📇 Rhumatologue · AUBERVILLIERS · (93) · Hospitalier
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2 raisons identifiées
Disponibilité géographique
5 lieux d'exercice — choisissez celui qui vous arrange
Délais de RDV courts dans la région
78.3 rhumatos / 100 000 hab. — département bien doté
✨ Génération du profil synthétique IA en cours…
CDS DE LA POLYCLINIQUE D AUBERVILLIERS
55 R HENRI BARBUSSE, 93300 AUBERVILLIERS
CDS POLYVALENT DU MOULINET
21 R DU MOULINET, 75013 PARIS
Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.
CDS DE BELLEVILLE
27 R LEVERT, 75020 PARIS
CDS DE LA CRAMIF
3 R DU MAROC, 75954 PARIS CEDEX 19
CDS RICHERAND
4 AV RICHERAND, 75010 PARIS
Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
The journal of trauma and acute care surgery · 2021
BACKGROUND In case of a warm fresh whole blood transfusion on the battlefield, the blood donation usually occurs just after a combat phase and often after several days on the fields. To explore the hemostatic capacity of such blood, we analyzed the blood of volunteers attending the commando course of the French Navy, considering this course as an experimental model, placing them into the same physiological conditions as those faced by deployed fighters. METHODS Venous blood was collected at the beginning of the course, mimicking their baseline status, and a second time 6 weeks later, from the remaining candidates, during the actual commando training, mimicking the stress conditions. For each candidate, we observed the differences between the two blood samples. RESULTS Of the 112 men that attended the first day of the course, only 17 remained 6 weeks later. In the second blood samples, we noted significant increased leucocytes and platelets counts and significant decreased hematocrit and hemoglobin levels. Thrombin generation assays showed significantly lower normalized peak heights (−31%), lower normalized endogenous thrombin potential values (−29%), and lower velocity index (−35%). Normalized lag time and time to peak did not differ. Viscoelastometric testing revealed a significant increasing in clot firmness as assessed by maximum amplitude and amplitude at 6 minutes. The clot speed was significantly increased. CONCLUSION This work brings new data on coagulation during prolonged and considerable physical exercise. No obvious deleterious modification of hemostatic properties was observed. The decrease of the endogenous thrombin potentials may reflect a better ability to control the thrombin generation once started. Altogether, these results suggest that this blood could suit well a hemorrhagic war-injured patient. LEVEL OF EVIDENCE Prospective observational cohort study, Level III.
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
The journal of trauma and acute care surgery · 2021 · Journal Article
Daniel Y, Conort S, Foricher R, Hejl C, et al.