title: [Disaster medicine].
abstract: For over 30 years, the French hospital and pre-hospital medical teams are trained in disaster medicine. In fact, they are regularly confronted with the management of multiple casualties in accidents or even terrorist attacks, and more rarely to large-scale disasters. The intervention of physicians of the EMS system (SAMU-SMUR) in the field allows an original healthcare organization: in an advanced medical post, the victims are triaged according to their severity and benefit if needed of initial resuscitation. SAMU medical regulating center then organize their transport and repartition in several hospitals put on alert. To cope with a mass casualty situation, the hospital also has a specific organization, the White Plan. This plan, initiated by the director, assisted by a medico-administrative cell crisis can mobilize all the resources of the institution. Personnel are recalled and the ability of emergency units is increased. Care, less urgent, other patients are postponed. There are many plans for responding to disasters. ORSEC plans of the ministry of Interior articulate with the ORSAN plans of the ministry of Health. This complementarity allows a global mobilization of public services in disasters or exceptional medical situations.
authors.forename: Pierre
authors.initials: P
authors.lastname: Carli
authors.forename: Caroline
authors.initials: C
authors.lastname: Telionri
mesh_terms: D000059:Accidents; D054597:Disaster Medicine / Q000458:organization & administration; D004190:Disasters; D004630:Emergencies; D004632:Emergency Medical Services / Q000458:organization & administration; D005602:France; D006284:Health Plan Implementation / Q000379:methods; D006801:Humans; D014218:Triage / Q000379:methods / Q000458:organization & administration