La régulation médicale du Samu intervient aux différentes étapes de la prise en charge des traumatisés crâniens graves : gestion de l'appel, phase de sauvetage, phase de secours médicalisés, admission à l'hôpital. Elle assure une prise en charge rapide (transferts héliportés), cohérente et appropriée (respect des recommandations), en tenant compte des difficultés locales (géographiques, possibilités d'accueil des structures spécialisées), dans le but de diminuer la mortalité des traumatisés crâniens graves.

Place of the regulator of the emergency medical ambulance service in the management of patients with severe head trauma.

The regulator of the emergency medical ambulance service is involved in the various steps of the initial managment of severe head trauma patients: handling calls, basic life support, prehospital advance life support, transport and hospital admission. The management is rapid (helicopter transports) coherent and adapted (adherence to the guidelines for severe head injury), and considers of local difficulties (geographical, possibility of admission to trauma centres), with the aim of improving the outcome of severely head-injured patients.