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Article: Réanimation cardiopulmonaire de l’adulte : recommandations 2020.

Guélat, Quentin / Maudet, Ludovic / Carron, Pierre-Nicolas / Beysard, Nicolas

2021 Volume 17, Issue 742, Page(s) 1127–1131

Abstract: Alerting emergency medical services, rapidly initiating chest compressions at the correct depth and frequency and delivering an electric shock as quickly as possible remain the key points of the updated guidelines for adult cardiopulmonary resuscitation ( ...

Title translation	Adult cardiopulmonary resuscitation : 2020 guidelines.
Abstract	Alerting emergency medical services, rapidly initiating chest compressions at the correct depth and frequency and delivering an electric shock as quickly as possible remain the key points of the updated guidelines for adult cardiopulmonary resuscitation (CPR). Following their five-year systematic review, both the American Heart Association (AHA) and the European Resuscitation Council (ERC) are reinforcing their messages in favour of simple and early actions, while adding nuances regarding drugs, and suggesting that the chain of survival should continue beyond the acute hospital phase. Here is an overview of the reminders and novelties of the AHA and ERC 2020 guidelines.
MeSH term(s)	Adult ; Cardiopulmonary Resuscitation ; Emergency Medical Services ; Humans ; Practice Guidelines as Topic ; Pressure ; Thorax ; United States
Language	French
Publishing date	2021-06-09
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2177010-4
ISSN	1660-9379
ISSN	1660-9379
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Dispositif sanitaire lors de grandes manifestations : quels enjeux ? - L’exemple de la Fête des Vignerons 2019.

Gasser, Océane / Rouvé, Jean-Daniel / Maudet, Ludovic / Baumann, André / Viot, Pascal / Carron, Pierre-Nicolas

Revue medicale suisse

2022 Volume 18, Issue 782, Page(s) 1009–1013

Abstract: During an event, the organizer is responsible for ensuring compliance with all standards, including in the medical and health field. It is therefore up to them to set up a display capable of handling potential patients. The planning of this display ... ...

Title translation	Mass-gathering medical care: what is at stake? The example of the 2019 Fête des Vignerons.
Abstract	During an event, the organizer is responsible for ensuring compliance with all standards, including in the medical and health field. It is therefore up to them to set up a display capable of handling potential patients. The planning of this display requires a preliminary risk assessment, including an estimate of the probability of occurrence and the potential severity in the event of occurrence. There are few decision-making tools available to plan such a device; the impact of major events, particularly on the surrounding care structures, or the sizing of such devices remains a poorly studied field. This article provides an update on recommendations and trends in this area, illustrated by the experience of the 2019 Fête des Vignerons.
MeSH term(s)	Humans ; Patient Care ; Risk Assessment
Language	French
Publishing date	2022-05-18
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2177010-4
ISSN	1660-9379
ISSN	1660-9379
DOI	10.53738/REVMED.2022.18.782.1009
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Article ; Online: Feasibility of quality indicators on prehospital advanced airway management in a physician-staffed emergency medical service: survey-based assessment of the provider point of view.

Kottmann, Alexandre / Pasquier, Mathieu / Carron, Pierre-Nicolas / Maudet, Ludovic / Rouvé, Jean-Daniel / Suppan, L / Caillet-Bois, David / Riva, Thomas / Albrecht, Roland / Krüger, Andreas / Sollid, Stephen Johan Mikal

BMJ open

2024 Volume 14, Issue 3, Page(s) e081951

Abstract: Objective: We aimed to determine the feasibility of quality indicators (QIs) for prehospital advanced airway management (PAAM) from a provider point of view.: Design: The study is a survey based feasibility assessment following field testing of QIs ... ...

