Annales de l'anesthésiologie française
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The CESSNA 206 aircraft belonging to the National Police Force has been used to effect medical evacuations. After describing the specifications of this aircraft and underlining its advantages (speed, autonomy, cost price) and its disadvantages (very small cabin, necessity of prepared landing grounds, sound level) compared with the helicopter generally used in similar circumstances, the authors conclude that this new aircraft could be used to advantage for evacuating medium-serious cases over distances greater than 200 kilometer provided that the cabin was modified. Even more than with the helicopter, the pilot must remain the judge concerning the technical flying possibilities of the aircraft, which is not pressurized and which has no defrosting equipment.
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Analysis of our experience confirms in the domain of the newborn the fundamental notion of the Emergency medical call. The EMC has two objectives: 1--Emergency treatment before the patient is moved, and the correction of failing vital functions by a medical team skilled in problems of neonates. 2--Transportation of the neonate in a stable condition, to the Intensive Care unit. The quality of such transportation depends closely upon the quality of the medical care given and upon organisation. ⋯ In addition, we feel it essential--that the delay before the call is answered be as brief as possible;--that the call should be dealt with by a mixed team, including at least one physician experienced in neonatal problems;--that the choice of vehicle used for transportation should be better adapted to the situation. This choice is the responsibility of the coordinating physician, who should base his decisions on two fundamental requirements:--rapidity of dealing with the call;--personal safety of those involved. This without losing sight of--Prevention of perinatal problems lies part with the detection of high risk pregnancies, with the aim of arranging delivery in specialised "mother and baby" centres where close collaboration between obstetrician and paediatrician is assured.--The development of transportation of the "high-risk" neonate, which is so costly in manpower and equipment, depends closely upon general concepts of health care in France, which should be aimed at:--the prevention of prematury;--the detection of high risk pregnancies;--the development of mother and baby centres.