Citation

Massalou D. Lancet 2017; 390(10102): 1581.

Affiliation

Université de Nice Sophia-Antipolis, Nice, 06000 France. Electronic address: massalou.d@chu-nice.fr.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/S0140-6736(17)32414-5

PMID

28980952

Abstract

Following the terrorist attacks in Paris and Nice, emergency medical services in France revised their policy on receiving mass casualties and the services' triage scenarios, summarised in The Lancet by Pierre Carli and colleagues (published online July 25). Training takes place, including transfers of expertise from military services that improve the quality of the training.

Nevertheless, there are few emergency surgery teams available for mobilisation when there is a massive influx of traumatised patients. Academic courses focused on trauma management exist, as well as standardised training courses such as the Advanced Trauma Life Support course, the Definitive Surgical Trauma course, and the Advanced Surgical Skills for Exposure in Trauma course, etc. However, junior doctors follow the academic courses according to their motivation, and the other courses are not sufficiently promoted during the fellowship.

Like the emergency physicians, the general surgical community must train all surgeons and future surgeons to treat these types of traumatised patients in a context of mass influx of casualties. Therefore, theoretical, practical, and anatomical training must be put in place, and the authorities should assist in the implementation of these training courses...

Language: en