Prevalence and risk factors of the use of physical restraint and impact of a decision support tool: A before-and-after study.

Background: Physical restraint is frequently used in intensive care units to prevent patients' life-threatening removal of indwelling devices. In France, their use is poorly studied. Therefore, to evaluate the need for physical restraint, we have designed and implemented a decision support tool.

[The nurse facing a polytrauma patient].

A major public health problem, polytrauma is the leading cause of death in the 15-35 age group, 50% of which occurs within the first hour. This is why the initial care of these patients and their rapid referral to a specialized center (trauma center) is so important. The nurse is in the front line of the care system, in tandem with the medical team.