title: [Pediatric management by mobile intensive care units in the northern French Alps emergency network].
abstract: BACKGROUND
  The northern French Alps emergency network (RENAU) manages emergent care and patient treatment pathways in a three-county area in the French Alps. The aim of the study was to describe the pediatric activity in mobile intensive care units (MICUs).
  
  
  METHODS
  This retrospective observational study was conducted from 1 January to 31 December 2012. Data were obtained from patients' medical records in seven representative MICUs of the RENAU. Consecutive patients between 1 month and 18 years of age were enrolled.
  
  
  RESULTS
  During the study period, MICUs carried out 11,951 primary transports and 3087 secondary transfers. A total of 1325 patients were enrolled: 1087 primary transports and 238 secondary transfers. In primary interventions, 531 (48.9%) patients were managed for a trauma, 118 (11%) children were discharged and stayed home, 427 (39.9%) underwent an intravenous cannulation and 27 (2.5%) on-scene intubation. A pediatrician was in charge of 64 (26.9%) secondary transfers. Among 1649 (18%) mountain rescues, 296 (18.7%) involved a child.
  
  
  CONCLUSIONS
  Emergency physicians in MICUs are involved with children's prehospital care and need dedicated materiel and special training.
authors.affiliation: Clinique universitaire des urgences pédiatriques, hôpital couple-enfant, CHU de Grenoble, CS10217, 38043 Grenoble cedex 09, France; Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France. Electronic address: tesniere.marc@yahoo.fr.
authors.forename: M
authors.initials: M
authors.lastname: Tesnière
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; Service des urgences-SMUR, centre hospitalier de Saint-Jean-de-Maurienne, 81, rue du Docteur-Grange, 73302 Saint-Jean-de-Maurienne, France.
authors.forename: A
authors.initials: A
authors.lastname: Matonnier
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; SAMU 74, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France.
authors.forename: G
authors.initials: G
authors.lastname: Courtiol
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; SAMU 74, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France.
authors.forename: G
authors.initials: G
authors.lastname: Désormais
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; Réanimation pédiatrique, hôpital Couple-Enfant, CHU de Grenoble, CS10217, 38043 Grenoble cedex 09, France.
authors.forename: I
authors.initials: I
authors.lastname: Wroblewski
authors.affiliation: Clinique universitaire des urgences pédiatriques, hôpital couple-enfant, CHU de Grenoble, CS10217, 38043 Grenoble cedex 09, France; Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France.
authors.forename: A-P
authors.initials: AP
authors.lastname: Michard-Lenoir
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; Service des urgences-SMUR, centre hospitalier d'Albertville, 253, rue Pierre-de-Coubertin, 73208 Albertville cedex, France.
authors.forename: D
authors.initials: D
authors.lastname: Venchiarutti
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; Service de pédiatrie, centre hospitalier Alpes-Léman, 558, route Findrol, 74130 Contamine-sur-Avre, France.
authors.forename: I
authors.initials: I
authors.lastname: Pruvost-Dussart
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; Service des urgences-SMUR, centre hospitalier intercommunal du pays du Mont Blanc, 380, rue de l'Hôpital, 74703 Sallanches, France.
authors.forename: M
authors.initials: M
authors.lastname: Hallain
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France; SAMU 73, centre hospitalier de Chambéry, 7, square Massalaz, 73011 Chambéry, France.
authors.forename: H
authors.initials: H
authors.lastname: Mampe-Armstrong
authors.affiliation: Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France.
authors.forename: L
authors.initials: L
authors.lastname: Belle
authors.affiliation: Clinique universitaire des urgences pédiatriques, hôpital couple-enfant, CHU de Grenoble, CS10217, 38043 Grenoble cedex 09, France; Réseau nord-alpin des urgences, centre hospitalier de la région d'Annecy, 1, avenue de l'Hôpital, 74374 Pringy, France.
authors.forename: J
authors.initials: J
authors.lastname: Griffet
mesh_terms: D000293:Adolescent; D000552:Ambulances; D002648:Child; D002675:Child, Preschool; D004638:Emergency Treatment; D005260:Female; D005602:France; D006801:Humans; D007223:Infant; D007362:Intensive Care Units; D008297:Male; D012189:Retrospective Studies