At the entrance to the emergency services, the regulation by the SAMU extends over the territory

This is one of the most delicate measures deployed by the government this summer, in the face of the emergency crisis: to allow the services to regulate entry by filtering the passages, mainly by the SAMU. From the end of May, the CHU Pellegrin, in Bordeaux, caused a thunderclap by setting up this operation at night, for lack of sufficient staff. Unheard of in a hospital of this size, which called on civil protection volunteers to guide people who would still show up in the evening, in front of its closed doors. Since then, other establishments have taken this route, in scattered order, with an acceleration as the summer progresses.

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They are around forty, estimated François Braun, the Minister of Health, on Franceinfo, July 27. A rising number “important”. “It’s not filtering, he assured, however. The principle is to say that if [un problème de santé] does not come under an emergency service or an emergency technical platform, you will be better taken care of, and faster, in another way. (…) And that’s the job of medical regulation (…) to redirect you. »

A national communication campaign was launched on July 25, with the slogan “Before going to the emergency room, if my doctor is not available, I call 15”. The regional health agencies and many hospitals had already begun to communicate in this direction for several weeks. The objective is to secure the management of the most serious emergencies.

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Beyond the general incentive, in hospitals where this regulation has become compulsory for entering the emergency room, several situations overlap. This filtering by the 15 thus concerns certain services obliged to ” close “ truly at night, with only a medical presence in the event of a vital emergency, mainly in rural areas or small towns. It is also deployed in large emergency services which, behind their doors “closed”, remain open to patients, but only those sent by the regulation. At the entrance, there are often intercoms that lead to 15, with, from one territory to another, schedules that differ for a system that is mostly experienced in the evening and at night.

SAMU much more in demand

In the last days of July, the list of health establishments that triggered it has grown, with the practicalities specific to each, listed in the pages of the local press. Metz-Thionville, Troyes, Mâcon, the hospitals of Vendée, those of Lot-et-Garonne… have been added to Sarlat on certain days, or even to the public hospital center of Cotentin every day from 3 p.m.

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