Abstract	Objective: We aimed to determine the feasibility of quality indicators (QIs) for prehospital advanced airway management (PAAM) from a provider point of view. Design: The study is a survey based feasibility assessment following field testing of QIs for PAAM. Setting: The study was performed in two physician staffed emergency medical services in Switzerland. Participants: 42 of the 44 emergency physicians who completed at least one case report form (CRF) dedicated to the collection of the QIs on PAAM between 1 January 2019 and 31 December 2021 participated in the study. Intervention: The data required to calculate the 17 QIs was systematically collected through a dedicated electronic CRF. Primary and secondary outcome measures: Primary outcomes were provider-related feasibility criteria: relevance and acceptance of the QIs, as well as reliability of the data collection. Secondary outcomes were effort to collect specific data and to complete the CRF. Results: Over the study period, 470 CRFs were completed, with a median of 11 per physician (IQR 4-17; range 1-48). The median time to complete the CRF was 7 min (IQR 3-16) and was considered reasonable by 95% of the physicians. Overall, 75% of the physicians assessed the set of QIs to be relevant, and 74% accepted that the set of QIs assessed the quality of PAAM. The reliability of data collection was rated as good or excellent for each of the 17 QIs, with the lowest rated for the following 3 QIs: duration of preoxygenation, duration of laryngoscopy and occurrence of desaturation during laryngoscopy. Conclusions: Collection of QIs on PAAM appears feasible. Electronic medical records and technological solutions facilitating automatic collection of vital parameters and timing during the procedure could improve the reliability of data collection for some QIs. Studies in other services are needed to determine the external validity of our results.
MeSH term(s)	Humans ; Quality Indicators, Health Care ; Feasibility Studies ; Reproducibility of Results ; Emergency Medical Services ; Physicians
Language	English
Publishing date	2024-03-07
Publishing country	England
Document type	Journal Article
ZDB-ID	2599832-8
ISSN	2044-6055 ; 2044-6055
ISSN (online)	2044-6055
ISSN	2044-6055
DOI	10.1136/bmjopen-2023-081951
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Article: Une invention suisse soulage mieux les coliques néphrétiques que la morphin.

Maudet, Ludovic / Blondel, Nicolas

Revue medicale suisse

2016 Volume 12, Issue 524, Page(s) 1252

MeSH term(s)	Adult ; Diclofenac/administration & dosage ; Diclofenac/therapeutic use ; Female ; Humans ; Injections, Intramuscular ; Male ; Morphine/therapeutic use ; Pain Management/methods ; Randomized Controlled Trials as Topic/methods ; Renal Colic/drug therapy ; Switzerland ; Treatment Outcome
Chemical Substances	Diclofenac (144O8QL0L1) ; Morphine (76I7G6D29C)
Language	French
Publishing date	2016-06-22
Publishing country	Switzerland
Document type	News
ZDB-ID	2177010-4
ISSN	1660-9379
ISSN	1660-9379
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Article ; Online: Basic life support knowledge among Swiss conscripts: a national multicentre survey.

Durr, Dimitri / Carron, Pierre-Nicolas / Ageron, François-Xavier / Stanga, Zeno / Schneider, Antoine / Maudet, Ludovic / Beysard, Nicolas

Swiss medical weekly

2022 Volume 152, Page(s) w30147

Abstract: Background: Basic life support (BLS) is the first link in the chain of survival and should be performed by every lay rescuer. Although international studies have suggested that BLS knowledge was poor among the overall population, Swiss data are scarce. ... ...

