{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:20:42Z","timestamp":1789842042994,"version":"4.0.1"},"reference-count":10,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The Island of Mayotte was struck by the tropical cyclone CHIDO on 12\/14\/2024. The French government decided to deploy the Element de Securite Civile Rapide d'Intervention Medicale (ESCRIM) involving a joint detachment of rescue engineers from UIISC7 (Unit\u00e9 d'Instruction et d'Intervention de la S\u00e9curit\u00e9 Civile) and firefighters, comprising a medical support and hospitalization detachment and a surgical support detachment. The aim of this work is to focus on the role of ESCRIM surgical team in Mayotte.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>ESCRIM received 5533 patients between 12\/24\/2024 and 02\/03\/2025. A prospective cohort study was conducted from 12\/31\/2024 to 01\/20\/2025 on a subset of 130 consecutive patients which underwent surgery in the operating room (OR). Variables included patient demographics, surgical indications, and anaesthetic techniques used. Anonymised data were collected from medical records, surgical reports, and clinical notes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 169 surgical procedures. The mean age of the patients was 31 years, 68% were female, and 27% of procedures were performed in children. General anaesthesia was used in 57% of procedures. The main surgical indications were post\u2010traumatic extremity septic wounds of the upper limb (38%) and lower limb (27%). 80% of the wounds were grade IV according to the Centers for Disease Control and Prevention Surgical Wound Classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study highlights the importance of adapting surgical practices in resource\u2010limited settings and the necessity of in\u2010depth cooperation and coordination among the entire response team and local practitioners. The results of this study contribute to the ongoing challenges of data collection in austere or limited environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.12659","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T21:39:11Z","timestamp":1750369151000},"page":"1858-1861","source":"Crossref","is-referenced-by-count":1,"title":["Emergency Field Hospital Surgical Response to Cyclone Chido in Mayotte"],"prefix":"10.1002","volume":"49","author":[{"given":"Anne","family":"Daoudal","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery Porte de L'Orient Clinic  Lorient France"},{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Philippe Page","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Department of Anaesthesiology Bon Secours Clinic  Nancy France"},{"name":"Herault Fire and Rescue Department  Montpellier France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Yavari\u2010Sartakhti","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"French Civil Protection Unit N\u00b07  Brignoles France"},{"name":"Directorate General for Civil Security and Crisis Management  Paris France"},{"name":"French Military Health Service  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guillaume","family":"Bouhours","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Department of Anesthesiology and Intensive Care Angers University Hospital Centre  Angers France"},{"name":"Health Department Maine et Loire Fire and Rescue Service  Angers France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gauthier","family":"Buzancais","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Division of Anaesthesia Critical Care Pain and Emergency Medicine Nimes University Hospital University of Montpellier  N\u00eemes France"},{"name":"Gard Fire and Rescue Department Medical Sub\u2010direction Service  N\u00eemes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00e9rang\u00e8re","family":"Sauzeat","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Department of General and Digestive Surgery Grenoble\u2010Alpes University Hospital and Grenoble\u2010Alpes University  Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francois","family":"Ansart","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Pitie\u2010Salpetriere University Hospital  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010louis","family":"Quesada","sequence":"additional","affiliation":[{"name":"Department of General and Digestive Surgery Grenoble\u2010Alpes University Hospital and Grenoble\u2010Alpes University  Grenoble France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Ribelles","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Gard Fire and Rescue Department Medical Sub\u2010direction Service  Nimes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yael","family":"Lecras","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"North Fire and Rescue Department  N\u00eemes France"},{"name":"Institute of Advanced Studies of the Ministry of the Interior  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrice","family":"Dusserre","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Directorate General for Civil Security and Crisis Management  Paris France"},{"name":"Gard Fire and Rescue Department Medical Sub\u2010direction Service  N\u00eemes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valinkini","family":"Da Costa","sequence":"additional","affiliation":[{"name":"Department of Visceral Surgery Regional Hospital of Mayotte  Mamoudzou France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel","family":"Cherbetian","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Gard Fire and Rescue Department Medical Sub\u2010direction Service  Nimes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabelle","family":"Arnaud","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"Gard Fire and Rescue Department Medical Sub\u2010direction Service  Nimes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Couret","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles France"},{"name":"French Civil Protection Unit N\u00b07  Brignoles France"},{"name":"Directorate General for Civil Security and Crisis Management  Paris France"},{"name":"French Military Health Service  Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Romain","family":"Kedzierewicz","sequence":"additional","affiliation":[{"name":"ESCRIM French Civil Protection Field Hospital (EMT\u20102)  Brignoles 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