A5035183020- Trauma and Emergency Care Studies
- Cardiac Arrest and Resuscitation
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Trauma Management and Diagnosis
- Respiratory Support and Mechanisms
- Neurosurgical Procedures and Complications
- Cardiac, Anesthesia and Surgical Outcomes
- Abdominal Trauma and Injuries
- Airway Management and Intubation Techniques
- Sepsis Diagnosis and Treatment
- Emergency and Acute Care Studies
- Tracheal and airway disorders
- Disaster Response and Management
- Pelvic and Acetabular Injuries
- Intracranial Aneurysms: Treatment and Complications
- Blood donation and transfusion practices
- Intensive Care Unit Cognitive Disorders
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Cerebrospinal fluid and hydrocephalus
- Anesthesia and Sedative Agents
- Takotsubo Cardiomyopathy and Associated Phenomena
- Injury Epidemiology and Prevention
- Thermal Regulation in Medicine
- Nosocomial Infections in ICU
Hôpital d'Instruction des Armées Sainte-Anne
2015-2024
HIA du Val-de-Grâce à Paris
2017-2024
Service de Santé des Armées
2016-2024
Intensive Care Society
2016-2020
Université Paris Cité
2020
École Polytechnique
2020
Centre Hospitalier Universitaire de Lille
2020
Assistance Publique – Hôpitaux de Paris
2020
Université Toulouse III - Paul Sabatier
2020
Inserm
2020
OBJECTIVE Blunt cerebrovascular injuries (BCVIs) affect approximately 1% of patients with blunt trauma. An antithrombotic or anticoagulation therapy is recommended to prevent the occurrence recurrence neurovascular events. This treatment has be carefully considered after severe traumatic brain injury (TBI), due risk intracranial hemorrhage expansion. Thus, physician in charge patient confronted a hemorrhagic and ischemic risk. The main objective this study was determine incidence BCVI TBI....
Abstract Background Trauma-induced coagulopathy includes thrombocytopenia and platelet dysfunction that impact patient outcome. Nevertheless, the role of transfusion remains poorly defined. The aim study was 1/ to evaluate early on 24-h all-cause mortality 2/ describe count at admission (PCA) its relationship with trauma severity Methods Observational carried out a multicentre prospective registry. All adult patients directly admitted in participating centres between May 2011 June 2019 were...
Electric scooter (e-scooter) use is increasing in France and many urban environments worldwide. Yet little known about injuries associated with of e-scooters.
‘ We are at war ’, French President Emmanuel Macron said in an address to the nation on 16 March 2020. As part of this national effort, Military Medical Service (FMMS) is committed fight against COVID-19. This original report aimed describe and detail actions that FMMS has carried out nationwide COVID-19 pandemic France, as well overseas. Experts field reported major conducted by during France. In just few weeks, developed ad hoc medical capabilities support health authorities. It...
BACKGROUND Early transfusion of high ratio fresh frozen plasma (FFP) and red blood cells (RBC) is associated with mortality reduction. However, time to reach limited by the need thaw FFP. French lyophilized (FLYP) used army available in military teaching hospital does not be thawed immediately available. We hypothesize that use FLYP may reduce a plasma/RBC 1:1. METHODS A retrospective study performed Level 1 trauma center between January 2012 December 2015. Severe patients who received 2 U...
Introduction: Several prehospital major trauma patient triage scores have been developed, the revised score (T-RTS), Vittel criteria, Mechanism/Glasgow Coma Scale/Age/Systolic blood pressure (MGAP), and new (NTS). These scoring schemes allow a rapid accurate prognostic assessment of severity potential lesions. The aim our study was to compare these with in-hospital mortality predictions in cohort consecutive patients admitted Level 1 center. Materials: Between 2013 2016, 1,112 were "major...
In France, the pre-hospital field triage of trauma patients is currently based on Vittel criteria algorithm. This algorithm was originally created in 2002 before stratification centers and, at national level, has not been revised since. could be responsible for overtriage Level I Trauma Centers. The principal aim this study to evaluate correlation between each criterion and patients' Injury Severity Score.Our Center receives an average 300 per year. Demographic physiological data, along with...
Importance Hemorrhagic shock is a common cause of preventable death after injury. Vasopressor administration for patients with blunt trauma and hemorrhagic often discouraged. Objective To evaluate the association early norepinephrine 24-hour mortality among shock. Design, Setting, Participants This retrospective, multicenter, observational cohort study used data from 3 registries in US France on all consecutive January 1, 2013, to December 31, 2018. Patients were alive admission shock,...
BACKGROUND Understanding combat mortality is vital to improving patient outcomes. We investigated injury survivability and death preventability in French fatalities. METHODS This retrospective study included all fatalities overseas operations between 2008 2023. For each fatality, we assessed the of their injuries death. A case review was conducted identify opportunities for improvement. RESULTS Among 123 patients included, 74.7% were classified as killed action. The fatality rate decreased...
Fibrinogen concentrate is widely used in traumatic hemorrhagic shock despite weak evidence the literature. The aim of study was to evaluate effect fibrinogen administration within first 6 hours on 24-hour all-cause mortality using a causal inference approach.Observational from French multicenter prospective trauma registry performed. Hemorrhagic defined as transfusion four or more red blood cell units after admission. confounding variables for outcome (24-hour mortality) and treatment...
ICUs have had to deal with a large number of patients acute respiratory distress syndrome COVID-19, significant whom received prone ventilation, which is substantial consumer care time. The selection that we ventilate in position seems interesting. We evaluate the correlation between percentage collapsed dependent lung areas supine position, monitoring by electrical impedance tomography and oxygenation response (change Pao2/Fio2 ratio) position.An observational prospective study.From October...
To reduce the risk of accidental needlestick injuries, first active then passive safety devices were developed on IV catheters. However, whether these catheters are easy to implement and really protect personnel from is untested.In this prospective randomized survey, we compared a catheter with an nonsafety classic catheter. The main objective was evaluate difficulty inserting in terms number insertion failures, difficulties introducing withdrawing needle, normality blood reflux delivery...
Abstract Introduction Serum B-type natriuretic peptide (BNP) is frequently elevated after subarachnoid hemorrhage (SAH), but whether this high BNP level related to transient elevation of left ventricular filling pressure (LVFP) unknown. However, in patients with preexistent cardiac pathologies, it impossible differentiate between caused by chronic abnormalities and acute neurocardiac injury. Methods All adult SAH admitted our intensive care unit were eligible. Patients excluded for the...