Abstract	Background: Basic life support (BLS) is the first link in the chain of survival and should be performed by every lay rescuer. Although international studies have suggested that BLS knowledge was poor among the overall population, Swiss data are scarce. Our objective in this study was to evaluate BLS knowledge among Swiss conscripts, a semi-representative sample of Swiss young adults, during the recruitment process and to identify potential characteristics related to performance. Methods: A short online voluntary anonymous survey was proposed to Swiss conscripts called to duty in the six national recruiting centres of the Swiss Armed Forces during an 8-month period (2 February 2019 to 27 September 2019). The survey was available in three official languages (French, German, and Italian). Considered outcome was BLS knowledge evaluated on a Likert scale from 1 (very bad) to 6 (excellent). Univariate and multivariate ordinal logistic regression analyses were performed to assess the relationship between BLS knowledge and participants' characteristics. Results: Among the 19,247 conscripts called to service during the study period, 737 replied to the survey. Among them, 735 were included in the analyses (mean age 19.8 years [± 2.1]). Of these, 144 (20%) had never received any BLS training. The BLS knowledge survey was completely answered by 670 participants (91%). 157 participants (23%) reached a BLS knowledge score ≥5. Out of 695 answers, 142 (20%) did not know the Swiss emergency phone number. Out of 670 answers, 364 (54%) believed that CPR could worsen the health status of a person in cardiac arrest, whereas 413 (62%) agreed that BLS training should be mandatory in secondary school. German as native language (odds ratio [OR] 1.3, 95% confidence interval [CI] 1.0-.8)], receipt of BLS training (OR 3.1, 95% CI 2.0-4.8), and female gender were associated with a higher BLS knowledge score. Time since the last BLS training of ≥3 years (OR 0.5, 95% CI 0.4-0.7) and unemployment (OR 0.3, 95% CI 0.1-0.9) were associated with a lower BLS knowledge score. We found substantial agreement between conscripts' scores and their self-assessments (weighted kappa with 74% agreement). Discussion and conclusion: Knowledge of the emergency phone number and BLS principles was poor among Swiss conscripts participating in the study. However, their awareness and motivation is high. The effect of training during boot camp should be evaluated in further studies. Focusing on BLS training is essential and should be promoted in educational and professional contexts.
MeSH term(s)	Adult ; Cardiopulmonary Resuscitation/education ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Motivation ; Surveys and Questionnaires ; Switzerland ; Young Adult
Language	English
Publishing date	2022-03-04
Publishing country	Switzerland
Document type	Journal Article ; Multicenter Study
ZDB-ID	2036179-8
ISSN	1424-3997 ; 1424-7860
ISSN (online)	1424-3997
ISSN	1424-7860
DOI	10.4414/smw.2022.w30147
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Article: Urgences préhospitalières : crise COVID-19.

Maudet, Ludovic / Sarasin, François / Dami, Fabrice / Carron, Pierre-Nicolas / Pasquier, Mathieu

Revue medicale suisse

2020 Volume 16, Issue N° 691-2, Page(s) 810–814

Abstract: The COVID-19 epidemic required rapid and frequent adaptations from the prehospital emergency medical services (EMS). The exposure of EMS providers is significant, particularly during procedures at risk of aerosolization such as advanced airways ... ...

Title translation	Emergency Medical Services: COVID-19 crisis.
Abstract	The COVID-19 epidemic required rapid and frequent adaptations from the prehospital emergency medical services (EMS). The exposure of EMS providers is significant, particularly during procedures at risk of aerosolization such as advanced airways management or cardiopulmonary resuscitation. EMS personal need to be equipped with appropriate personal protective equipment and trained in its use. Interhospital transfers from COVID-19 patients are complex and involve mainly intubated patients. The possible shortage of resources may motivate the implementation of dedicated pre-hospital triage and orientation recommendations, which should be consistent with the hospital processes.
MeSH term(s)	Betacoronavirus ; COVID-19 ; Cardiopulmonary Resuscitation ; Coronavirus Infections/epidemiology ; Emergency Medical Services ; Health Personnel/education ; Humans ; Infection Control ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Triage
Keywords	covid19
Language	French
Publishing date	2020-04-29
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2177010-4
ISSN	1660-9379
ISSN	1660-9379
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Article ; Online: Prehospital management of burns requiring specialized burn centre evaluation: a single physician-based emergency medical service experience.

Maudet, Ludovic / Pasquier, Mathieu / Pantet, Olivier / Albrecht, Roland / Carron, Pierre-Nicolas

Scandinavian journal of trauma, resuscitation and emergency medicine

2020 Volume 28, Issue 1, Page(s) 84

Abstract: Background: Emergency medical services regularly encounter severe burns. As standards of care are relatively well-established regarding their hospital management, prehospital care is comparatively poorly defined. The aim of this study was to describe ... ...

