Transfert des appels de toxicologie reçus au SAMU 64A vers le Centre Antipoison : étude descriptive à partir des données du SAMU 64A et du Centre Antipoison sur un an

Abstract : Introduction: poisoning incidents are a significant percentage of SAMU’s or CAP’s incoming emergency calls inducing them in working closely together. This thesis studies this collaboration for the calls transfers from SAMU 64A to Bordeaux’s CAP. Material and methods: the main purpose is to know the percentage of toxicology incoming calls transferred from SAMU 64A to CAP and their typology. This is a descriptive and retrospective study on SAMU 64A’s incoming calls assuming a poisoning and transferred to CAP from October 1, 2015 to September 30, 2016. Alcoholic poisonings are excluded. Analyses of data contain: poisoning source, victim’s sex and age, typology of the doctor taking the call, caller’s typology, and purpose of the call. Results: from October 1, 2015 to September 30, 2016, there have been 2517 incoming calls to the SAMU 64A concerning a poisoning issue. 1234 of which excluded. From the 1283 remaining files, 164 calls have been transferred to the CAP. Most poisoning sources were animals (35.85%), drugs (30.2%), gas/smoke (7.87%), household products (6%) and unknown poisoning sources (8.96%). Incoming calls most frequently transferred to CAP are concerning: household products, industrial products, cosmetic products and plants. There are less transferred calls when the caller is a paramedic and more transferred calls when the caller is not a health professional. On all poisoning issues, 26,17% were for under 10 years old children and 27,57% were for people between 30 and 50 years old. When looking at transferred calls, 51.88% of the poisoned people are less than 10 years old. Incoming calls concerning voluntary poisonings are less transferred than involuntary poisonings. There is no statistical significant difference concerning transferred calls by doctor’s typology or by victim’s sex. Discuss: poisoning sources the most frequently transferred to CAP concern household products, industrial products, cosmetics and plants. Indeed, the CAP has pois on agent’s composition and controls the care, especially of the children representing more than 50% of those transferred calls. Voluntary poisoning is mainly medicinal, better known to emergency physicians and therefore more rarely transferred to CAP. Conclusion: the results in this study are close to similar studies. It appears that CAP remains privileged interlocutors of the SAMU even if the number of calls transferred is not very important.
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Mouna Hanebali. Transfert des appels de toxicologie reçus au SAMU 64A vers le Centre Antipoison : étude descriptive à partir des données du SAMU 64A et du Centre Antipoison sur un an. Médecine humaine et pathologie. 2017. ⟨dumas-01626845⟩

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