Publications by authors named "Alexis Fremery"
Introduction: French Guiana is a French territory in South America covered by 90% of tropical forest. Despite regular first aid standards training, some of the workers in isolated areas remain untrained in common problems they may encounter. We present here the knowledge assessment of these workers concerning first aid and a new training program.
View Article and Find Full Text PDFIntroduction: Sexual violence is a major public health issue, including in French Guiana. The feeling of insecurity is significant in this part of France. Sexual violence is an important reason for consultation in forensic and emergency medicine.
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- Indonesia and French Guiana face similar challenges in emergency medical care access, particularly in the prehospital phase.
- Unlike in France, where emergency medicine is a fully developed specialty, Indonesia is still developing this field.
- A partnership was initiated between Jakarta University and French Guiana University, leading to the launch of a joint program in emergency medicine that started in August 2022, graduating its first class of 50 Indonesian doctors in August 2023.
Background: Acute poisonings (AP) are a significant public health problem, accounting for a high number of emergency department visits and thousands of deaths worldwide. This study aimed to assess the epidemiology of AP in an adult population admitted to Cayenne Hospital (French Guiana) and to investigate the clinical and sociodemographic characteristics.
Methods: We conducted a monocentric retrospective study from January 2010 to December 2022, including patients over eighteen years of age who had been admitted to the emergency department of Cayenne Hospital for acute poisoning.
Background: French Guiana (FG) is a French territory located in South America with the highest rate of armed assaults. FG presents a poorly developed road system and a young and precarious population that makes the geographical and socio-demographic characteristics specific. No data concerning the firearm injury management are available in this country.
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- French Guiana is a unique region notable for its rich biodiversity and diverse communities, yet it faces paradoxes such as high poverty rates with 50% of the population living below the poverty line.
- The territory experiences a mix of health challenges, including common infectious diseases like HIV and malaria, which require tailored medical approaches due to their unique local characteristics.
- European resources in French Guiana facilitate advanced diagnostic and treatment options, enhancing research opportunities despite the smaller population compared to surrounding countries, and enabling better management of both common and rare diseases.
Introduction: French Guiana is a hub for drugs trafficking between South America and Europe. In Corpore transport, or Body-packing, is one of the options favored. In 2018, 577 people were arrested for smuggling cocaine from French Guiana to mainland France.
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- French Guiana has a malaria incidence rate of 0.74‰ with Plasmodium vivax being the most common type, while Plasmodium falciparum persists due to cases brought in from Africa; the reliability of rapid diagnostic tests (RDTs) is questioned due to gene deletion trends in South America.
- A study analyzing 12,880 RDTs over four years found that the SD Malaria Ag P.f/Pan® test has high positive and negative predictive values (PPV and NPV), especially in diagnosing malaria, with an overall accuracy rate of 99.5% when compared to conventional blood tests.
- The SD Malaria Ag P.f/Pan® test is considered effective for
In French Guiana, a French overseas region partly located in the Amazon, "Africanized" bees, a hybrid species of Brazilian bees known as "killer bees," have been observed since 1975. Since then, several cases requiring long hospitalization times have been described, allowing for a better understanding of the physiopathological mechanisms of this particular envenomation. Here, we report on a series of 10 cases of patients simultaneously attacked by hundreds of killer bees and immediately treated by a prehospital medical team already on site.
View Article and Find Full Text PDFBackground: In emergency departments (EDs), the staff continually face stressful situations requiring staff to adopt various coping strategies.
Aims: The study aimed to assess work-related stress in ED during the COVID-19 outbreak.
Method: The study was a monocentric investigation based on a questionnaire survey that elicits general information and uses the Karasek model to analyse the data.
A hybrid species of Brazilian bee has proliferated on the South American continent since 1956. We describe a "killer bee" swarm attack on a 2-year-old girl in French Guiana. The patient weighed 10 kg, and approximately hundreds of bees' stingers were removed, that is, 10 stings/kg.
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