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Master Thesis

Triage et prise en charge de premier recours lors d’incident multivictime par attentat terroriste : évaluation des connaissances et des besoins en formation ressentis chez les médecins généralistes d’Isère, Savoie et Haute-Savoie

Abstract : The increase in 2015 of terrorists acts resulted in the appearance of "war" victims in civil medicine. In front of this polymorphic threat and as frontline caregiver, would GP feel skilled and interested in taking care of mass casualty terrorist attack ? The main objective is to evaluate the perceived competence of general practionners in the management of mass casualty terrorist attack. Quantitative, observational, descriptive study, among GP students or holder of a general practice degree in the départements of Isère, Savoie and Haute-Savoie. A questionnaire assessing the training, experience, competence and desire of training of GP for the management of mass casualty was developed with Framaform software. The diffusion was electronically made through CIME, ARAVIS and the CDOM38. The answers were anonymously collected for the 7th of january to the 7th of march 2021. Among 1043 questionnaires sent 171 were filled (answer rate of 16.4%). GP felt insufficiently formed to this issue : although 96% of respondents were formed to emergency care situations, 77% declared to be interested in a training for management of mass casualty. The most determined were the less experienced (>5 years of professional experience, 81% vs 60%, p< 0.01). The current trainings did not enabled them to fell confident : 86% of respondents confronted to the management of prehospital vital emergency situations encountered difficulty. Moreover possessing a qualifying training was significantly related to the desire of pursuing a new training. GPs felt more at ease during prehospital management of severed casualties if they had already been confronted to it. They were also better equipped with haemostatic tourniquets. Felt as insufficient it would be suited to think back on the way, frequency and content of GPs' training to emergency situations. The incitement to participate in qualifying training, a strengthened use of medical simulation and the adjustment of military decision-making algorithm to medical civilian field might be some leads to follow.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03406255
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Wednesday, October 27, 2021 - 6:27:12 PM
Last modification on : Friday, October 29, 2021 - 3:35:13 AM

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Matthieu Reymond. Triage et prise en charge de premier recours lors d’incident multivictime par attentat terroriste : évaluation des connaissances et des besoins en formation ressentis chez les médecins généralistes d’Isère, Savoie et Haute-Savoie. Médecine humaine et pathologie. 2021. ⟨dumas-03406255⟩

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