2023-09-05 22:22:10
The situation of emergency services and mobile emergency and resuscitation services (SMUR) has “continued to deteriorate” during the summer of 2023 to reach a voltage ” unprecedented “deplores the Samu-Urgences de France union in a report published on Wednesday, September 6.
“The system gives the illusion of having held up” the union said in a statement. “ But the conditions of reception and care are profoundly altered. Working conditions have become unbearable and inhumane for our exhausted professionals. Health security is sometimes no longer guaranteed, including for life-threatening emergencies. »
The union, which regrets “lack of centralized collection” data on the difficulties encountered by the services, carried out a survey of SMURs and emergencies on the working conditions observed in July and August.
163 emergency services by a closure
According to this assessment, relating to ” more than half “ of the 680 emergency structures in France, 163 emergency services closed at least once during the two summer months, while 166 SMUR closed at least one unit over the period.
“The novelty is that last year, it was a few services here and there. This year, almost all departments are concerned.underlined to AFP Marc Noizet, president of the union and head of emergencies and the Samu of Mulhouse (Haut-Rhin).
Similarly, 157 emergency services say they have closed at least one medical line, in connection with the strong tensions on the availability of emergency doctors, in particular since April 2023 and the entry into force of the Rist law on medical interim.
“There are a lot of services that hold an operation at arm’s length, with fewer doctors to welcome patients”says Dr. Noizet. “It’s catastrophic in terms of waiting times, patient safety, team exhaustion and quality of care.”
Need reinforcements
Regarding the Samu-Centres 15, three-quarters of them say they needed reinforcements from medical regulation assistants (ARM), but a third could not find any. “There must be recognition of the seriousness of the situation, and there must be investments, in particular in hospital attractiveness”claimed Marc Noizet.
In particular, the union is asking “to streamline the emergency downstream”by increasing the number of hospital beds, to increase the salaries of care services carried out at night or on weekends, or to strengthen the services regulating access to emergencies.
Less serious situation presented by the Minister
During a press conference on Tuesday, September 5, the French Hospital Federation (FHF) for its part estimated that the situation of emergency services has deteriorated in 41% of establishments compared to 2022, and that the access to hospital beds has deteriorated in one year in 52% of establishments.
The Minister of Health, Aurélien Rousseau, presented other figures. “We have 680 emergency services in France, five were completely closed this summer, around forty had to close punctually”he assured Tuesday morning on France 2.
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