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Comment & Response
February 26, 2020

Prehospital Severe Trauma Management in Tactical Medicine

Author Affiliations
  • 1French Military Health Service, 1ère Antenne Médicale Spécialisée, Versailles, France
JAMA Surg. 2020;155(5):451-452. doi:10.1001/jamasurg.2019.6038

To the Editor As military physicians, we read with great interest the article of Gauss et al1 describing the close link between in-hospital trauma mortality and prehospital time in our French physician-staffed emergency medicine system. The Groupe d'Intervention de la Gendarmerie Nationale (GIGN) is a French military tactical unit, including an emergency medical support team from the French military health service. The engagement of the GIGN in a crisis or a case of banditry is a marker of a high risk of violence, with penetrating wounds, blast injuries, or car crashes, mostly in rural areas. Our medical presence reduces the access time to a service member or hostage wounded. This makes it possible to gain precious time before the arrival of a civilian mobile intensive care unit. During the 45 years of the GIGN's interventions, only 1 service member killed in action was recorded.

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