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.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Corcostegui S, Galant J, Boutillier du Retail C. Prehospital Severe Trauma Management in Tactical Medicine. JAMA Surg. 2020;155(5):451–452. doi:10.1001/jamasurg.2019.6038
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: