[Latest treatments for septic shock and the current state of research]. / Nouveautés dans les traitements du choc septique et état de la recherche.

The treatment of septic shock is a medical emergency. International guidelines advise immediate care and the first hour is generally critical. It is an emergency on both an etiological and symptomatic level.

[The correct usage of medicines, a safety concept]. / Le bon usage du médicament, un concept de sécurité.

Nurses are on the frontline with regard to the administering of medicines. While medication errors are more frequent than professionals think, caregivers are the last line of defence before the adverse event. A form for reporting adverse events, including medication errors, is made available to users by the Risk Management Committee of each health institution. This declaration is the main way to improve the management of medication risks.

[Physicochemical incompatibilities of injectable drugs]. / Incompatibilités physicochimiques des médicaments injectables.

The physicochemical interactions of injectable drugs administered through a Y-site injection port are little known phenomena, poorly documented but very frequent. Physicochemical incompatibility is defined as a chemical reaction between two injectable drugs which come into contact with each other. This chemical reaction may be visible on a macroscopic level or completely invisible. The risks of these interactions are not harmless, ranging from inefficacy to the toxicity of the newly-formed compounds.

[A prevalence study to monitor the consumption of antibiotics]. / Une enquête de prévalence pour suivre la consommation en antibiotiques.

Following the second Antibiotics Plan, in association with the hospital hygiene operational team, the hospital pharmacy department of the Desgenettes military teaching hospital led a study into the prevalence of the prescribing of antibiotics in December 2011. The study highlighted the trends in prescriptions and assessed the effectiveness of corrective or preventive actions implemented following the first prevalence study of 2006, in particular the multidisciplinary antibiotherapy coordination meetings.

[Improving collaboration between the pharmacy and the nurses]. / Améliorer la collaboration entre la pharmacie et les infirmierès.

In hospitals, improving collaboration between the diferent players in the health care chain is an ongoing issue. Numerous tools are available to facilitate interprofessional communication. Satisfaction surveys can be of particular interest.

[E-Training program for sterilization in isolated military operations areas: solution adopted by the French army]. / E-formation à la stérilisation en situation d'isolement: solution retenue par l'armée Française.

French Army Health Service provides medical support for armed forces deployed on external missions.In order to ensure the same health care quality in the theatre and in the metropolis, the Military Health Service provides sterilization of reusable medical devices by its own means. Army pharmacists carrying out an on-site mission comes from different domains: medical biology laboratory, research, medical supplies, hospital pharmacy or yet pharmaceutical laboratory for some reservists. Training program for sterilization in isolated military operations areas is therefore necessary in order to ensure knowledge uniformity. Our study is organized in two parts: determination of the needs and of the adapted training modalities, then implementation of training itself. This training should be accessible to a geographically dispersed public whose levels of expertise in sterilization are disparate. The module «Préparation opérationnelle à la stérilisation en Opération Extérieure¼ carried out allows to update and standardize the knowledge of the deployed pharmacists. It is composed of 11 sub-modules covering the different aspects of sterilization during external missions. Assessment using multiple-choice questions (MCQ) is necessary to check the level of knowledge and to understanding at the end of the training. A 75% good response rate is requested to validate the training. Training content has been approved by the National referents for sterilization and it is already available on the e-learning platform of the École du Val de Grâce.