SAMU is an international organization that coordinates medical emergency services through call centers that regulate needs and dispatch ambulances and mobile intensive care units. SAMU centers are responsible for medical regulation and telemedicine during individual medical emergencies and mass casualty events. The French SAMU network is divided into three levels - department, region, and national - to efficiently respond to emergencies across the country. SAMU works with hospitals, civil defense, and other groups to form an integrated emergency medical system capable of handling daily emergencies as well as large-scale disasters.

1. REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 1
SAMU IEMS MICUS
Public Health and Medical Deffinitions
Miguel MARTINEZ ALMOYNA (MD MCU)

2. 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

3. 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

4. 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

5. 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
5

6. 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-system
2. Hospital network sub-system
3. SAMU control and medical
regulation sub-system

7. REG0ENG Deffinitions of
SAMU orgaization M
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**)

8. REG0ENG Deffinitions of
SAMU orgaization M
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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

9. REG0ENG Deffinitions of
SAMU orgaization M
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

10. REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 10
Toulon
Angoulême
Périgueux
Bordeaux
Mont-de-Marsan
Agen
Auch
Tarbes
Pau
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
Dijon
Bèsançon
Vesoul
Épinal Colmar
Strasbourg
Nancy
Metz
Bar-le-Duc
ChaumontTroyes
Auxerre
Bourges
Nevers
Chateauroux
Poitiers
Angers
Le Mans
Alencon Chartres
Orléans
Blois
La Roche-sur-Yon
Nantes
Vannes
Quimper
St-Brieuc
Rennes
Laval
Saint-Lo
Caen
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
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
76
78
79
80
89
2A
2B
95
91
87
88
81
82
85
86
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.Denis
94 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
Finistère
Côtes d'Armor
Ille-et-Vilaine
Morbihan
Alsace
Lorraine
Aquitaine
Basse- Normandie
Bretagne
Auvergne
Bourgogne
Centre
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
93
77

11. REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 11
THE SAMU SUB-SYSTEM SYSTEM
IMPLANTED IN EACH « DEPARTEMENT »
CAPITAL TOWN HOSPITALS
AS 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

12. REG0ENG Deffinitions of
SAMU orgaization M
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

13. REG0ENG Deffinitions of
SAMU orgaization M
13
The Hospital and SAMU
« Plan Blanc » emergency
care IEMS sub-system
Four tiered
1 local Hospital « white plan »
2 « Departement network » SAMU + DDASS « white
plan blanc »
3 Civil Defense Zone regional network
« zonal white plan » ARH+DRASS+Regional SAMU
4 MOH + SAMU de Paris = national and
international disasters (+Foreign Office)

14. 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 …

15. 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 SAMU
3. « BMOH + SAMU of Paris »

16. REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 16

17. REG0ENG Deffinitions of
SAMU orgaization M
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

18. REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna 2004 18
For More Informations on
Public Health Civil Defense
Emergency Tele-medecine and
SAMU regulation
• migmigmig@orange.fr
• SLIDESHARE Miguel Martinez
Almoyna

19. REG0ENG Deffinitions of
SAMU orgaization M
19
French MOH and SAMU
documents on Public
Health Civil Defense
• WWW.sante.gouv.fr
• www.samudeparis.org

20. REG0ENG Deffinitions of SAMU orgaization M
Martinez Almoyna 2004
20
WWW.sante.gouv.fr/dossiers/planblanc2004.pdf

21. REG0ENG Deffinitions of SAMU orgaization M Martinez Almoyna
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21
SAMU network in a real Public
Health Integrated EMS is the
nervous system of both day to
day and disaster medicosanitary
emergencies