Sauv Life: paramedic teams to support emergency situations

How did Sauv Life come to develop telemedicine teams?

We are an association that fights against sudden death, in particular with a consumer application that anyone can download, which allows anyone close to someone who needs help to go there to help, while they are waiting for help. But during the health crisis, we realized that there was a great need for home assessments: this is where the idea of ​​mobile telemedicine units was born.

What is the difference between your teams and a traditional teleconsultation?

First of all, with the patient we have a nurse who brings his point of view to the caregiver and who has equipment: defibrillators, diagnostic tests… He is the eyes and hands of the doctor who is on the other side of the hospital. the screen. The other big difference is that it is not “open bar”. The intervention of our teams is regulated by a doctor within the framework of Samu or the duration of care.

How many teams do you currently have?

The first team, at the end of 2020, was created in Saint-Lô in the Manche department. Since the feedback we had was positive, we opened others: one in Avranches, still in Manche, then several in Île-de-France. At the beginning of July, before the Braun report advocated the development of this type of team, we had 6. We now have 15 and we continue to create new ones.

What “positive feedback” do you have?

Out of approximately 10,000 procedures performed to date, we have had between 75 and 80% of patients subsequently not having to travel, whether they were in the hospital or in the city. We also estimate that, compared to physical visits, we save about two-thirds of the doctor’s time. Furthermore, 9 out of 10 of a sample of people we called say they are satisfied: they therefore do not feel undermedicated at all.

Who are the nurses involved?

They come from all walks of life: the liberals, Ehpad, the hospital… It works in shifts. And contrary to what we might have feared, we don’t have too many recruitment difficulties. I think it is interesting for the nurses because it is varied and rewarding work: people are very happy to see the team arrive, they serve people who have difficulty accessing care.

How will the experience be evaluated?

An evaluation will be carried out by an external body in September. I would also like to point out that these teams are one tool among others: they help alleviate emergency room congestion and improve access to care, but they complement other interventions.

What obstacles can you foresee for the development of mobile teams?

There must be understanding, not opposition, from the liberal world. Some see it as competition, but it is not at all: we perform unplanned, regulated care. There is also the issue of funding. Today, the doctor is paid for the teleconsultation, and the vehicle and the nurse are paid for by ARS funds. Which model can we choose for the future? In the current state, we cannot count on the remuneration for the private nurse consultation, which is far too low. For our part, we believe that these teams should eventually be integrated into the Care Access Service and financed as such.

Interview by Adrien Renaud

Contact: infirmier@sauv.org

ALSO READ

– “Emergency crisis: summer measures… and after”, Espaceinfirmier.fr, 07/07/2022

– Martin L., “Isère: The Idelses respond to requests for unplanned care”, Espaceinfirmier.fr, 05/07/2022

– Clausener M., “Tension in the emergency room: promise of solutions before the summer”, Espaceinfirmier.fr, 06/01/2022.

– Laborde T., “Orléans emergency room in crisis, a first”, Espaceinfirmier.fr, 14/04/2022.

– Renaud A., “SAS has left the launch chamber”, L’Infirmièr.e, No. 13, October 2021.

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