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T*
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0 -1.5327 TD
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T*
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[(Š )341.8( )341.8(un travail dÕquipe dans des vhicules adapts cette nouvelle mission)]TJ
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/F9 1 Tf
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12.6913 15.7676 TD
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-12.8913 -19.933 TD
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0 -1.2 TD
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(ts de remplissage, respirateurÉ\) les vacuations commencent tre mdica-)Tj
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-13.4913 -26.4984 TD
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T*
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T*
0.0833 Tw
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13.7913 30.0984 TD
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7.8997 -36.6638 TD
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-22.491 -1.2 TD
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T*
0.1147 Tw
(zone administrative donne et dÕen permettre la mobilisation et lÕengagement.)Tj
T*
0.1091 Tw
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T*
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(de Malpasset en amont de Frjus. Cette tragdie fera plus de 500 morts le)Tj
T*
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[(2 dcembre )-83.3(1959.)]TJ
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[( la modernisation de la scurit civile du 13 )83.3(aot 2004. )]TJ
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9.9 0 0 11 54.087 186.042 Tm
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-15.1913 -51.0619 TD
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T*
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T*
0.1255 Tw
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T*
0.1191 Tw
( la renaissance de la mdecine prhospitalire quÕavec le dcret de dcembre)Tj
T*
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T*
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T*
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( )Tj
0 0 0 1 k
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(HISTORIQUE DU CONCEPT DE MDECINE EN SITUATION DE CATASTROPHE)Tj
/F10 1 Tf
10 0 0 10 212 680 Tm
0 g
0 Tw
( )Tj
0 0 0 1 k
-15.7913 -6.0368 TD
0.0664 Tw
(Paris, Reims, Nancy et Toulouse. Le professeur Louis Lareng cre Toulouse)Tj
0 -1.2 TD
0.1445 Tw
(le premier Service dÕAide Mdicale Urgente, le professeur Serres cre Mont-)Tj
T*
0.0166 Tw
[(pellier le premier Service Mobile dÕUrgence et de Ranimation. La loi du 19 )16.6(juillet)]TJ
T*
0.0833 Tw
[(1972 puis du 6 )83.3(janvier 1986 encadre cette Aide Mdicale dÕUrgence. )]TJ
/F9 1 Tf
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( )Tj
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/Cs12 cs 1 scn
0.0835 Tw
[(5. )82.2( )83.2(Cration et volution du concept de mdecine )]TJ
1.3931 -1.0003 TD
(de catastrophe )Tj
10 0 0 10 218 680 Tm
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0 Tw
( )Tj
9.9 0 0 11 54.087 508.903 Tm
0 0 0 1 k
-0.0011 Tw
(5.1. Le plan rouge)Tj
/F10 1 Tf
10 0 0 10 221 680 Tm
0 g
0 Tw
( )Tj
0 0 0 1 k
-16.6913 -18.7462 TD
0.2064 Tw
(La rflexion sur lÕurgence collective dbute partir de 1975. Elle ressort des)Tj
0 -1.2 TD
0.0988 Tw
[(Ē )98.8(opportunits accidentelles )98.8(Č de Paris et des grandes villes avec son lot dÕacci-)]TJ
T*
0.0127 Tw
(dents de trains, dÕavions, explosions et dÕincendie. Ce constat dÕchec permet un)Tj
T*
0.2306 Tw
(dbut dÕanticipation avec passage de lÕindividuel au collectif, du quotidien )Tj
T*
0.1269 Tw
[(lÕexceptionnel )126.9(; la mdecine du quotidien est inoprante en urgence collective,)]TJ
T*
0.0645 Tw
(elle doit tre adapte aux situations dÕexception. Les premiers attentats urbains,)Tj
T*
0.522 Tw
(les secours dÕaroport, les rassemblements de foule serviront les essais)Tj
T*
0.0955 Tw
(oprationnels avec les nombreux blesss sur site et lÕafflux massif de victimes )Tj
T*
0 Tw
(lÕhpital.)Tj
0 -1.8031 TD
0.22 Tw
(DÕautre part, lÕengagement du service de sant des armes lÕtranger, par)Tj
0 -1.2 TD
0.016 Tw
(exemple la mission de lÕlment Militaire Mdical dÕIntervention Rapide \(EMMIR\),)Tj
T*
0.0903 Tw
(en 1968, lors dÕun sisme au Prou, a permis lÕapplication dÕun savoir-faire des)Tj
T*
0.0833 Tw
(situations de guerre au profit des populations civiles.)Tj
0 -1.8032 TD
0.1241 Tw
(La finalit dÕtre efficace pour rpondre un problme dans les dpartements)Tj
0 -1.1999 TD
0.0627 Tw
(parisiens sans dclencher le plan ORSEC a incit les sapeurs-pompiers de Paris )Tj
T*
0.1769 Tw
(crer un plan victimes. Il sÕagit dÕun plan dÕaction en phase avec la ralit.)Tj
0 -1.2 TD
0.015 Tw
(DÕabord organis en degr en fonction du nombre de victimes, il prendra le nom)Tj
T*
0.1324 Tw
[(de Ē )132.4(Plan Rouge )132.4(Č en 1974 )]TJ
/F3 1 Tf
0.85 0.3 0 rg
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( )Tj
/Cs12 cs 1 scn
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4.8681 40.3524 TD
( )Tj
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-1.7011 -40.3524 TD
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-15.5902 -1.2 TD
0.0651 Tw
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T*
