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Critical care medicine in the French Territories in the Americas: Current situation and prospects

Kallel, Hatem ; Resiere, Dabor ; Houcke, Stéphanie ; Hommel, Didier ; Pujo, Jean Marc ; Martino, Frederic ; Carles, Michel ; Mehdaoui, Hossein

Revista panamericana de salud pública, 2021-01, Vol.45 (46), p.e46-e46 [Periódico revisado por pares]

United States: Pan American Health Organization (Organizacion Panamericana de la Salud)

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Título:
Critical care medicine in the French Territories in the Americas: Current situation and prospects
Autor: Kallel, Hatem ; Resiere, Dabor ; Houcke, Stéphanie ; Hommel, Didier ; Pujo, Jean Marc ; Martino, Frederic ; Carles, Michel ; Mehdaoui, Hossein
Assuntos: Beds ; Colonies & territories ; Cooperation ; Coronaviruses ; COVID-19 ; Critical care ; Epidemics ; french guiana ; guadeloupe ; Health care management ; Health Policy & Services ; Health promotion ; Hospitals ; Human resources ; Infectious diseases ; Infrastructure ; Intensive care ; Interdisciplinary aspects ; martinique ; Opinion and Analysis ; Prospects ; Remote areas ; Road traffic ; tropical medicine
É parte de: Revista panamericana de salud pública, 2021-01, Vol.45 (46), p.e46-e46
Notas: ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
Descrição: Hospitals in the French Territories in the Americas (FTA) work according to international and French standards. This paper aims to describe different aspects of critical care in the FTA. For this, we reviewed official information about population size and intensive care unit (ICU) bed capacity in the FTA and literature on FTA ICU specificities. Persons living in or visiting the FTA are exposed to specific risks, mainly severe road traffic injuries, envenoming, stab or ballistic wounds, and emergent tropical infectious diseases. These diseases may require specific knowledge and critical care management. However, there are not enough ICU beds in the FTA. Indeed, there are 7.2 ICU beds/100 000 population in Guadeloupe, 7.2 in Martinique, and 4.5 in French Guiana. In addition, seriously ill patients in remote areas regularly have to be transferred, most often by helicopter, resulting in a delay in admission to intensive care. The COVID-19 crisis has shown that the health care system in the FTA is unready to face such an epidemic and that intensive care bed capacity must be increased. In conclusion, the critical care sector in the FTA requires upgrading of infrastructure, human resources, and equipment as well as enhancement of multidisciplinary care. Also needed are promotion of training, research, and regional and international medical and scientific cooperation.
Editor: United States: Pan American Health Organization (Organizacion Panamericana de la Salud)
Idioma: Inglês;Português;Espanhol

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Critical care medicine in the French Territories in the Americas: Current situation and prospects

Kallel, Hatem ; Resiere, Dabor ; Houcke, Stéphanie ; Hommel, Didier ; Pujo, Jean Marc ; Martino, Frederic ; Carles, Michel ; Mehdaoui, Hossein

United States: Pan American Health Organization (Organizacion Panamericana de la Salud)

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