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The Serious Situation in French Emergency Services: Tourist Areas in Precarious Conditions

Marc Noizet, president of Samu-Urgences de France and head of the emergency department of the hospital group in the region of Mulhouse and Sud-Alsace. Photo L’Alsace/Vincent VOEGTLIN

In emergencies, “the situation is more serious than last summer” in France, said Tuesday Marc Noizet, president of Samu-Urgences de France, stressing that all departments are affected but also tourist areas in high season.

“The situation is more serious than last summer because it now affects all departments of France, large services and small services. Last summer, we had red zones ”, declared on Europe 1 the one who is also head of the emergency service of the hospital group in the region of Mulhouse and South-Alsace.

Tourist areas “in very, very precarious conditions”

For Marc Noizet, “the novelty is that extremely touristy areas (…) are today in very, very precarious conditions”, citing Les Sables-d’Olonne (Vendée) or Arcachon (Gironde) “where they were obliged to set up a structure in the parking lot in front of the hospital where doctors do minor traumatology to alleviate emergencies” or even Saint-Tropez (Côte d’Azur) “which almost closed its emergency department”.

“More pernicious”, according to him, “we close Smur, the part of the hospital which moves on the public road or to your home when there is a serious incident”, “sometimes for a night or a weekend “.

“For example, around Angers, this extended weekend with the August 15 bridge, seven Smurs are closed, but it affects vital emergencies,” he added.

In the emergency room, as elsewhere in the hospital, “all the reinforcements that we were able to mobilize were”, and “the regulation of the remuneration of temporary workers did a lot of harm, even if it was a necessary evil” , said the president of Samu-Urgences de France.

Rousseau “recognizes” the problems

As for the medical regulation assistants (ARM), the first to pick up calls to the Samu and on strike in 69 of the 100 departmental centers, “they are poorly paid, have problems with career advancement and the adequacy of their number compared to the flow,” he explained.

“There is a real problem, the minister recognizes it, now things should move forward,” said Marc Noizet.

Visiting the Toulouse Samu on Monday, the Minister of Health, Aurélien Rousseau, declared that “some” of the demands of the striking ARMs were “legitimate” and that he intended to “work on it in the very next few weeks”.

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