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  1. Article: [No title information]

    Carron, Pierre-Nicolas / Sarasin, François

    Revue medicale suisse

    2022  Volume 18, Issue 791, Page(s) 1479–1480

    Title translation Redéfinir les urgences par ce qu’elles ne sont pas ?
    MeSH term(s) Emergencies ; Humans
    Language French
    Publishing date 2022-08-17
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
    DOI 10.53738/REVMED.2022.18.791.1479
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: [No title information]

    Dami, Fabrice / Sarasin, François

    Revue medicale suisse

    2021  Volume 17, Issue 746, Page(s) 1339

    Title translation Choosing wisely…
    MeSH term(s) Emergency Medicine ; Humans ; Medical Overuse
    Language French
    Publishing date 2021-09-13
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: [No title information]

    Sarasin, François

    Revue medicale suisse

    2016  Volume 12, Issue 526, Page(s) 1307–1308

    Title translation Infections et réflexions….
    Language French
    Publishing date 2016--10
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
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    Zs.A 5998: Show issues Location:
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  4. Article: Syncope: bilan initial et stratification du risque.

    Sarasin, François

    Revue medicale suisse

    2015  Volume 11, Issue 459, Page(s) 260–261

    Title translation Syncope: initial diagnosis and risk stratification.
    MeSH term(s) Algorithms ; Diagnosis, Differential ; Diagnostic Techniques, Neurological ; Hospitalization ; Humans ; Risk ; Risk Factors ; Syncope/classification ; Syncope/diagnosis ; Syncope/therapy
    Language French
    Publishing date 2015-01-28
    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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  5. Article: Médecine d'urgence: pour ceux qui douteraient encore....

    Sarasin, François

    Revue medicale suisse

    2014  Volume 10, Issue 438, Page(s) 1483

    Title translation Emergency medicine: for those who still are in doubt....
    MeSH term(s) Clinical Competence ; Emergency Medicine ; Humans ; Switzerland
    Language French
    Publishing date 2014-08-13
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
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  6. Article: [No title information]

    Carron, Pierre-Nicolas / Sarasin, François

    Revue medicale suisse

    2019  Volume 15, Issue 658, Page(s) 1363–1364

    Title translation Médecine d’urgence : répondre à l’accélération du temps ?
    MeSH term(s) Emergency Medicine/statistics & numerical data ; Humans
    Language French
    Publishing date 2019-09-11
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
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  7. Article ; Online: Association between prehospital physician clinical experience and discharge at scene - retrospective cohort study.

    Betend, Romain / Suppan, Laurent / Chan, Michele / Regard, Simon / Sarasin, François / Fehlmann, Christophe A

    Swiss medical weekly

    2023  Volume 153, Page(s) 3533

    Abstract: Background: Clinical experience has been shown to affect many patient-related outcomes but its impact in the prehospital setting has been little studied.: Objectives: To determine whether rates of discharge at scene, handover to paramedics and ... ...

    Abstract Background: Clinical experience has been shown to affect many patient-related outcomes but its impact in the prehospital setting has been little studied.
    Objectives: To determine whether rates of discharge at scene, handover to paramedics and supervision are associated with clinical experience.
    Design, settings and participants: A retrospective study, performed on all prehospital interventions carried out by physicians working in a mobile medical unit ("service mobile d'urgence et de réanimationˮ [SMUR]) at Geneva University Hospitals between 1 January 2010 and 31 December 2019. The main exclusion criteria were phone consultations and major incidents with multiple casualties.
    Exposure: The exposure was the clinical experience of the prehospital physician at the time of the intervention, in number of years since graduation.
    Outcome measures and analysis: The main outcome was the rate of discharge at scene. Secondary outcomes were the rate of handover to paramedics and the need for senior supervision. Outcomes were tabulated and multilevel logistic regression was performed to take into account the cluster effect of physicians.
    Results: In total, 48,368 adult patients were included in the analysis. The interventions were performed by 219 different physicians, most of whom were male (53.9%) and had graduated in Switzerland (82.7%). At the time of intervention, mean (standard deviation [SD]) level of experience was 5.2 (3.3) years and the median was 4.6 (interquartile range [IQR]: 3.4-6.0). The overall discharge at scene rate was 7.8% with no association between clinical experience and discharge at scene rate. Greater experience was associated with a higher rate of handover to paramedics (adjusted odds ratio [aOR]: 1.17, 95% confidence interval [CI]: 1.13-1.21) and less supervision (aOR: 0.85, 95% CI: 0.82-0.88).
    Conclusion: In this retrospective study, there was no association between level of experience and overall rate of discharge at scene. However, greater clinical experience was associated with higher rates of handover to paramedics and less supervision.
    MeSH term(s) Adult ; Humans ; Male ; Female ; Retrospective Studies ; Emergency Medical Services ; Patient Discharge ; Physicians ; Data Collection
    Language English
    Publishing date 2023-12-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2036179-8
    ISSN 1424-3997 ; 1424-7860
    ISSN (online) 1424-3997
    ISSN 1424-7860
    DOI 10.57187/s.3533
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: [No title information]

