The Role of Emergency Medical Services in Mass Casualties

  • P. Carli
  • M. Lejay
  • G. Orliaguet
Conference paper
Part of the Yearbook of Intensive Care and Emergency Medicine book series (YEARBOOK, volume 1996)


Since the early 70s, special attention has been given by the French authorities to disaster management. Integration of prehospital critical care as a part of the rescue organization was then decided. Several mass casualties situations have been observed in France and in Paris. Disaster plans for prehospital care and hospital organization have been implemented, utilized, and modified according to the acquired lessons. Practice of disaster medicine was considered as mandatory for the physicians working in the French Emergency Medical Services, called SAMU, and was included in the basic training. The SAMU organization has been described in details elsewhere [1,2]. In essence, SAMU is a nation-wide, regionalized public organization in charge of prehospital care. The SAMU includes a regional dispatching center and several Mobile Intensive Care Units based in major hospitals of the area. Physicians, specialized in anesthesiology or in emergency medicine, are directly involved in the patients’ treatment on scene and patients’ dispatching. In disaster situation, the SAMU plays an important role [3] and is closely associated with the Fire Brigade and the Police.


Emergency Medical Service Disaster Management Medical Team Advance Life Support Mass Casualty 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Carli P, Barrier G (1992) Prehospital emergency, care emergency medicine and the anesthetist. Clin Anaesth 6: 67–80Google Scholar
  2. 2.
    Carli P, Riou B, Barriot P (1993) Trauma anesthesia in France, Textbook of Trauma Anesthesia and Critical Care, C. Grande, Mosby, pp 199–205Google Scholar
  3. 3.
    Barrier G (1989) Emergency medical services for the treatment of mass casualties. Crit Care Med 17: 1062–1067PubMedCrossRefGoogle Scholar
  4. 4.
    Barbera J, Cadoux C (1991) Search, rescue and evacuation. Disaster Management. Crit Care Clin 7: 321–339PubMedGoogle Scholar
  5. 5.
    Fyberg E, Tepas JJ (1988) Terrorist bombings: Lessons from Belfast to Beirut. Ann Surg 208: 569–576CrossRefGoogle Scholar
  6. 6.
    Carli P (1993) Analgesia and anesthesia in the prehospital settings. Clin Intensive Care (Suppl 4) 2: 4–8Google Scholar
  7. 7.
    Wekerle JF (1991) Disaster planning and response. New Engl J Med 324: 818–821Google Scholar
  8. 8.
    Americain Psychiatric Association (1994) Post-traumatic stress disorder, in Diagnostic and Statistical Manual of mental disorders, 4th edition by A.P.A. pp 424–429Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • P. Carli
  • M. Lejay
  • G. Orliaguet

There are no affiliations available

Personalised recommendations