Abstracts -12th World Congress on Disaster and Emergency Medicine, Lyon, France departments (n = 17). Most often, a nurse undertook daily (71%) or weekly (14%) systematic verification of endotracheal intubation equipments in 87 emergency departments (94.6%). The necessary drugs for the performance ofendotracheal intubation and that were present in emergency rooms were: (1) midazolam, 100%; (2) diazepam, 98.9%; (3) thiopental, 83.3; (4) propofol, 83.3%; (5) fentanyl, 81.1%; (6) succinylcholine, 77.8%; (7) etomidate, 77.8%; (8) ketamine, 57.8%; vecuronium, 55.6%; (9) rocuronium, 31.1%; and (10) other non-depolarizing agents, 26.7%. In case of difficult airway management, the emergency practitioners found these other supplies available in emergency rooms: (1) kit for cricothyroidotomy, 69.7%; (2) catheter for percutaneous transtracheal ventilation ; (3) kit for retrograde intubation, 21.3%; (4) intubating laryngeal mask airway, 21.3%; (5) combitube, 14.6%; (6) fibroscope, 14.6%; and (7) fast-track, 12.4%. Conclusion: Anaesthetic agents are present in most of emergency departments. These emergency departments are less equipped with equipment and supplies for difficult airway techniques. The presence of airway management protocols or guidelines are rare. However, in France, it is necessary to improve the endotracheal intubation training of emergency physicians. In this training, the practitioners also must learn rapid sequence intubation (RSI), which is a standard emergency department procedure, and new airway devices such as the intubating laryngeal mask airway and a Bullard laryngoscope bade.

No abstract

Introduction:The suicide prevention is a public health priority in France; there are approximately 12,000 deaths by suicide (prevalence 24 cases for 100,000 inhabitants) and 150,000 suicide attempts per year; these data probably are an underestimate. The purpose of this work is to identify the incidence and profile of patients following a suicide attempt examined in Emergency Departments (ED), and to develop a different epidemiological aspect. Methods: This was a one-week prospective study conducted in ED of various sizes, situated all over the French territory. This inquiry has been realised with the help of a questionnaire filled in at the patient's bedside. Data concerned the patient, the suicidal gesture, and the patient's evolution. Results: Data for a total of 640 patients following suicide attempts were collected from 57 EDs; the mean suicide attempts rate per ED was 11.2 ±9 (range 0-51) and the number of patients in one week was >7 in 75.4% of the EDs. Except for <15-year old patients, the number of females predominated (64.5%). The mean age was 34.8 ±13.6 years (range 12-95 years) ; only 21 (3.3%) of the patients were >65 years old, and the majority (77%) were 15 to 44 years old. The social status indicated that 35.5% of the patients were unmarried, 36.7% were married and almost quarter of them were separated from their spouse, 8.3% were divorced, 3.1% were widowers, and 13.6% were in cohabitation. Nearly 45.3% of the women were unemployed vs. 41.4% of the men. Except for those patients >65-years old, the age brackets, which were mostly concerned by professional inactivity, were 35-44 years for women, 25-34 years for men, and 55-64 years in both. Employees, students or schoolkids, and civil servants gathered almost 78% of all occupations. A psychiatric past history including suicide attempt, psychiatric hospitalization, or consultation was found in 68.8% of women and 62.1% of men. Drug addiction, HIV seropositivity, or chronic alcoholism concerned respectively 6.7, 1.1, and 12.8% of patients, and were significantly more frequent among men. A medical physician or a psychiatrist had been consulted by 40.5% of patients during the month preceding the suicidal act. The mean time interval between the suicide attempt and ED consultation was 332 ±550 min (range: 15 min-4 days). The suicidal procedure most often (73.3%) was unique (one procedure); when two different procedures were used in 24.7%, it was mostly in association with alcohol ingestion. Voluntary drug intoxications by ingestion were employed 580 times (90.6%), associated 143 times to alcohol ingestion and/or 27 times to others suicidal gestures. Alcohol ingestion was sometimes the only suicidal gesture (1.4%). The other suicidal procedures were selfmutilation by phlebotomy (5%) or with knife (0.8%), illicit drugs abuse (1.9%), hanging (1.7%), household products or glass ingestion (1.1%), gas inhalation (0.6%), drowning (0.6%), road accident (0.5%), firearm (0.3%), jump (0.16%), electrocution (0.16%), or immolation (0.16%). The majority of patients ha...

Phytotherapy is the main complementary medicine for which patients afflicted with cancer have recourse but the associated consumption of phytotherapy products gives rise to a risk of interaction with anticancer agents. The aim of this prospective study was to measure the prevalence of the consumption of phytotherapy products as well as their interactions with anticancer agents in a cohort of patients from January 2018 to August 2019. Patients hospitalized in the conventional hematology unit and outpatients who had their prescriptions for oral anticancer agents filled at the hospital pharmacy were questioned about consumption of phytotherapy products by pharmacy externs trained in pharmaceutical interviews. Among the 110 hospitalized patients who answered the questionnaire, 40% (n = 44) used phytotherapy and 5 of them continued to consume it during the cycles of injectable chemotherapy. As a result, 10 interactions were found between the plants and the anticancer agents (prevalence of 27%). Among the 59 outpatients, 17% (n = 10) consumed phytotherapy. Eight interactions were identified (prevalence of 80%). The potential consequences were an increase or a decrease in the concentration of the anticancer agents and an increase in the risk of bleeding, hepatoxicity, and hypokalemia. The consumption of phytotherapy was unknown by a health professional for 44% of hospitalized patients and 60% of the outpatients. The risk of interactions between plants and anticancer agents is not negligible and professionals should be cognizant of this in their daily practice. The availability of tools for training and detection of interactions is indispensable for managing patients undergoing onco-hematology treatments.