Organisation du système de soins face à un afflux massif de blessés de guerre en milieu civil - retour d'expérience du 13 novembre 2015

Receiving a great number of war firearms casualties in a civilian trauma center requires anticipation. A plan defining the principle of management, the involved physicians and nurses and their interaction with each other is essential. A one-way patient influx associated with the availability of a sufficient amount of staff physicians and nurses leaded by a medical director may prevent trauma center saturation. Regular interaction between medical pre-hospital regulation and medical director, and between surgical teams and medical director must allow if necessary to consider surgical techniques of “damage control”. Through the feedback of a level-1 trauma center, that received 53 victims of the November 13, 2015 terrorist attack in Paris, we present the factors of success, and stumbling blocks.