulator Physician
O King , the Public
Health Minister
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4. « Medical Regulation » can
currently say
A medico sanitary technical function of the
SAMU service and of its Medical Regulation
Team
The Room were it works
Be carefull by the ambiguation of the second
english meaning of « regulation(s) » = Rules
and Legislation !!!
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5. IEMS = Integrated EMS (in Public Health System)
SIUM = Sistema Integrado de las Urgencias Médicas
integrates all emergency medical care actors including
the SAMU. This System is under Public Health
Ministery regulations
The SAMU is a Service , it is the IEMS Medical
Regulation center
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6. Medical Regulation as a New medical
diagnosis and treatment process
An Exemple of this process in next slide
Specific Slide Sets of the same objective will treat the specific « medical
regulation syndroms ». Nosology Semiology are different of Clinical medical
practice
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7. 29/04/13 REG9ENG Medical Regulation of SAMU M Martinez Almoyna 7
" I l g it "
p lu s d e
r é a c t io n
p lu s d e
m o u v e m e n t s
v e n t i la t o ir e s
a b d o m in a u x
p lu s d e
p o u ls
+ D E U I L
" D E C E D E "
" A R R E T
C A R D I A Q U E "
p u ls a t io n s
r é a p p a r u e s
O U I
N O N
+ R C P
" A R R E T
V E N T I L A T O I R E "
" C O M A "
o u i
r e p r e n d V '
p a s d e V > 1 0 M i n

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Il g it + il c o n v u ls e
n o nr é p é t itio n
" H Y P O X IE "
" E T A T D E M A L
E P IL E P T IQ U E "
E t io lo g ie b
O r g a n iq u e
n o n
é p ile p s ie
a r r e t e
" C R IS E
D 'E P IL E P S IE "
" C R IS E D E
N E R F S "
" H Y P O G L Y C E M IE "
" H Y P E R T H E R M IE "
" IN T O X IC A T IO N "
" IN F E C T IO N "
" C O M P R E S S IO N
C E R E B R A L E "
R E C H E R C H E S Y S T E M A T IQ U E

9. Medical Regulation colective shared
tasks by SAMU Medical Regulation
team
Tasks of first steps initializing the Medical File of
the event and the patient
See also the special Slide Sets for these processes in Normal and
Critical SAMU activity
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10. Ergonomy of SAMU Medical
Régulation Room and Team
One or more Regulator Physician(s) ?
One or more Medical Regulation Assistants ?
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11. « ergonomy? » of Operators Working Place in the
Regulation Room
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12. Initial tasks for managing a Call /
Affair/ File
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13. Final Tasks in a SAMU Medical
Regulation case management
Being the IEMS , real Time Information
center of all mobile fleets (Ambulances
MICU) and fixed emergency caring
resources (from primary to tertiary)
The SAMU dispaches, assists and orients
mobile effectors towards the fixed better
medical choice resources
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Tasks of contrôl and Regulation of IEMS
mobile fleets by the SAMU
E n r e g i s t r e
l o c a l i s a t i o n s
s u c c e s s i v e s
A s s i s t a n c e
N o nT r o u v e s o l u t i o n
O U I
B i l a n d é p a r t
B i l a n s d a n s l e
m o b i l e
D i s p o n i b l e
O U I
i n d i s p o n i b l e
N O N
N o u v e l l e
m i s s i o n
E N V O I D E M O B I L E

15. Medical Regulation of SAMU national
network in case of Disaster
The SAMU dispatches an Advanced Regulator
Physicina in the Security Area for launching the
SAMU White Plan
Tle neighbouring SAMU and zonal SAMU de
regulate together under national control and
coodination of Public Health Minister
See special slide sets
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16. SAMU Advanced Medical
Regulation
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17. TIME = minutes
Triage
ICU
Area
First Noria
Avanced
SAMU Command
and RegulationPost
DISASTER
AREA
Implementation of the Medical Regulation
Advanced Post on scene
POLICE CONTROLLED AREA
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