0.1209 Tw
(restructuration a permis dÕorganiser la direction des secours, leur coordination,)Tj
T*
0.1416 Tw
(la logistique sanitaire et non sanitaire et les stratgies de soins primaires )Tj
/F3 1 Tf
0.85 0.3 0 rg
17.4913 43.9524 TD
0 Tw
( )Tj
/Cs12 cs 1 scn
15.0361 -43.9524 TD
(\(14\))Tj
/F10 1 Tf
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-14.7361 43.9524 TD
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16.5135 -43.9524 TD
(.)Tj
-34.3048 -1.2 TD
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[(Il)-500(est officialis par la circulaire 8921 du 17/12/89. Il est mis en Ļuvre lors des)]TJ
T*
0.2261 Tw
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T*
0.0833 Tw
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( )Tj
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-0.0005 Tw
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/F10 1 Tf
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( )Tj
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-18.3913 -51.6587 TD
0.1845 Tw
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0 -1.2 TD
0.0283 Tw
(ment impose la ncessit dÕadapter une stratgie afin de classifier ou catgoriser)Tj
T*
0.1309 Tw
(les victimes )Tj
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0.85 0.3 0 rg
18.6913 54.0587 TD
0 Tw
( )Tj
/Cs12 cs 1 scn
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(\(14,15,16\))Tj
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EMC
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( )Tj
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/GS4 gs
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(HISTORIQUE DU CONCEPT DE MDECINE EN SITUATION DE CATASTROPHE)Tj
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(cellules dÕurgence mdico-psychologique \(CUMP\) qui suivent les patients ds les)Tj
T*
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T*
0.0833 Tw
(la premire cellule a t dirige par le professeur Louis Crocq )Tj
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( )Tj
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0 -1.2 TD
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T*
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T*
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T*
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T*
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(lÕavant, est dispense tous les mdecins stagiaires.)Tj
0 -1.8404 TD
0.3061 Tw
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0 -1.2 TD
0.2618 Tw
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0 -1.8404 TD
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0 -1.2 TD
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(par le Professeur Huguenard.)Tj
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25.7913 39.2195 TD
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( )Tj
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/F10 1 Tf
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( )Tj
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-26.0913 -43.4003 TD
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0 -1.5404 TD
[(Š )83.3( )83.3(Ē )83.3(Participer la mise en Ļuvre des plans sanitaires )83.3(;)]TJ
T*
0.156 Tw
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0.1135 Tw
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0 -1.2 TD
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[(Š )83.3( )83.3(Dfinir une situation multiples victimes \(SMV\).)]TJ
0 -1.5347 TD
[(Š )83.3( )83.3(Indiquer les causes de la SMV.)]TJ
0 -1.5348 TD
0.0029 Tw
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0 -1.5347 TD
0.1134 Tw
[(Š )113.4( )113.4(Dcrire le rle de la premire quipe de secours prsente sur les lieux dÕune)]TJ
0 -1.2 TD
0 Tw
(SMV.)Tj
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[(Š )83.3( )83.3(SÕintgrer dans un plan de secours particulier.)]TJ
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27.4913 13.3757 TD
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( )Tj
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(Š )Tj
/F8 1 Tf
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(Conclusion)Tj
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( )Tj
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[( )126.8(Č \(R. )126.8(Noto\) comporte, outre, lÕanalyse des retours dÕexprience,)]TJ
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T*
0.1647 Tw
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(\(24\))Tj
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( )Tj
/Cs12 cs 1 scn
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(Bibliographie)Tj
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(1.)Tj
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T*
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(trophe.)Tj
/F3 1 Tf
0.85 0.3 0 rg
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(2.)Tj
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35.2126 43.1304 TD
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0.0832 Tw
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32.9151 44.2416 TD
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( )Tj
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(3.)Tj
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35.7681 45.7246 TD
( )Tj
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