Abstract	Background: Emergency medical services regularly encounter severe burns. As standards of care are relatively well-established regarding their hospital management, prehospital care is comparatively poorly defined. The aim of this study was to describe burned patients taken care of by our physician-staffed emergency medical service (PEMS). Methods: All patients directly transported by our PEMS to our burn centre between January 2008 and December 2017 were retrospectively enrolled. We specifically addressed three "burn-related" variables: prehospital and hospital burn size estimations, type and volume of infusion and pain assessment and management. We divided patients into two groups for comparison: TBSA < 20% and ≥ 20%. We a priori defined clinically acceptable limits of agreement in the small and large burn group to be ±5% and ± 10%, respectively. Results: We included 86 patients whose median age was 26 years (IQR 12-51). The median prehospital TBSA was 10% (IQR 6-25). The difference between the prehospital and hospital TBSA estimations was outside the limits of agreement at 6.2%. The limits of agreement found in the small and large burn groups were - 5.3, 4.4 and - 10.1, 11, respectively. Crystalloid infusion was reported at a median volume of 0.8 ml/kg/TBSA (IQR 0.3-1.4) during the prehospital phase, which extrapolated over the first 8 h would equal to a median volume of 10.5 ml/kg/TBSA. The median verbal numeric rating scale on scene was 6 (IQR 3-8) and 3 (IQR 2-5) at the hospital (p < 0.001). Systemic analgesia was provided to 61 (71%) patients, predominantly with fentanyl (n = 59; 69%), followed by ketamine (n = 7; 8.1%). The median doses of fentanyl and ketamine were 1.7 mcg/kg (IQR 1-2.6) and 2.1 mg/kg (IQR 0.3-3.2), respectively. Conclusions: We found good agreement in burn size estimations. The quantity of crystalloid infused was higher than the recommended amount, suggesting a potential risk for fluid overload. Most patients benefited from a correct systemic analgesia. These results emphasized the need for dedicated guidelines and decision support aids for the prehospital management of burned patients.
MeSH term(s)	Adolescent ; Adult ; Burn Units ; Burns/diagnosis ; Burns/physiopathology ; Child ; Emergency Medical Services ; Female ; Humans ; Male ; Middle Aged ; Pain Management/methods ; Pain Measurement ; Retrospective Studies ; Young Adult
Language	English
Publishing date	2020-08-20
Publishing country	England
Document type	Journal Article
ZDB-ID	2455990-8
ISSN	1757-7241 ; 1757-7241
ISSN (online)	1757-7241
ISSN	1757-7241
DOI	10.1186/s13049-020-00771-4
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Article ; Online: Management of respiratory distress following prehospital implementation of noninvasive ventilation in a physician-staffed emergency medical service: a single-center retrospective study.

Dunand, Adeline / Beysard, Nicolas / Maudet, Ludovic / Carron, Pierre-Nicolas / Dami, Fabrice / Piquilloud, Lise / Caillet-Bois, David / Pasquier, Mathieu

Scandinavian journal of trauma, resuscitation and emergency medicine

2021 Volume 29, Issue 1, Page(s) 85

Abstract: Background: Noninvasive ventilation (NIV) is recognized as first line ventilatory support for the management of acute pulmonary edema (APE) and chronic obstructive pulmonary disease (COPD) exacerbations. We aimed to study the prehospital management of ... ...

