Ze Minkandé J, Simo Moyo J, Afane Ela A, Penlap Temdié E, Nnomoko Bilounga E, Béyiha G, Binam F
Département de Chirurgie et Spécialités Faculté de Médecine et des Sciences Biomédicales Université de Yaoundé I, Cameroun.
Med Trop (Mars). 2009 Dec;69(6):577-80.
The purpose of this article is to present the results of a descriptive and retrospective study of the operations of the emergency medical assistance service (SAMU) in Yaounde, Cameroon.
Medical regulation and intervention records and monthly statistics forms were analysed for the period going from the creation of the SAMU in 2004 to March 2007. Study was limited to call reception, medical regulation, and extra-hospital and training activities. Study focused on operations and services.
The SAMU in Cameroon is managed by a pilot committee presided by the Minister of Public Health and headed by a technical executive secretary. The single phone number to contact SAMU Yaoundé is 19 (119). When a call comes, the personnel on duty in the regulation room identifies the caller and either gives a non-medical response or transfers the call to an on-call emergency doctor who decides whether or not on-site intervention is required. In the 3-year study period, the SAMU received 50,822 calls per year (mean, 1694 +/- 2195). There were 1 596 prank calls (3.14%), 31 044 (61.08%) calls requesting non-medical information, and 2054 (4.04%) calls requiring on-site intervention. The number of calls decreased by 23% from the first to third year of operation. The number of on site-interventions carried out by Yaoundé SAMU was 578 in the first year, 651 in the second and 825 in the third year. A total of 1555 interventions were carried out including 142 that ended in no action and 107 that ended in late arrival. Road traffic accidents were the main reason for intervention. Only one training session was organised for the personnel during the first year of operations.
The SAMU Yaoundé is based on the French model (on-site care). The number of calls has dropped from the first to third year but the number of prank calls has also decreased. Road traffic accidents accounted for most of the on-site interventions. Further work is needed to increase public awareness of the importance of the SAMU and to provide training for SAMU personnel.
本文旨在呈现对喀麦隆雅温得紧急医疗救助服务（SAMU）运作情况进行的描述性回顾性研究结果。
对2004年SAMU成立至2007年3月期间的医疗调度与干预记录以及月度统计表格进行分析。研究仅限于呼叫接收、医疗调度以及院外和培训活动。研究重点在于运作和服务。
喀麦隆的SAMU由一个由公共卫生部长主持、技术执行秘书领导的试点委员会管理。拨打雅温得SAMU的唯一电话号码是19（119）。来电时，调度室值班人员识别来电者，要么给予非医疗回复，要么将电话转接给随叫随到的急诊医生，由其决定是否需要现场干预。在为期3年的研究期间，SAMU每年接到50,822个电话（平均1694 ± 2195）。其中有1596个恶作剧电话（3.14%），31,044个（61.08%）电话请求非医疗信息，2054个（4.04%）电话需要现场干预。运营的第一年到第三年，电话数量减少了23%。雅温得SAMU第一年进行了578次现场干预，第二年为651次，第三年为825次。总共进行了1555次干预，其中142次无行动结果，107次延迟到达。道路交通事故是进行干预的主要原因。运营第一年仅为工作人员组织了一次培训课程。
雅温得SAMU基于法国模式（现场护理）。从第一年到第三年，电话数量有所下降，但恶作剧电话数量也减少了。道路交通事故占现场干预的大部分。需要进一步开展工作，以提高公众对SAMU重要性的认识，并为SAMU工作人员提供培训。
