Publications by authors named "G Courtiol"

Article Synopsis
  • Hand injuries are common emergencies often linked to domestic accidents and sports, and during the COVID-19 lockdown, while general medical activities dropped, hand and upper limb emergencies increased.
  • A retrospective study compared emergency consultations and surgeries from the same periods in 2019 and 2020, finding a notable decrease in elective surgeries and urgent peripheral limb surgeries but a steady or increased rate of hand emergency cases.
  • The study revealed an upward trend in domestic accidents as the primary cause of these injuries, alongside an increase in severity, indicating a need for a dedicated plan for handling hand trauma in emergencies, even amid reduced medical activities.
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Background: Although mortality due to acute heart failure has decreased, its prevalence in France is still high. The aim of this study was to examine the quality of acute heart failure treatment in French emergency departments (EDs) with reference to subsequently published European Society of Cardiology (ESC) recommendations.

Methods: The medical records of patients with acute pulmonary oedema (as a marker for acute heart failure) admitted to the EDs of 11 French hospitals in 2013 were reviewed retrospectively.

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Background: In 2015, the European Society of cardiology published guidelines on the pre-hospital and early hospital management of acute cardiac failure (ACF), which included: - use of intravenous vasodilators (nitrates) when systolic blood pressure is>110mmHg; - non-invasive ventilation if oxygen saturation is<90% and/or respiratory rate is>25/min despite nasal oxygen; - using a reduced dose of intravenous furosemide (20-40mg or equivalent of the oral morning dose if already on chronic diuretic therapy) and; - early performance of echocardiography. We sought to compare the gap between these recommendations and clinical practices in French emergency departments (EDs).

Methods: We undertook a retrospective evaluation of clinical practices in 834 consecutive patients with ACF admitted in 2013 to the EDs of 16 French hospitals.

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Purpose: This study aimed to assess comprehension by family members of the patient's severity in the prehospital setting.

Method: We conducted a cross-sectional study in four mobile intensive care units (ICUs, medicalized ambulances) in France from June to October 2012. Nurses collected data on patients, patient's relatives, and mobile ICU physicians.

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Introduction: The northern French Alps emergency network (RENAU) manages emergent care and patient treatment pathways in a three-county area in the French Alps. The aim of the study was to describe the pediatric activity in mobile intensive care units (MICUs).

Method: This retrospective observational study was conducted from 1 January to 31 December 2012.

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