Laboratory study on the kinetics of the warming of cold fluids-A hot topic.

Objectives: In case of mild therapeutic hypothermia after an out-of-hospital cardiac arrest, several techniques could limit the cold fluid rewarming during its perfusion. We aimed to evaluate cold fluid temperature evolution and to identify the factors responsible for rewarming in order to suggest a prediction model of temperature evolution.

Equipment And Methods: This was a laboratory experimental study.

[Nurses with the Paris Fire Brigade].

The army nurses of the Paris Fire Brigade serve the population of Paris and three adjacent departments. They receive induction as well as continuous training and work within the mobile pre-hospital medical teams. In addition to their day-to-day support of firefighters, they train, teach and participate in clinical research and development.

In-flight auscultation during medical air evacuation: comparison between traditional and amplified stethoscopes.

Objectives: The aim of this study was to evaluate the capacity of a traditional stethoscope versus an electronically amplified one (expected to reduce background and ambient noise) to assess heart and respiratory sounds during medical transport.

Materials And Methods: It was a prospective, double-blinded, randomized performed study. One traditional stethoscope (Littmann Cardiology III; 3M, St Paul, MN) and 1 electronically amplified stethoscope (Littmann 3200, 3M) were used for our tests.

[Wound care during the First Word War].

Following the sanitary disaster which occurred during the first months of First Word War, the French Military Health System has structured itself. Focus was made on effective surgical sorting for stabilization aids before evacuation. The functional prognosis of the war injured individual as his survival has been significantly improved.

[Health problems of combatants during the First World War].

The First World War because of the use of new weapons, injured more than 3 500 000 people (500 000 in the face), more than diseases (tuberculosis, typhoid fever, etc.) or even weather circumstances. The healing of the war wounds through surgery undertook a significant evolution thanks to the use of asepsis and antiseptics.

Stroke: prospective evaluation of a prehospital management process based on rescuers under medical direction.

Background: Improving access to thrombolytic therapy for patients with ischemic stroke is challenging. We assessed a prehospital process based on firemen rescuers under strict medical direction, aimed at facilitating thrombolysis of eligible patients.

Methods: This was a prospective observational study conducted over 4 months in Paris, France.

Impact of fibrinolysis on immediate prognosis of patients with out-of-hospital cardiac arrest.

Fibrinolytic therapy (FT) during out-of-hospital cardiac arrest (OHCA) has been studied in several trials, but they have produced unsatisfactory results even in the most recent Thrombolysis in Cardiac Arrest (TROICA) study. This study aimed to assess the impact of FT provided by an out-of-hospital emergency physician on the immediate prognosis of patients with OHCA. We performed a retrospective study in which the primary endpoint was survival to hospital admission.