Remote damage control during the attacks on Paris: Lessons learned by the Paris Fire Brigade and evolutions in the rescue system.

On November 13, 2015, in 40 minutes, Paris suffered 4 suicide bombers attacks, shootings at 3 different restaurant terraces and an attack on the Bataclan concert hall resulting in 130 dead and 495 wounded. How did the Parisian rescue system respond and how did it evolve since? We proved we could deploy quickly wide prehospital and hospital resources and teams' equipment and preparedness is being further developed. In order to secure a swifter initial response we need a better integration of the operators of the rescue chain with a simpler and more robust organization as well as improved communications channels. We must continue to anticipate and prepare for possible future attacks. (C) 2017 Lippincott Williams & Wilkins, Inc.

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