Objectif. – Dans notre département très urbanisé où l'offre de soins semble importante compte tenu du nombre d'établissements, la recherche de places en service spécialisé pour les patients est un aspect fondamental de l'activité de régulation. Nous avons voulu évaluer les difficultés de ces recherches de places.

OBJECTIVE:In France, when physicians in ambulances take care of patients, they report medical status to the dispatch centre. Then the dispatching physician search for the available and appropriate hospital service to agree in directly receiving the patient. We attempted to evaluate this direct admission dispatch, in a urban area, with many health care facilities.STUDY DESIGN:Prospective evaluation.PATIENTS AND METHODS:All the files for out of hospital interventions with a dispatch process were included. Data collected and analysed were: main pathologies, started time and end time of direct admission dispatch process and number of services called before finding the right place.RESULTS:959 patients files were included, 849 could be analysed. The average duration of direct admission dispatch process is 10 (+/-13) minutes. Traumatology speciality shows a longer dispatch process than medicine disease (p < 0.001), and this time increased during summer (p < 0.05). The other parameters did not influence this duration.CONCLUSION:The average duration of direct admission dispatch process is acceptable. The increased duration of direct admission dispatch process in some pathology during summer may induce a risk for the patients. This problem will be improved only when the management of the available bed for emergency traumatology, will be implemented a regional coordination.