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BRAZILIAN JOURNAL OF EMERGENCY MEDICINE VOLUME 02 / 34-47

Figure 7: Two major models of emergency care delivery in Europe.

decisions to direct the patient to the right place “stay, and compulsory regular participation in field rescue)
stabilize, load and go” would be the best attitude. can join an emergency doctor if necessary. Thus several
French SAMU are in America (Guadeloupe, Guyana,
15
The French SAMU pre-hospital system, has demonstrated Martinique), in Pacific Ocean (Tahiti,New Caledonia )
its expertise in particular in the management of COVID or in Reunion or Mauritius.
and in particular in long-distance (plane or train)medical
transport, shows that this expertise remains expensive and The French SAMU model exists in several Maghreb
few countries, including America. countries (Algeria, Morocco, Tunisia) as well as in Africa
(Benin Ivory Coast, Gabon).
The SAMU model in the world?
The dispatchof urgent calls is medicalized in Spain, Italy, REWARD: TURKEY
Portugal and France.
• Speciality: 1993
The technician dispatcher receive urgent calls on the nature
and reason for the call. • N of Doctors/inhabitant: 1.85‰
Regulating physicians are trained in emergency • Number of emergency physicians 1546
medicine. In Germany, it is “medical emergency
technicians” who decide to send a doctor on site. • World record system Emergency passages > 2000/day
These technicians have undergone validated two-year
training (80 hours of theoretical training in regulation • Features: 45% violence

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