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Emergency medical services in France
・ Emergency medical services in Germany
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Emergency medical services in France : ウィキペディア英語版
Emergency medical services in France

Emergency medical services in France and Luxembourg are provided by a mix of organizations under public health control, with the lead taken by a central control function called SAMU, which stands for ''Service d'Aide Médicale Urgente'' or Urgent Medical Aid Service. This central hub is supported by resources including first response vehicles or ambulances provided by the fire service or private ambulance services with or without a physician-led car provision from SMUR (''Service Mobile d'Urgence et Reanimation'' – literally translated as Mobile Emergency and Resuscitation Service) which are "mobile intensive care units" (MICU) that have one or more physicians on board.〔(【引用サイトリンク】title=National SAMU website )
==Organization==
A law in 1986 defined SAMU missions as hospital-based services providing permanent phone support, choosing and dispatching the proper response for a phone call request. The central component of SAMU is the dispatch centre where a medical regulation team of physicians and assistants has the task of:
*analysing calls to decide on the patient's need
*deciding the best solution for the patient's care
*dispatching the most appropriate mobile care resource (MICU, Ambulance, or Mobile care professional), ''or''
*directing the patient to an alternative fixed resource such as primary care medical surgery or hospital service, ''or''
*offering care advice over the telephone
Because of aggressive triage (called medical regulation), only about 65% of requests to SAMU actually receive an ambulance response.〔 Current performance on emergency calls is arrival at scene within 10 minutes for 80% of responses, and within 15 minutes for 95% of responses.
This means that SAMU controls a variety of resources within a community from general practitioners to hospital intensive care services.
SAMU is organized at the 'Département' level, with each Département organizing its own service, each of which is identified with its département's unique two-digit number code, for instance SAMU 06 in Nice and SAMU 75 in Paris.〔(【引用サイトリンク】title=SAMU Numbers )
Additionally, two SAMU have specific tasks :
* The Paris SAMU is responsible for providing service to high-speed trains (TGV) and Air France aircraft, while in flight.
* The Toulouse SAMU is responsible for providing service to ships at sea.
In addition to the mainland French Departments, SAMU also operates in most of the offshore North and South American Départements, such as Guadeloupe (SAMU 971), Martinique, Guyane or Pacific and Indian French Islands (Tahiti Reunion).

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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