B Acad Nat Med Paris
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B Acad Nat Med Paris · Oct 2022
[Management of the COVID-19 epidemic in the carrier battle group (January - April 2020) by the Armed Forces Epidemiology and Public Health Center].
Faced with the COVID-19 epidemic that occurred within the naval air group and the nuclear aircraft carrier Charles de Gaulle, the French Armed Forces Epidemiology and Public Health Center (CESPA) carried out an investigation (January - April 2020) whose objectives were: to identify the possible routes of introduction of the virus ; to describe the characteristics of the epidemic and to describe and model the dynamics of the epidemic's spread. ⋯ Despite the control measures taken, an epidemic occurred. The often pauci-symptomatic clinical pictures resulted in a delay in identification. CESPA was able to carry out this epidemiological investigation within a highly constrained timeframe, showing all the interest of its integrated public health model.
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B Acad Nat Med Paris · Oct 2022
Review[Actions of the French Military Medical Service in the war against COVID-19: mari transve mare, hominibus semper prodesse !]
"We are at war!" declared President Emmanuel Macron during a speech to the nation on March 16, 2020. As part of this national resilience, the French Military Medical Service was engaged in the fight against COVID-19. This general review aims to describe and detail the actions undertaken by the French Military Medical Service in the national fight against the COVID-19 pandemic in France, as well as abroad. ⋯ Finally, students from the Lyon-Bron military health schools volunteered to participate in the fight against the COVID-19 pandemic. In conclusion, in an unprecedented medical crisis, the French military medical service engaged in multiple innovative and adaptive actions, which are still ongoing, in the fight against COVID-19. Collaboration between military and civilian health systems has reinforced the common goal of "saving the most.".
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B Acad Nat Med Paris · Oct 2022
Review[Response of the intensive care unit of a French military teaching hospital to the 1st COVID-19 wave].
In March 2020, the intensive care unit of the French military teaching hospital Bégin (Saint-Mandé) had to make profound changes to deal with the first COVID-19 epidemic wave. First, the twelve beds of the intensive care unit (ICU) were allocated to COVID-19 patients, among them four beds usually dedicated to postoperative care. Then, on the model of the military medical-surgical facilities rolled out in external operations, a new transient intensive care unit was set up in Bégin within four days. ⋯ The evacuation of 16 stable patients with medicalized trains toward less impacted French regions helped to avoid saturation. The service has also been involved in various research activities, including the DisCoVeRy European clinical trial evaluating the effectiveness of several antiviral treatments. Leaving the operating room and the post-interventional surveillance room partially functional made it possible to quickly resume the elective surgical activity after the crisis, while keeping the transient ICU available in case of an epidemic rebound, as happened in the autumn of 2020, then in the spring of 2021.