TY - JOUR T1 - How do we fight COVID-19? Military medical actions in the war against the COVID-19 pandemic in France JF - BMJ Military Health JO - BMJ Mil Health DO - 10.1136/bmjmilitary-2020-001569 SP - bmjmilitary-2020-001569 AU - Pierre Pasquier AU - A Luft AU - J Gillard AU - M Boutonnet AU - C Vallet AU - J-M Pontier AU - S Duron-Martinaud AU - A Dia AU - L Puyeo AU - F Debrus AU - B Prunet AU - S Beaume AU - G de Saint Maurice AU - E Meaudre AU - C Ficko AU - A Merens AU - G Raharisson AU - B Conte AU - F Dorandeu AU - F Canini AU - R Michel AU - S Ausset AU - J Escarment Y1 - 2020/08/05 UR - http://militaryhealth.bmj.com/content/early/2020/08/04/bmjmilitary-2020-001569.abstract N2 - ‘We are at war’, French President Emmanuel Macron said in an address to the nation on 16 March 2020. As part of this national effort, the French Military Medical Service (FMMS) is committed to the fight against COVID-19. This original report aimed to describe and detail actions that the FMMS has carried out in the nationwide fight against the COVID-19 pandemic in France, as well as overseas. Experts in the field reported major actions conducted by the FMMS during the COVID-19 pandemic in France. In just few weeks, the FMMS developed ad hoc medical capabilities to support national health authorities. It additionally developed adaptive, collective en route care via aeromedical and naval units and deployed a military intensive care field hospital. A COVID-19 crisis cell coordinated the French Armed Forces health management. The French Military Centre for Epidemiology and Public Health provided all information needed to guide the decision-making process. Medical centres of the French Armed Forces organised the primary care for military patients, with the widespread use of telemedicine. The Paris Fire Brigade and the Marseille Navy Fire Battalion emergency departments ensured prehospital management of patients with COVID-19. The eight French military training hospitals cooperated with civilian regional health agencies. The French military medical supply chain supported all military medical treatment facilities in France as well as overseas, coping with a growing shortage of medical equipment. The French Armed Forces Biomedical Research Institute performed diagnostics, engaged in multiple research projects, updated the review of the scientific literature on COVID-19 daily and provided expert recommendations on biosafety. Finally, even students of the French military medical academy volunteered to participate in the fight against the COVID-19 pandemic. In conclusion, in an unprecedented medical crisis, the FMMS engaged multiple innovative and adaptive actions, which are still ongoing, in the fight against COVID-19. The collaboration between military and civilian healthcare systems reinforced the shared objective to achieve the goal of ‘saving the greatest number’. ER -