the Safety / Feasibility /MORENO Score/Regulation / Secondary Transfers / SAMU 29 / Current Practices
Conditions
Brief summary
The main objective of this work is therefore to evaluate the safety and feasibility of the MORENO score for the regulation of secondary transfers to the SAMU 29 compared to current practices.
Detailed description
Today, there is an increase in the number of secondary transfers and paramedical transport between the different hospitals in a territory. They have been promoted by the SFMU (French Society of Emergency Medicine) since 2012. The sharp increase in the number of calls for SAMU regulation means that decisions must be made quickly and safely regarding transport requiring or not requiring a medical presence. The development of a decision support tool for the level of medicalisation of a transfer therefore seems necessary. However, there is currently no recommendation in France. The MORENO score has already been used in a hospital in the Var, as well as in Spain and Greece. Prior validation of this score in our health territory is essential before setting up an operational procedure. Using a list of simple clinical items, this score enables us to assess whether or not it is necessary to medicalise a transfer.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* All adult patients having benefited from a transfer regulated by the SAMU 29 of adult patients on the Finistère territory over a predefined period of time
Exclusion criteria
* Pediatric patient transfers * Maritime transfers * Transfers for which the collected information does not allow to establish the MORENO score. * Patients under judicial protection (guardianship, curatorship,..) * Opposition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of the concordance of the MORENO score for the regulation of secondary transfers at SAMU 29 and our current practices | 1 year | Rate of agreement between our practices and the MORENO score strategy. |
Countries
France