Chapter IV: Technical operating conditions

Doctors working in an emergency medicine unit must hold a diploma of complementary specialised studies in emergency medicine or be hospital practitioners in multi-purpose emergency medicine. Doctors who hold a diploma attesting to university training in emergency medicine or doctors with professional experience equivalent to at least three years in an emergency medicine department or facility may also work in an emergency medicine facility. Other doctors may also carry out…

The number of emergency medical staff is set so that this structure can carry out its missions. The number of staff is adapted to the number of calls made to the SAMU, the number of trips made by the mobile emergency and resuscitation unit, known as the SMUR, or the number of patient visits to the emergency unit. The number of medical and non-medical staff is increased during periods of…

The medical team at the emergency medical facility includes a sufficient number of doctors to ensure that at least one of them is present at all times.

The emergency medicine unit has secretarial staff.

The non-medical team at the emergency medicine unit is managed by a nursing health executive who is assigned to the unit for all or part of his/her time.

In public health establishments and private establishments of collective interest, the emergency medicine structure is placed under the responsibility of a hospital practitioner of polyvalent emergency medicine or a doctor with professional experience equivalent to at least two years in this discipline and holding a diploma of complementary specialised studies in emergency medicine. In public establishments, this doctor is also a full practitioner and actually carries out his duties in…

In a private health establishment authorised to carry out the activity referred to in 3° of article R. 6123-1 and in order to ensure the medical availability referred to in article D. 6124-3, a roster of doctors in private practice is drawn up each month and validated by the coordinating doctor of the emergency structure, then sent to the primary health insurance fund. A doctor registered on this attendance register…

Special provisions, specified in article D. 6124-26-2, are applicable to the doctor in charge of a paediatric emergency unit mentioned in 3° of article R. 6123-1.

When a joint team is set up within the framework of an inter-hospital medical federation or within the framework of a health cooperation grouping to carry out the activity of emergency medicine, duty on each of the authorised sites is organised in accordance with the provisions of article D. 6124-3.

When the emergency unit and the mobile emergency and resuscitation unit organise a joint medical or non-medical duty shift, in particular in application of article R. 6123-9, the arrangements for the care of patients presenting to the emergency unit are planned by the authorised establishment and allow the mobile emergency and resuscitation unit to intervene without delay. When the mobile emergency and resuscitation structure team intervenes outside the establishment, the…