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SFAR / Samu de France / SFMU / SRLF

Monitorage du traumatisé grave en préhospitalier

Monitorage du patient traumatisé grave en préhospitalier

Independent summary, neither edited nor endorsed by the societies cited.

This summary is currently available in French only (titles, summaries and recommendations): the English version is in preparation.

Update in progress. The society has announced a new version of this guideline; the summary will be updated as soon as it is published.

Scope of the guideline

Médecins exerçant en médecine d'urgence préhospitalière, pour tout patient traumatisé grave (suspect de lésion(s) pouvant engager le pronostic vital, y compris si l'examen clinique initial semble rassurant du seul fait du mécanisme/de la cinétique).

Key points

  • Le monitorage complète l'examen clinique, souvent pris en défaut : 20 % des décès traumatiques sont évitables.
  • Oxymétrie de pouls systématique et capnographie après intubation.
  • Surveillance ECG continue ; brassard adapté, en sachant que la mesure oscillométrique n'est pas fiable en cas d'hypotension ou de frissons.

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Contents of the full summary

  1. Question 1 — Pourquoi monitorer les patients traumatisés graves en préhospitalier ?
  2. Question 2 (1/2) — Monitorage cardiovasculaire
  3. Question 2 (2/2) — Monitorage thermique
  4. Question 3 — Monitorage respiratoire
  5. Question 4 — Monitorage neurologique
  6. Question 5 — Monitorage biologique
  7. Question 6 — Monitorage en intervention secondaire (transferts)
  8. Question 7 — Femme enceinte et enfant traumatisés graves
  9. Question 8 — Monitorage en milieu difficile (montagne, mer, catastrophe, NRBC)
  10. Synthèse et messages clés
Societies
SFAR, SFMU, SRLF
Document
Conférence d'experts · 2006
Methodology
Conférence d'experts (pas de GRADE)
Endorsement
Conférence d'experts SFAR/Samu de France/SFMU/SRLF

Older source. Guideline published in 2006, more than 10 years ago: check with the society that no update has been published since.

Official source document ↗ — freely available on the society's website (link checked on 12 October 2026).

Other summaries — Emergency medicine

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Independent summary: it replaces neither the full text of the official guideline nor clinical judgement, and is neither edited nor endorsed by the societies cited. Our approach