[Covid-19 caregivers, psychotraumatized superheroes]. / Soignants de la Covid-19, de super-héros à psychotraumatisés.

The Covid-19 pandemic has taken its toll on health care teams faced with deaths and hospital overcrowding. Some caregivers suffered from vicarious trauma. Analyzing the impact of this trauma, its inclusion in a context of tension, fatigue and increased lassitude, is imperative in order to propose adjusted care. Eye Movement Desensitization and Reprocessing therapy seems to have a relevant place in this context.

[2020, Mulhouse, Covid-19: a lesson in history, Europe and resilience]. / 2020, Mulhouse, Covid-19 : une leçon d'histoire, d'Europe, de résilience.

In March 2020, Covid-19, caused by the severe acute respiratory syndrome coronavirus 2, struck the Haut-Rhin region with extreme violence, overwhelming hospitals and requiring the massive opening of new resuscitation beds. The military resuscitation element of the French military health service was deployed for the first time in Mulhouse (68), in eastern France. Alsace-Lorraine, a European crossroads and the birthplace of European institutions, was once again at the heart of history. Perspectives.

[White plan and the organisation of emergency response services in France]. / Plan blanc et organisation des secours en France.

The Eemergency plans for outside hospitals (ORSEC) and inside hospitals (white plan) are often linked and must be well structured in order to respond to the tensions created by exceptional health situations. They must be designed, used and updated like toolboxes. How is the chain of care organised? What is the role of the samu (emergency medical assistance service) in the preparation, activation and coordination of the white plan?

[Emergency response plans in France]. / Les plans de secours en France.

Disaster is a risk which health professionals must learn to manage without ever being sure that they will be confronted with it. A health crisis will have potentially significant repercussions within healthcare facilities. Emergency response plans as well as a shared culture enable healthcare workers to face a crisis by being organised.

[COVID-19, drugs and hospital pharmacy]. / Évolution des traitements médicamenteux en cas de Covid-19.

Observation, interpretation, actions for improvement, questioning are all terms that echo the situation of caregivers since the outbreak of the COVID-19 epidemic in France at the beginning of 2020. All those involved in the healthcare chain have had to cope with the influx of patients and to show that they are capable of seeing their practices evolve on a daily basis. What was recommended a few weeks earlier could quickly become obsolete. It was necessary to be reactive and the question of drug treatments was at the heart of the concerns, requiring prescribers to keep themselves informed and pharmacists to be as mobilized as possible to respond to requests from the field as quickly as possible.

[Eating better to improve resistance to sars-Cov-2]. / Mieux se nourrir pour mieux résister au Sars-CoV-2.

Eating habits are evolving. In a public health context, guidelines are regularly updated according to the nutritional status and health of the French population, but some of these recommendations go unheeded. In the context of the current epidemic, nutritional care must be provided to high risk populations as well as to patients presenting, or having presented, COVID-19, in order to favour immunity and recovery.

[Improving parasympathetic functioning to contain the inflammatory response of COVID-19 infection]. / Améliorer le fonctionnement parasympathique pour contenir l'effet inflammatoire de la Covid-19.

COVID-19 infection results in an unrestrained inflammatory reaction in serious cases. The autonomic nervous system (ANS), in particular the parasympathetic branch, helps to regulate the inflammatory response. A dysfunction of this branch, frequent in people at risk of developing COVID-19, favours a pro-inflammatory effect. Reinforcing and stimulating the parasympathetic ANS is possible and accessible to paramedical and medical professionals.

[COVID-19 and micronutrients to regulate the immune response]. / Covid-19 et les micronutriments en régulation de la réponse immunitaire.

Our social environment shapes our eating habits, notably our consumption of fruit and vegetables rich in micronutrients (vitamins and trace elements), essential for regulating the immune system. Ensuring a balanced intake of micronutrients could prove to be particularly beneficial for patients with severe forms of COVID-19 suffering from critical immune dysregulation.

[COVID-19-related respiratory distress in emergency departments: reality and perspectives.] / La détresse respiratoire liée à la Covid-19 aux urgences : réalité et perspectives.

COVID-19 was initially considered exclusively as a respiratory disease. It now appears that it is also a systemic disease with vascular inflammation and thromboses. In the most severe forms, these plurifactorial pulmonary lesions are responsible for acute respiratory distress syndrome. The treatment of this syndrome, which causes hypoxemia, requires urgent oxygen therapy. While initial recommendations favoured the rapid use of intubation and mechanical ventilation, experience seems to confirm that it must be delayed as long as possible, in favour of non-invasive ventilation, less aggressive for the patient.

[Hygiene as a weapon in the fight against SARS-Cov-2. All experts in taking care!] / Hygiène en campagne face au Sars-CoV-2 : tous experts du prendre soin.

To combat SARS-Cov-2, hygiene is essential for the safety of caregivers and saves lives. In hospital as well as in everyday social and professional environments, everyone is concerned by hygiene and distancing rules. It is an opportunity for us to reinvent ourselves, protect ourselves and protect the most vulnerable. In hospital, at the heart of the crisis, the action of the infection control team, which includes the infection control nurse, is one of the cornerstones of the fight against COVID-19.

[SARS-CoV-2: the experience of the Legouest armed forces teaching hospital]. / Sars-CoV-2 : le vécu de l'hôpital d'instruction des armées Legouest.

The Legouest military training hospital is one of the eight hospitals of the armed forces health service. Situated in the Grand-Est region, one of the regions most affected by the COVID-19 epidemic in spring, it had to reorganise itself within a few days with its regional and national partners. While continuing to support forces sent abroad, to overseas territories or located in the East of France, the armed forces hospital had three major missions: the support of other military hospital facilities, the continued care of non-COVID patients and the care of patients affected by COVID-19 requiring non-intensive hospital care.

[Crisis management in the face of SARS-CoV-2: management and leadership in health care]. / La gestion de crise face au Sars-CoV-2 : management et leadership dans les soins.

The coronavirus SARS-CoV-2 pandemic has forced frontline health care teams to make radical and rapid adjustments. Aside from the danger of catalysing and integrating, the crisis provides an opportunity to rediscover the very essence of the art of caring: an ability to be present for oneself, for others and for the world. This pandemic is shattering everyone's comfort zones, on the social, professional, psychological and ethical level. It is reviving our profound humanity, imposing with humility coordinated actions, while allowing a degree of subsidiarity in the adjustments.