    Sarasin, François / Carron, Pierre-Nicolas

    Revue medicale suisse

    2018  Volume 14, Issue 614, Page(s) 1379

    Title translation Médecine d’urgence : pour qui ? Pourquoi ?
    Language French
    Publishing date 2018-11-15
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
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    Zs.A 5998: Show issues Location:
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  9. Article ; Online: Antiseizure medication ≤48 hours portends better prognosis in new-onset epilepsy.

    Ménétré, Eric / De Stefano, Pia / Megevand, Pierre / Sarasin, François P / Vargas, Maria I / Kleinschmidt, Andreas / Vulliemoz, Serge / Picard, Fabienne / Seeck, Margitta

    European journal of neurology

    2023  Volume 31, Issue 2, Page(s) e16107

    Abstract: Background: Several studies found that patients with new-onset epilepsy (NOE) have higher seizure recurrence rates if they presented already prior seizures. These observations suggest that timing of antiseizure medication (ASM) is crucial and should be ... ...

    Abstract Background: Several studies found that patients with new-onset epilepsy (NOE) have higher seizure recurrence rates if they presented already prior seizures. These observations suggest that timing of antiseizure medication (ASM) is crucial and should be offered immediately after the first seizure. Here, we wanted to assess whether immediate ASM is associated with improved outcome.
    Methods: Single-center study of 1010 patients (≥16 years) who presented with a possible first seizure in the emergency department between 1 March 2010 and 1 March 2017. A comprehensive workup was launched upon arrival, including routine electroencephalography (EEG), brain computed tomography/magnetic resonance imaging, long-term overnight EEG and specialized consultations. We followed patients for 5 years comparing the relapse rate in patients treated within 48 h to those with treatment >48 h.
    Results: A total of 487 patients were diagnosed with NOE. Of the 416 patients (162 female, age: 54.6 ± 21.1 years) for whom the treatment start could be retrieved, 80% (333/416) were treated within 48 h. The recurrence rate after immediate treatment (32%; 107/333) was significantly lower than in patients treated later (56.6%; 47/83; p < 0.001). For patients for whom a complete 5-year-follow-up was available (N = 297, 123 female), those treated ≤48 h (N = 228; 76.8%) had a significantly higher chance of remaining seizure-free compared with patients treated later (N = 69; 23.2%; p < 0.001).
    Conclusions: In this retrospective study, immediate ASM therapy (i.e., within 48 h) was associated with better prognosis up to 5 years after the index event. Prospective studies are required to determine the value of immediate workup and drug therapy in NOE patients.
    MeSH term(s) Humans ; Female ; Adult ; Middle Aged ; Aged ; Retrospective Studies ; Epilepsy/diagnosis ; Seizures/diagnosis ; Prognosis ; Magnetic Resonance Imaging ; Electroencephalography
    Language English
    Publishing date 2023-10-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 1280785-0
    ISSN 1468-1331 ; 1351-5101 ; 1471-0552
    ISSN (online) 1468-1331
    ISSN 1351-5101 ; 1471-0552
    DOI 10.1111/ene.16107
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MO 592: Show issues

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  10. Article: Médecine d'urgence en Suisse: etat des lieux en 2009.

    Sarasin, Francois

    Revue medicale suisse

    2009  Volume 5, Issue 213, Page(s) 1587–1588

    Title translation The state of emergency medicine in Switzerland in 2009.
    MeSH term(s) Emergency Medicine/trends ; Humans ; Switzerland
    Language French
    Publishing date 2009-08-19
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
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