Elba Rahmouni & Olivier Guillard
Since April 2018, Elba has been in charge of dissemination at CRASH. Elba holds a Master's degree in History of Classical Philosophy and a Master's degree in editorial consulting and digital knowledge management. During her studies, she worked on moral philosophy issues and was particularly interested in the practical necessity and the moral, legal and political prohibition of lying in Kant's philosophy.
Paediatrician at the Paris Urgent Medical Aid Service (Service d’aide médicale urgente – SAMU in French) since June 2020. Olivier Guillard also holds a Master’s in political science, development and humanitarian aid. During his professional practice, he worked in teaching positions in paediatric cardiology and cardiac resuscitation units (hôpital Necker – Enfants malades and hôpital Marie Lannelongue), at Doctors Without Borders, and as project manager at the Samusocial de Paris. He develops technical assistance projects at the Paris SAMU in partnership with the department of international relations at AP-HP (Paris public hospitals authority), the City of Paris and the Samusocial de Paris. In addition, he supports the inclusion of social sciences in research on prehospital emergency care.
Based on the example of the hospital in Moïssala, Chad, the two authors reflect on the management of pain in children at Médecins Sans Frontières. This article was first published on March 25th 2022 in the journal Alternatives Humanitaires.
Although acute pain has a diagnostic value and can play a positive role as a warning sign to promote the body’s own survival, there is no question that it is necessary to treat and prevent it, particularly in the context of care. It is both a medical necessity, to avoid complications, and an ethical necessity, based on the principles of benevolence and primum non nocere (“First, do no harm”)Conseil national de l’Ordre national des médecins, Code de déontologie médicale, février 2021, https://www.conseil-national.medecin.fr/sites/default/files/codedeont.pdf. It is also a social necessity: injuries can lead to chronic pain which can then lead to disabilities« Loi n° 2005-102 du 11 février 2005 pour l’égalité des droits et des chances, la participation et la citoyenneté des personnes handicapées », Journal officiel de la République française, 12 février 2005, https://www.legifrance.gouv.fr/jorf/id/JORFTEXT000000809647
To cite this content :
Elba Rahmouni, Olivier Guillard, Management of the suffering child: a medical and operational challenge,
27 April 2022,
URL : https://msf-crash.org/en/publications/humanitarian-actors-and-practices/management-suffering-child-medical-and-operational
If you want to criticize or develop this content, you can find us on twitter or directly on our site.
Contribute
Médecins Sans Frontières and medical quality
The question of quality in the work of Médecins Sans Frontières has been asked from the very beginning of MSF's existence. On the one hand, the issue of improving the quality of practice is a part of ordinary professional activity; on the other hand, Médecins Sans Frontières' work involved working in distant lands and very specific environments, which demanded adjustments to medical practice as a result.
Literature review on the evaluation of the quality of care from a patient’s perspective
The study The Patient Perspective of Quality of Care: A Review of the Literature, which we present here was carried out by Hannah Barnett a public health student at George Washington University, intern with CRASH from June to August 2018. This work sums up seventy articles from a variety of disciplines including medicine and public health. It is part of a reflection initiated by MSF a few years ago on medical quality and the patient-centered approach.
Humanitarian exoticism
This article is about humanitarian exoticism and culturalist convictions: those to which members of NGOs currently adhere.