Am J Manag Care. 2021 Apr 1;27(4):e135-e136. doi: 10.37765/ajmc.2021.88623.
To describe a complete panel of actions of the Service de Santé des Armées (SSA) (ie, French Military Health Service) that together contributed to prevent French health system saturation during the coronavirus disease 2019 (COVID-19) pandemic.
Observational retrospective study.
Actions taken by military practitioners in the Parisian military hospitals, which contained 500 beds, to fight COVID-19 were listed and described.
The Parisian military hospitals were fully reorganized to offer 147% more intensive care unit beds and took care of 665 inpatients with COVID-19 while continuing their core mission of war-wounded military care. A strategy to prioritize the use of medicine and medical devices was designed to avoid shortages. Field intensive care unit deployment and airborne collective medical evacuation by the SSA's MoRPHEE system avoided hospital saturation.
Key facets of this achievement were interunit collaboration, esprit de corps, and health workers' adaptability. Small hospitals can provide a coherent answer to the COVID-19 pandemic, as long as they organize and prioritize the patients' care.
描述法国军队卫生勤务局（SSA）采取的一整套行动，这些行动共同有助于防止 2019 年冠状病毒病（COVID-19）大流行期间法国卫生系统饱和。
观察性回顾性研究。
列出并描述了在巴黎军事医院工作的军人采取的抗击 COVID-19 的行动。
巴黎军事医院全面重组，提供了 147%的重症监护床位，并收治了 665 名 COVID-19 住院患者，同时继续执行其核心的军事伤员救治任务。制定了一项药品和医疗器械使用优先级策略，以避免短缺。SSA 的 MoRPHEE 系统部署野战重症监护病房和空运集体医疗后送，避免了医院饱和。
这一成就的关键方面是单位间的协作、团队精神和卫生工作者的适应能力。只要组织和优先考虑患者的护理，小医院也可以为应对 COVID-19 大流行提供一致的应对措施。
