Field hospitals (France)


Field hospitals (France)

Field hospitals in France are managed by the SAMU (French emergency medical service.In France, there are two types mobile medical kits ("poste sanitaire mobile" or PSM) used:
* the level one mobile medical kit (PSM1): it can handle 25 heavy casualties on any type of ground; it is made of about 400 kg of equipment and drugs placed in 10 tanks, with also logistic equipment (trailer, inflatable tent, lighting, generating unit) ; there are 42 PSM1 in France;
* the level two mobile medical kit (PSM2): it can handle resuscitation care for 500 patients; it is made of 8 tons of equipment and drugs (200 references) in 150 tanks, it can be divided ( is possible to set up several sub-fracedPSM2); in addition to the usual logistic equipment of the PSM1, the PSM2 has a tactical radio network and a management computer system. There are 21 PSM2 in France.The PSM are stored in the hospitals where there are samus and smurs.

The field hospital is the core of the emergency plan called "plan rouge"; it is then called "advanced medical post" ("poste médical avancé", PMA). It is equipped by a PSM.

The PMA is organized in four zones:
* a reception and triage zone, under the responsibility of a sort physician; the casualties are sorted and dispatched according to the seriousness of their state;
* two zones for medical care:
** Absolute emergencies zone (UA: "urgences absolues"): prehospital resuscitation unit for very serious cases: extreme emergencies (EU: "extrème urgence") and grave injuries (U1);
** Relative emergencies zone (UR: "urgences relatives"): for the serious (U2) and light injured (U3)
* Mortuary zone ("dépot mortuaire") for the deceased casualties. This zone is under the responsibility of the judicial police.

In case of really massive disaster, it is possible to have several PMA; the evacuation goes then not directly to a hospital, but to another big field hospital called "medical evacuation centre" ("centre médical d'évacuation", CME), to avoid the saturation of the hospitals.

In case of a red plan, the PMA is under the responsibility of a physician chosen by the director of medical rescue (DSM), and he is assisted by an firefighter officer chosen by the commander of rescue operation (COS). The firefighter officer has in charge the identification of the living casualties and of the secretaryship. The aim of the PMA is to sort and stabilize the casualties before their evacuation to an hospital.

A similar system can be set up as a preventive measure for some very big events (sport championship, cultural events, concert...), but managed by first aid associations. It is then called an "associative medical post" ("poste associatif médicalisé", PAM). (For smaller events, is simple first aid post, with only volunteer certified first responders and no medical staff, is set up.)

The Civil defence military units ("Unité d'instruction et d'intervention de la sécurité civile", UIISC) have airborne field hospitals. The general system is called DICA ("détachement d'intervention de catastrophe aéroporté", i.e. airborne disaster unit), and is specialized in search-and-rescue and in emergency medicine; it can be enhanced by the Fast civil defence medical unit, called ESCRIM ("élément de sécurité civile rapide d'intervention médicale"). The ESCRIM is a surgical unit ("detachement d'appui chirurgical") assisted by a medical assistance unit (DAMHo, "détachement d'appui médical et d'hospitalisation"); the later is specialized in pre- and post-operation care, and allows 48h of hospitalization. The UIISC also has a PMA (i.e. sort, stabilization and evacuation structure) when the hospital infrastructure of the country is sufficient.


Wikimedia Foundation. 2010.

Look at other dictionaries:

  • Field hospital — 47th Combat Support Hospital, 2000 A field hospital is a large mobile medical unit that temporarily takes care of casualties on site before they can be safely transported to more permanent hospital facilities. The concept was inherited from the… …   Wikipedia

  • France — • Geography, statistics, and history Catholic Encyclopedia. Kevin Knight. 2006. France     France     † …   Catholic encyclopedia

  • Hospitals — • Originally, hospital meant a place where strangers or visitors were received; in the course of time, its use was restricted to institutions for the care of the sick Catholic Encyclopedia. Kevin Knight. 2006. Hospitals     Hospitals …   Catholic encyclopedia

  • France — /frans, frahns/; Fr. /frddahonns/, n. 1. Anatole /ann nann tawl /, (Jacques Anatole Thibault), 1844 1924, French novelist and essayist: Nobel prize 1921. 2. a republic in W Europe. 58,470,421; 212,736 sq. mi. (550,985 sq. km). Cap.: Paris. 3.… …   Universalium

  • HOSPITALS — The modern name hospital must not be confused with that given to the institution which, throughout the Middle Ages in Europe, served the dual purpose of lodging poor or sick travelers and nursing the ailing poor. Hospitals of this nature were… …   Encyclopedia of Judaism

  • Daniel Field — IATA: DNL – ICAO: KDNL – FAA LID: DNL Summary …   Wikipedia

  • The Irish (in Countries Other Than Ireland) —     The Irish (in countries other than Ireland)     † Catholic Encyclopedia ► The Irish (in countries other than Ireland)     I. IN THE UNITED STATES     Who were the first Irish to land on the American continent and the time of their arrival are …   Catholic encyclopedia

  • 2010 Haiti earthquake — 2010 Haiti earthquake …   Wikipedia

  • International response to the 2005 Kashmir earthquake — thumb|right|250px|U.S. Army Sgt. Kornelia Rachwal gives a young Pakistani girl a drink of water as they are airlifted from Muzaffarabad to Islamabad, Pakistan, aboard a U.S. Army CH 47 Chinook helicopter on the 19 October(photo: Air Force Tech.… …   Wikipedia

  • Humanitarian response to the 2004 Indian Ocean earthquake — The humanitarian response to the 2004 Indian Ocean earthquake was prompted by one of the worst natural disasters of modern times. On 26 December 2004, the earthquake, which struck off the northwest coast of the Indonesian island of Sumatra,… …   Wikipedia