[Organization of the emergency operating room]. / L'organisation au bloc opératoire des urgences.

The structure and organization of operating theatres vary from one healthcare facility to another. Some establishments have a multi-disciplinary operating theatre, with shared operating theatres and staff, while others have separate operating theatres, often divided by discipline. Emergencies are therefore dealt with in the operating theatres for scheduled surgery. However, some university hospitals also have emergency operating theatres.

Return to Sport and Duty in French Military Personnel after Medial Opening Wedge High Tibial Osteotomy.

INTRODUCTION: Medial opening wedge high tibial osteotomy (MOWHTO) is a surgical option for medial femorotibial osteoarthritis, which preserves articular cartilage by correcting the extra-articular deformities of the lower limbs that cause osteoarthritis. This is an increasingly popular treatment in a population with high functional demand, such as the French military population. The aim of this study was to evaluate the rate of return to work and military activities at 6 months postsurgery and at last follow-up in this military population following MOWHTO.The hypothesis of this study was that MOWHTO enabled a majority of service members to return to the same level of activity within 6 months of surgery. MATERIALS AND METHODS: This was a retrospective, multicenter study including all French military personnel operated on for MOWHTO alone for osteoarthritis of medial compartment between 2008 and 2018 in different Military Teaching Hospitals. We excluded civilian patients. For each patient, a questionnaire was used to collect epidemiological, professional, sports, and functional data. The primary endpoint was the rate of return to work at 6 months postsurgery. We also studied the recovery of sports activities and functional results at a 6.6-year follow-up by standardized questionnaires (Tegner activity scale, Lysholm, IKDC subjective (International Knee Documentation Commitee)). RESULTS: Twenty-four MOWHTOs were performed during this period in a cohort of 22 French military personnel. Return to work at 6 months was possible in 20/24 cases (83.3%). Of the four patients who did not return to work at 6 months, two changed their activities, while the other two returned to their jobs after 6 months. The rate of resumption of sporting activities at an equal or higher level was 50% (11/22). There was no difference between pre- and postoperative Tegner Activity Scale scores at the longest follow-up (P = .08). The mean postoperative Lysholm scores were 73.5 (standard deviation 17.8) and IKDC 59 (standard deviation 8.7). No intraoperative complications were found, and one case of postoperative infection was found. CONCLUSIONS: A total of 83% of the operated soldiers were able to return to their professional activities in less than 6 months. We observed a functional improvement at the last follow-up. Comparing these results with data from civilian populations, the rate of occupational recovery is comparable. However, the return to sport is much better in the series of nonmilitary patients with approximately 90% return to work and sport in the year following surgery. MOWHTO improves the functional results of the knee, enabling a return to work and sport in most cases in young, active populations such as the French military.

[The operating room, a place of training with multiple benefits for future professionals]. / Le bloc opératoire, un lieu de stage aux multiples bénéfices pour les futurs professionnels.

The importance of internships, as part of the alternating training of nursing students, is no longer in question. Thus, to obtain their diploma, out of the 180 European credits expected, 60 come from these placements. Although very specific and not very much involved in the training of students in initial training, an internship in the operating room is very instructive and contributes to the development of multiple nursing knowledge and skills.

[Diving into the heart of the initial training of future nurses in Switzerland]. / Au cœur de la formation initiale des futurs infirmiers en Suisse.

Within the framework of the foreign internship program of his nursing school, a third year student was able to follow his fifth semester at the Haute École de santé du canton de Vaud, in Switzerland. He shares his experience and sheds light on the pedagogical orientations implemented in the initial training of nurses in this country neighbouring France.

[From students to healthcare partners: accounts of experiences at the heart of the COVID-19 crisis]. / Récits d'expériences au cœur de la crise Covid-19 : d'étudiants à partenaires de soin.

The severe acute respiratory syndrome coronavirus 2 pandemic upset the daily life of all French people, through the fear caused by this disease called COVID-19, but also through the changes in lifestyle resulting from sanitary confinement. As health professional students, we also experienced this shock from a professional point of view by supporting the healthcare teams in the context of the launch of the "Plan Blanc".