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Master Thesis

Médecine de soins primaires à distance en milieu isolé : exemple du soutien médical des îles Éparses Juan de Nova et Europa

Abstract : Background: 15 military personnel are posted on each island, Juan de Nova and Europa, including a nurse since May 2016. He dispenses primary health care for military personnel and temporarily posted scientists. If necessary, he can call upon a doctor from Réunion island for advice, reachable 24/7. If the patient cannot be treated on the island, he can be evacuated by airplane to Réunion island. The principal aim was to determine the epidemiology of requests for medical advice. Method: cross-sectional and descriptive epidemiology study of medical request for medical advice by e-mail from the nurse to the doctor from May 2016 to January 2020. All e-mails with an object for the request have been included. Results: 124 requests for medical advice have been analyzed. The average consultant’s age was 26 years old and the population was male in 96% of cases. Requests for medical advice were mostly for trauma with 37.9%, as well as dermatology, ENT and infectiology with each 12.1%. 57.4% of patients which received a treatment, received an analgesic and in 53.7% of the cases a treatment related to trauma (disinfection, suture, immobilization). Transportation of patients was necessary in 5.6% of medical requests. There was no death. Conclusion: the particularity of this health system is the remoteness of the doctor, linked to the nurse via telemedicine. The epidemiology described on Juan de Nova and Europa islands seems to match with wilderness medicine literature’s data and emphasizes the global coherence oh this healthcare system.
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Master Thesis
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Submitted on : Friday, November 6, 2020 - 8:25:21 AM
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Marion Fauché. Médecine de soins primaires à distance en milieu isolé : exemple du soutien médical des îles Éparses Juan de Nova et Europa. Sciences du Vivant [q-bio]. 2020. ⟨dumas-02991440⟩



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