open access

Vol 70, No 3 (2019)
MARITIME MEDICINE Original articles
Published online: 2019-10-03
Submitted: 2019-02-13
Accepted: 2019-09-13
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Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Jean-Paul Boudsocq, Guillaume Bellec, Coralie Gueho, Hugo Lenglet, Franck Peduzzi
DOI: 10.5603/IMH.2019.0025
·
Pubmed: 31617939
·
International Maritime Health 2019;70(3):158-166.

open access

Vol 70, No 3 (2019)
MARITIME MEDICINE Original articles
Published online: 2019-10-03
Submitted: 2019-02-13
Accepted: 2019-09-13

Abstract

Background: Marseille is the second largest city in France. The Marseille Fire Brigade (BMPM) is the largest unity of the French Navy. This organization is in charge of rescue operations and medical intervention in the Marseille area. The aim of the study was to describe the epidemiology of interventions that required a physician to be present that were performed by the BMPM between the years of 2005 to 2017. 

Materials and methods: The statistical office database of the BMPM and the medical interventions forms (FIM) acquired from the BMPM medical ambulances (SMUR) archives were analysed from the years 2005 to 2017. 

Results: The BMPM performed a total of 2,375 interventions in the maritime environment between 2005 and 2017. A physician was necessary for intervention a total of 186 times. The extraction and analysis reports of 107 medical intervention forms found the BMPM archives revealed a significant number of interventions (67%) in the southern bay of Marseille and Frioul, specifically from the If and Planier islands. The majority of interventions (77%) took place within the 300m band. The most common cause of medical intervention was due to an accidental fall into the water, followed by boating (sailing and motor), and swimming. Drowning was the most common cause of mortality, consisting of 34% of all interventions. Diving accidents represented 14% of interventions. Trauma affected 22% of the study population and 83% of trauma patients were transported to the hospital under the supervision of a physician. 

Conclusions: Potential areas for improvement in the management of drowning victims are the use of Szpilman’s classification, sonography, and non-invasive ventilation. A recertification course for medical education training of BMPM doctors on the management of diving accidents could help to optimize the information recorded on FIM. Accident prevention training should be continued and reinforced when it comes to maritime activities. 

Abstract

Background: Marseille is the second largest city in France. The Marseille Fire Brigade (BMPM) is the largest unity of the French Navy. This organization is in charge of rescue operations and medical intervention in the Marseille area. The aim of the study was to describe the epidemiology of interventions that required a physician to be present that were performed by the BMPM between the years of 2005 to 2017. 

Materials and methods: The statistical office database of the BMPM and the medical interventions forms (FIM) acquired from the BMPM medical ambulances (SMUR) archives were analysed from the years 2005 to 2017. 

Results: The BMPM performed a total of 2,375 interventions in the maritime environment between 2005 and 2017. A physician was necessary for intervention a total of 186 times. The extraction and analysis reports of 107 medical intervention forms found the BMPM archives revealed a significant number of interventions (67%) in the southern bay of Marseille and Frioul, specifically from the If and Planier islands. The majority of interventions (77%) took place within the 300m band. The most common cause of medical intervention was due to an accidental fall into the water, followed by boating (sailing and motor), and swimming. Drowning was the most common cause of mortality, consisting of 34% of all interventions. Diving accidents represented 14% of interventions. Trauma affected 22% of the study population and 83% of trauma patients were transported to the hospital under the supervision of a physician. 

Conclusions: Potential areas for improvement in the management of drowning victims are the use of Szpilman’s classification, sonography, and non-invasive ventilation. A recertification course for medical education training of BMPM doctors on the management of diving accidents could help to optimize the information recorded on FIM. Accident prevention training should be continued and reinforced when it comes to maritime activities. 

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Keywords

firefighters; drowning; diving; emergency service; first aid; naval medicine

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About this article
Title

Epidemiology of physician interventions in maritime environment by the Marseille Fire Brigade (BMPM) from 2005 to 2017

Journal

International Maritime Health

Issue

Vol 70, No 3 (2019)

Pages

158-166

Published online

2019-10-03

DOI

10.5603/IMH.2019.0025

Pubmed

31617939

Bibliographic record

International Maritime Health 2019;70(3):158-166.

Keywords

firefighters
drowning
diving
emergency service
first aid
naval medicine

Authors

Jean-Paul Boudsocq
Guillaume Bellec
Coralie Gueho
Hugo Lenglet
Franck Peduzzi

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