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Circular Of October 14, 2009 On The Application Of The Decree Of 24 April 2009 On The Implementation Repository On The Organisation Of Relief To Anyone And Emergency Medical Assistance And The Order Of May 5, 2009 Relat...

Original Language Title: Circulaire du 14 octobre 2009 relative à l'application de l'arrêté du 24 avril 2009 relatif à la mise en œuvre du référentiel portant sur l'organisation du secours à personne et de l'aide médicale urgente et de l'arrêté du 5 mai 2009 relat...

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JORF n°0247 du 24 octobre 2009 page 17881
text No. 54



Circular dated 14 October 2009 on the application of the April 24, 2009 decision on the implementation of the repository on the organization of emergency relief and medical assistance and the May 5, 2009 decision on the implementation of the repository for the organization of the ambulance response to the pre-hospital emergency

NOR: IOCE0924155C ELI: https://www.legifrance.gouv.fr/eli/circular/2009/10/14/IOCE0924155C/jo/texte



Paris, 14 October 2009.


Minister of the Interior, Overseas and Territorial Communities and Minister of Health and Sports in Ladies and Gentlemen prefects of Department, Departmental Directorate of Health and Social Affairs (for application), Departmental Fire and Relief Services (for application), Ladies and Gentlemen Directors of Regional Hospitalization Agencies (for application), Ladies and Gentlemen Prefects of Regions, Regional Health Directorates
Following the release of the two Orders, quoted as the subject, some of you have been telling us about the implementation of the emergency relief organization repository and the urgent medical assistance and the organisational repository of the ambulance response to the pre-hospital emergency.
In this context, it should be recalled that these two referentials are part of "the urgent medical assistance which, in particular in relation to the communal and departmental relief arrangements, is intended to ensure to the sick, injured and parturient, in any place they are located, the emergency care appropriate to their condition". (Article 6311-1 of the Public Health Code).
As such, it is necessary to re-evaluate the missions of the actors:
- UAS Centre 15 and SDIS, public services, have in common emergency assistance to persons;
– sanitary carriers, in the private sector, provide the ambulance response as part of their involvement in emergency medical assistance, under the responsibility of UAS Centre 15.
1. SAMU-SDIS repository, as defined inarrested on 24 April 2009, aims to organize emergency medical assistance and assistance.
It concerns organizational procedures applicable between the two public services.
To this end, it provides for the adaptation of the SDIS and UAS operational organization by the end of 2009. Regular monitoring of the implementation of the repository is ensured through the creation of a national quadripartite committee, whose composition is provided for in Article 2 of the Order of April 24, 2009.
We ask you to inform the National Monitoring Committee of developments and any possible difficulties you may encounter in the implementation of the repository.
2. SAMU-sanitary relays, as defined in thearrested on 5 May 2009, aims to organize the ambulance response to the pre-hospital emergency.
This is a redefinition of the modalities for organizing ambulance operators and their links with the UAS Centre 15, based on volunteerism. Without obstructing the decision of 24 April 2009, this document formalizes the participation of private health carriers in the organization of the ambulance response to the pre-hospital emergency by particularly providing a single interlocutor of Centre 15: the ambulance coordinator who " receives the operational instructions of the regulatory doctor and transmits requests for intervention to the various health carriers of the territory concerned". This measure is intended to allow the profession to organize, reduce the number of ambulance unavailability and ensure the traceability of the activity of ambulance operators.
Accordingly, the two references are complementary. However, they cover separate application fields.
3. Two provisions deserve specific lighting to facilitate the operationalization of these repositories.
As part of their procedures, the two referrals reaffirm the role of the medical regulation of calls that is systematically operated by UAS. They are responsible for assessing the severity of the medical situation.
With regard to situations specifically related to "reflex departures" (defined in Appendix I of the referential on the organization of personal relief and urgent medical assistance), medical regulation is carried out as soon as possible, after the triggering of the SDIS means.
As part of the ambulance response to the pre-hospital emergency, any use of a health carrier depends on the medical regulation that is before.
The circular dated 29 March 2004 on the role of UAS, SDIS and ambulance operators in emergency medical assistance is repealed. Notwithstanding the need for the signature of two conventions (SAMU-SDIS and SAMU-ambulanciers), within the framework of a tripartite protocol (SAMU, SDIS, Ambulances) under the authority of the Prefect, you will ensure the operational coherence of the modalities for the implementation of the two Orders of 24 April and 5 May 2009.
You will also ensure that a specific committee is regularly convened under your authority to evaluate the implementation of the protocol and to correct any malfunctions.
You may wish to share with each department of which you report the difficulties you would encounter in the application of this circular.


The Minister of the Interior,

the overseas and territorial authorities,

For the Minister and by delegation:

The Director of Civil Security,

A. Perret

Minister of Health and Sports,

For the Minister and by delegation:

The Director of Hospitalization

and the organization of care,

A. Scent


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