Daoudal Anne, Philippe Page Jean, Yavari-Sartakhti Olivier, Bouhours Guillaume, Buzancais Gauthier, Sauzeat Bérangère, Ansart Francois, Quesada Jean-Louis, Ribelles Paul, Lecras Yael, Dusserre Patrice, Da Costa Valinkini, Cherbetian Michel, Arnaud Isabelle, Couret Anthony, Kedzierewicz Romain, Agopian Philippe, Arvieux Catherine
Department of Vascular Surgery, Porte de L'Orient Clinic, Lorient, France.
ESCRIM, French Civil Protection Field Hospital (EMT-2), Brignoles, France.
World J Surg. 2025 Jul;49(7):1858-1861. doi: 10.1002/wjs.12659. Epub 2025 Jun 19.
The Island of Mayotte was struck by the tropical cyclone CHIDO on 12/14/2024. The French government decided to deploy the Element de Securite Civile Rapide d'Intervention Medicale (ESCRIM) involving a joint detachment of rescue engineers from UIISC7 (Unité d'Instruction et d'Intervention de la Sécurité Civile) and firefighters, comprising a medical support and hospitalization detachment and a surgical support detachment. The aim of this work is to focus on the role of ESCRIM surgical team in Mayotte.
ESCRIM received 5533 patients between 12/24/2024 and 02/03/2025. A prospective cohort study was conducted from 12/31/2024 to 01/20/2025 on a subset of 130 consecutive patients which underwent surgery in the operating room (OR). Variables included patient demographics, surgical indications, and anaesthetic techniques used. Anonymised data were collected from medical records, surgical reports, and clinical notes.
There were 169 surgical procedures. The mean age of the patients was 31 years, 68% were female, and 27% of procedures were performed in children. General anaesthesia was used in 57% of procedures. The main surgical indications were post-traumatic extremity septic wounds of the upper limb (38%) and lower limb (27%). 80% of the wounds were grade IV according to the Centers for Disease Control and Prevention Surgical Wound Classification.
This study highlights the importance of adapting surgical practices in resource-limited settings and the necessity of in-depth cooperation and coordination among the entire response team and local practitioners. The results of this study contribute to the ongoing challenges of data collection in austere or limited environments.
马约特岛于2024年12月14日遭受热带气旋希多袭击。法国政府决定部署快速民事安全医疗干预部队（ESCRIM），其中包括来自民事安全指令与干预部队7（UIISC7）的救援工程师和消防员的联合分遣队，包括医疗支持和住院分遣队以及手术支持分遣队。这项工作的目的是关注ESCRIM手术团队在马约特岛所发挥的作用。
ESCRIM在2024年12月24日至2025年2月3日期间接收了5533名患者。于2024年12月31日至2025年1月20日对在手术室接受手术的130例连续患者进行了一项前瞻性队列研究。变量包括患者人口统计学特征、手术指征和所采用的麻醉技术。从医疗记录、手术报告和临床记录中收集了匿名数据。
共进行了169例外科手术。患者的平均年龄为31岁，68%为女性，27%的手术在儿童中进行。57%的手术采用全身麻醉。主要手术指征是上肢（38%）和下肢（27%）创伤后肢体脓毒性伤口。根据疾病控制与预防中心的手术伤口分类，80%的伤口为IV级。
本研究强调了在资源有限的环境中调整手术实践的重要性，以及整个应急团队与当地从业者之间深入合作与协调的必要性。本研究结果有助于应对严峻或有限环境中数据收集方面持续存在的挑战。
