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Master Thesis

La médicalisation d’une évacuation sanitaire aéroportée d’un patient ambulatoire par un médecin généraliste est-elle sécuritaire ? Étude rétrospective de 2010 à 2019 au sein de la société Europ Assistance Océanie à Tahiti

Abstract : In French Polynesia, international aeromedical evacuations play an important role in the overall patients’ medical care. These medical evacuations are ensured by anaesthetist-resuscitators, intensivists and emergency doctors but also by general practitioners. The coordinator and the flight doctors are professionally and legally liable. However, there is no specific protocol defining which type of specialist doctor should be assigned for a medical evacuation. For the study purpose, the outpatients population needing a medical evacuation is determined as the one who meets the expected skills of a general practitioner. A descriptive retrospective study was conducted at Europ Assistance Océanie. The files of 384 outpatients adults who benefited from a medical evacuation from October 2010 to December 2019 were analyzed. A medical incident in flight occurred in only 5,2% of the medical evacuations. Among these 20 medical incidents, 50% are in flight discomfort pain related, 20% are related to minor cardiovascular symptoms (ventricular extrasystole, jaw pain on minimal exertion and hypertensive crisis), 20% are oxygen desaturation over 85%, and 15% others (epistaxis, minor hemoptysis, hyperglycemia). All of these incidents got resolved spontaneously or after medical intervention. In all cases, the medical care provided met the expected skills of a general practitioner. It seems to be safe to position a general practitioner as a flight doctor for the medical evacuation of outpatients. Nevertheless, it is necessary for the general practitioners to keep up to date with their knowledge and skills in emergency care to allow them to cope with the differents constraints of isolated medicine on board.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02995063
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Submitted on : Sunday, November 8, 2020 - 11:32:46 PM
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Amélie Lécluse. La médicalisation d’une évacuation sanitaire aéroportée d’un patient ambulatoire par un médecin généraliste est-elle sécuritaire ? Étude rétrospective de 2010 à 2019 au sein de la société Europ Assistance Océanie à Tahiti. Médecine humaine et pathologie. 2020. ⟨dumas-02995063⟩

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