Abstract	Background: Noninvasive ventilation (NIV) is recognized as first line ventilatory support for the management of acute pulmonary edema (APE) and chronic obstructive pulmonary disease (COPD) exacerbations. We aimed to study the prehospital management of patients in acute respiratory distress with an indication for NIV and whether they received it or not. Methods: This retrospective study included patients ≥18 years old who were cared for acute respiratory distress in a prehospital setting. Indications for NIV were oxygen saturation (SpO Results: Among the 187 consecutive patients included in the study, most (n = 105, 56%) had experienced APE or COPD exacerbation, and 56 (30%) received NIV. In comparison with patients without NIV, those treated with NIV had a higher initial RR (35 ± 8/min vs 29 ± 10/min, p < 0.0001) and a lower SpO Conclusions: The results of this study contribute to a better understanding of the prehospital management of patients who present with acute respiratory distress and an indication for NIV. NIV was started on clinically more severe patients, even if predefined criteria to start NIV were present. NIV allows to improve vital signs and D-VOS in those patients. A prospective study could further elucidate why patients with a suspected diagnosis of APE and COPD are not treated with NIV, as well as the clinical impact of the different strategies. Trial registration: The study was approved by our institutional ethical committee ( CER-VD 2020-01363 ).
MeSH term(s)	Adolescent ; Aged ; Emergency Medical Services/methods ; Female ; Hospitals/statistics & numerical data ; Humans ; Male ; Noninvasive Ventilation/methods ; Respiratory Distress Syndrome/therapy ; Retrospective Studies
Language	English
Publishing date	2021-06-29
Publishing country	England
Document type	Journal Article
ZDB-ID	2455990-8
ISSN	1757-7241 ; 1757-7241
ISSN (online)	1757-7241
ISSN	1757-7241
DOI	10.1186/s13049-021-00900-7
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Article: Réanimation cardiopulmonaire: l'essentiel des recommandations 2015.

Maudet, Ludovic / Carron, Pierre-Nicolas / Trueb, Lionel

Revue medicale suisse

2016 Volume 12, Issue 505, Page(s) 313–317

Abstract: Cardiopulmonary resuscitation (CPR) guidelines have been updated in October 2015. The 2010 guidelines are reaffirmed: immediate call for help via the local dispatch center, high quality CPR (frequency between 100 and 120/min, compression depth between 5 ... ...

Title translation	Cardiopulmonary resuscitation: the essential of 2015 guidelines.
Abstract	Cardiopulmonary resuscitation (CPR) guidelines have been updated in October 2015. The 2010 guidelines are reaffirmed: immediate call for help via the local dispatch center, high quality CPR (frequency between 100 and 120/min, compression depth between 5 and 6 cm) and early defibrillation improve patient's survival chances. This article reviews the essential elements of resuscitation and recommended advanced measures.
MeSH term(s)	Cardiopulmonary Resuscitation/methods ; Cardiopulmonary Resuscitation/standards ; Emergency Medical Services/methods ; Emergency Medical Services/standards ; Heart Arrest/therapy ; Humans ; Life Support Care/methods ; Life Support Care/standards ; Practice Guidelines as Topic
Language	French
Publishing date	2016-02-10
Publishing country	Switzerland
Document type	English Abstract ; Journal Article ; Review
ZDB-ID	2177010-4
ISSN	1660-9379
ISSN	1660-9379
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Zs.A 5998: Show issues

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Article: Positionnement du patient en médecine d’urgence : beaucoup d’expériences, mais peu d’évidences.

Dunand, Adeline / Carron, Pierre-Nicolas / Pasquier, Mathieu / Maudet, Ludovic

Revue medicale suisse

2017 Volume 13, Issue 570, Page(s) 1369–1372

Abstract: In emergency situations, regularly trained technical skills return as automatisms. This is so with the positioning of our critical patients. According to their signs and symptoms (e.g. respiratory distress, unconsciousness, hypotension), they will be ... ...

Title translation	Position of a patient in emergency situations : lots of experiences, few evidences.
Abstract	In emergency situations, regularly trained technical skills return as automatisms. This is so with the positioning of our critical patients. According to their signs and symptoms (e.g. respiratory distress, unconsciousness, hypotension), they will be installed immediately in a semi-sitting position, in the recovery position, in the Trendelenburg position or with raised legs. But are these gestures repeated and transmitted to successive generations of caregivers really effective and safe? Do we understand the original context and purpose in which these positions were invented? Here we review three of the most common positions in emergency medicine, reminding ourselves of their contextual origin, as well as existing evidence and limits to their use. It is up to you to judge whether they remain relevant in your clinical practice.
MeSH term(s)	Emergency Medical Services ; Head-Down Tilt ; Humans ; Patient Positioning
Language	French
Publishing date	2017-08-23
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2177010-4
ISSN	1660-9379
ISSN	1660-9379
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