According to the 9th edition of "NOYADES" survey, 1480 drownings accidents occurred in France in 2021, of which 146 (i.e. nearly 10%), were in the Var department. These patient's care involve in first place the Emergency Medical Service (EMS). To date, there is no recommendation from French or European academic societies of emergency medicine formalising pre-hospital care of these patients (except for the specific case of cardiac arrest). This absence of recommendation therefore favours heterogeneity of practices.
Within a three-year period from 2019 to 2022, this retrospective observational study aims to provide an inventory of pre-hospital practices by the EMS in the Var department and to describe drowning patients' characteristics as well as their outcome, according to the initial regulation and the type of care. These data could help for pre-hospital care management.
Study Type
OBSERVATIONAL
Enrollment
296
Prehospital care provided by the emergency medical service 83 (SAMU 83)
Centre Hospitalier Intercommunal Toulon La Seyne sur Mer
Toulon, Var, France
Type of ventilation used in pre-hospital care
Mechanical ventilation, non-invasive ventilation, Continuous Positive Airway Pressure, oxygen therapy or none
Time frame: 3-year period from 2019-2022
Ventilatory settings used in pre-hospital care
Positive End Expiratory Pressure, pressure support, fraction of inspired oxygen, flow rate
Time frame: 3-year period from 2019-2022
Pre-hospital intervention duration
In minutes
Time frame: 3-year period from 2019-2022
Type of resources involved for pre-hospital care
None, fire brigade or emergency rapid response unit
Time frame: 3-year period from 2019-2022
Onset of death
Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).
Time frame: Up to 30 days
Duration of hospitalisation
Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).
Time frame: Up to 30 days
Intubation rate at hospital
Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).
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Time frame: Up to 30 days
Type of ventilation used at hospital
Analysis according to the orientation provided by the EMS regulation (emergency rapid response unit or fire brigade) and according to the different types of care by the EMS (Oxygen therapy, non-invasive ventilation or intubation).
Time frame: Up to 30 days