Évaluation des recommandations pour l'amélioration de la prise en charge des urgences médicales sur les sites aurifères en Guyane française

Abstract : The Emergency medical system in French Guyana receives the emergency calls from remote gold mining sites. Collecting accurate information is the key for choosing the appropriate response, from simple counseling to expensive vectors mobilization. Starting from the quantitative analysis of emergency calls over 6 years, this study makes proposals for improving the management of these emergencies; the recommended measures need to be assessed with gold miners, healthcare providers and authorities. The recommendations are the implementation of a telemedicine network, with first responders trained in basic emergency care, with access to decision-making tools, and an on-site pharmacy they can use following precise procedures. Awareness programs about infectious diseases need also to be implemented for gold miners, as it represents the main cause of emergency calls. Finally, it is essential to clearly address this issue as being part of an efficient health organization at a cross-border level.
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Master thesis
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http://docnum.univ-lorraine.fr/public/SCDMED_MSPM_2011_EGMANN_GERALD.pdf
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https://hal.univ-lorraine.fr/hal-01877759
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Gérald Egmann. Évaluation des recommandations pour l'amélioration de la prise en charge des urgences médicales sur les sites aurifères en Guyane française. Santé publique et épidémiologie. 2011. ⟨hal-01877759⟩

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