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Analyse des arrêts cardiaques extra hospitaliers dans les zones isolées de l'arc Nord Alpin‎ : étude du registre des arrêts cardiaques de 2004 à 2009, médecins correspondants SAMU, Réseau Nord Alpin des Urgences

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HAL Id: dumas-00633904

https://dumas.ccsd.cnrs.fr/dumas-00633904

Submitted on 17 May 2012

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Analyse des arrêts cardiaques extra hospitaliers dans les

zones isolées de l’arc Nord Alpin : étude du registre des

arrêts cardiaques de 2004 à 2009, médecins

correspondants SAMU, Réseau Nord Alpin des Urgences

Colin Chaumont

To cite this version:

Colin Chaumont. Analyse des arrêts cardiaques extra hospitaliers dans les zones isolées de l’arc Nord Alpin : étude du registre des arrêts cardiaques de 2004 à 2009, médecins correspondants SAMU, Réseau Nord Alpin des Urgences. Médecine humaine et pathologie. 2009. �dumas-00633904�

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A ma chère et douce Laëtitia A notre petite perle Noémie A ma famille

Et pour me guider, j’aspire à des buts nobles et élevés

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(10)

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(11)

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Admission hôpital vivant Sortie vivant

Vivant à 1an Vivant à 1an avec FV initiale

en % en % 19,8 44,6 5,8 20,3 4,1 17,0 15,0 35,3

Cas RENAU MCS - Cas RENAU MCS +

Aperçu des taux de survie des ACEH sur 65 cas MCS/RENAU tp

Arc Nord Alpin - 2004 à 2007 p < 0,05

(12)

L+24$"2.%$2%C#2@:/$.

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(13)

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Aperçu de la localisation des ACEH basé sur le registre MCS Rhône Alpes

(14)

C#2@:/$.%.2+24.2456$.

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(15)

83 79 70 17 21 30 57 60 58

Isère Savoie Haute Savoie

Masculin % Féminin % Age Médian Domicile 42!% Lieu Public 30!% Autres * 28!% 174 cas % Domicile Lieu Public Autres * 74 42,5 52 29,9 48 27,6

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(16)

100 88 86 87 97 92 2004 2005 2006 2007 2008 2009 ➤ N1"'*@<*r*4%'*21'*0"%*&)1"#G1(#,"*1*)()*%"(&%-&#'%R W173%10*q* W%"(1(#$%'*4%*&)1"#G1(#,"*j"zt]>k &''U% \"]S&^ &''`% \"]SQ^ &''P% \"]&&^ &''Q% \"]UQ^ &''R% \"]PU^ &''(% \"]S&^ $"%f t== llH< lpH> l]H< @pH@ @tH] ➤ ]t*r*4%'*$#2(#G%'*4OCAE*3O,"(* )()*4%$1"(* 4%'*()G,#"'*'-%2(1(%0&'R*A%'*4%&"#%&'*,"(* #"#(#)*31*EAJ*41"'*p=r*4%'*21'R W173%10*>* C"13P'%*40*&[3%*4%'*W)G,#"'*B-%2(1(%0&'

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ACR devant témoins en % RCP initiée par témoins en %

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(17)

71!% 28!% 41!% Etio. cardiaqueFV RACS Survie USI % Survie Sortie % 15 30 45 60 15 30 45 60 1 10 11 25 51 délais moyens en min

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F I C H E D E S U I V I M C S R h ô n e -A l p e s 2 0 0 8 -2 0 0 9 D a t e : _ _ / _ _ / _ _ I D E N T I F I C A T I O N d u M C S I D E N T I F I C A T I O N d u B L E SSÉ N o m : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ N O M : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ S e x e :  F  M D p t : _ _ _ _ S ta ti o n : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D a te N a is s . : _ _ _ _ / _ _ _ _ / _ _ _ _ o u A g e : _ _ _ _ _ _ a n s P R I S E E N CH A R G E T YP E D ’U R G E N C E N a tu re d e l ’a p p e l :  M C S a p p e lé p a r S A M U  S A M U a p p e lé p a r M C S  T ra u ma to lo g ie : T C – A C R A u tr es (e n to u re z )  M C S a p p e lé p a r p a ti e n t o u e n to u ra g e  C a rd io lo g ie : A C R I D M – T ro u b le r y th m e A u tr e s (e n to u re z )  a u tr e , p ré c is ez : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  P n e u m o lo g ie : A s th m e A u tr e s (ent o urez ) H e u re de p ri se e n c h a rge d u M C S : _ _ _ _ / _ _ _ _ ( H H / M M )  N e u ro lo g ie : A V C A u tr e s (e n to u re z ) H e u re d ’a rr iv é e d u S AM U / S M U R : _ _ _ _ / _ _ _ _ ( H H / M M )  P s y c h ia tr ie : A g it a ti o n – T S – A u tr e s (e n to u re z ) Li e u de pr is e e n c h a rge :  c a b in et  s e c te u r m o n ta g n e  d o m ic il e  O b s té tr iq u e : A c c o u c h t - A u tr e s (e n to u re z )  v o ie /l ie u p u b li c  a u tr e : _ _ _ _ _ _ _ _ _ _ _ _ _ _  M é ta b o li q u e : D ia b è te A u tr e s (e n to u re z ) D u e t o ta le d ’i n te rv e n ti o n d u MC S : _ _ _ _ _ _ (e n m in u te s )  A u tr e , p ré c is e z : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ A u tr e ( s) i n te rv e n a n t( s) :  p o m p ie rs  p is teu rs  a u tr e : _ _ _ _ _ _ _ _ _ _ _ U T I L I S A T I O N d u M A T E R I E L & d e s D R O G U E S GE S T E S P R A T I Q S  A s p ir a te u r  D S A  M o n it e u r  O ²  C h o c é le c tr iq u e e x te rn e  C P A P  E C G  T u b e l a ry n g é  C o m b it u b e  V e n ti la ti o n a s s is té e : a v e c i n tu b a ti o n a u m a s q u e (e n to u re z ) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -  M a s s a g e c a rd ia q u e e x te rn e  A n a lg é si q u e  S é d a ti o n  N e u ro le p ti q u e  V o ie v e in e u s e p é ri p h é ri q u e  A n ti -a ry th m iq u e  A d ré n a li n e  N é b u li s a ti o n B ro n c h o -d il a ta te u r  I mmo b il is a ti o n / R el e v a g e  A u tr e s D é ta il d ro g u e s _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  B loc cr u ra l ou I li o f a ci a l  A u tr e , p ré c is e z : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ D E V E N I R d u P A T I E N T D I A GN O S T I C & C O M M E N T A I R E S ( à rem p li r im p éra ti v e m en t)  D é c è s i m m é d ia t  S o in s s u r p la c e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  H o s p it a li s a ti o n à : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  T ra n s p o rt n o n m é d ic a li s é : p o m p ie rs – a m b u la n c e – e n to u ra g e (e n to u re z ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  T ra n s p o rt m é d ic a li s é : s m u r – m c s (e n to u re z )  F a c tu ra ti o n a u p a ti e n t : _ _ _ _ _ _ _ € C o ta ti o n : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Fiche de suivi de lʼactivité MCS

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