Abstract
At the request of the crisis unit of the AP–HP Sorbonne University hospital group, the “Dynamo” team, during the first wave, provided innovative solutions to free up places in intensive care. “Dynamo” team, with the agreement of the crisis medical director, opened a flow between expert resuscitations and new intensive care units. Initially, “Dynamo” team completely managed the transfers by medicalizing and arming private ambulances with the human and material resources of AP–HP Sorbonne University. Secondly, “Dynamo” team made itself available to the zonal SAMU in order to find patients eligible for inter-regional transfers (train, plane, helicopter). During the first wave, “Dynamo” team received 149 requests for transfers from AP–HP Sorbonne University between March 27 and April 20, 2020. One hundred and five requests were honored, 91 of which were completely autonomous. Regarding autonomous transfers, the medical teams consisted of medical intensivist, or an anesthesiologist and intensivist or a pediatric intensivist associated with an assistant, most often a surgeon. The transport equipment was provided by the initial intensive care unit. The team formed was accompanied by two private paramedics. “Dynamo” team has been reactivated for the third wave. The changed typology of patients, a different epidemic in its characteristics and political decisions, the choice of relatives did not allow “Dynamo” team to be as effective.