Internet Tools and Emergency Attendance
Internet Tools and Emergency Attendance
Over the years, there has been an increase in the flow of emergency rooms, which is gradually
 leading to an overcrowding of emergency unit. This overcrowding is multifactorial with, for
 example, a decrease in the outpatient care in family medicine and specialized medicine,
 emergency services unsuitable at the level of premises ... In parallel, investigator note in
 recent years facilitated access to internet and especially to GAFA which is the acronym for
 Google, Amazon, Facebook, Apple. As a result, patients have 24-hour access to medical
 information via websites, blogs and social networks. This information of, often, unreliable
 medical information can lead to ambiguity among patients about the need for urgent or delayed
 intervention in the management of their symptoms. In fact, "everything becomes urgent". To
 date, in France, no study has evaluated the impact and prevalence of consulting a website for
 medical purposes before consulting an emergency service. The objective of this research will
 be to assess, in patients presenting in an emergency department, the prior consultation of
 medical information on a website, the impact on the emergency consultation decision and the
 relevance of this consultation.
It is an observational study, monocentric, prospective. This study consists in collecting
 data from an anonymized questioner given to patients presenting themselves at the emergency
 department of Clermont-Ferrand University Hospital. Answers to the questions will not change
 the patient's management. The questioner, containing 17 questions, requires answering "yes"
 or "no" by ticking boxes, or even specify when it is stipulated. This questionnaire will be
 given to the patient after his registration, and filled by the latter in the waiting room,
 pending medical care. Answering the questionnaire will take between 5 to 10 minutes. The data
 is anonymous.

 The patient arrives at the emergency department and registers at the entrance desks where a
 paper and computer file is created. Then, the Reception and Orientation Nurse takes care of
 the patient by welcoming him in the reception box, she realizes the taking of the
 hemodynamics constants, the collection of the reason of consultation with the grievances of
 the patient. During this phase, patient will be inform of the completion of this study and
 asked to participate in this study. If the patient agrees to participate, an anonymized
 questioner will be provided and explained by one of the investigating physicians or
 associated partners.
Inclusion Criteria:

 -  Any major patient presenting to the emergency department by their personal way.

 Exclusion Criteria:

 -  Suspicion of acute alcoholism

 -  dementia

 -  guardianship / trusteeship

 -  language barrier, non-communicating patient

 -  patient refusing to participate in the study

 -  patient with confusion

 -  patient with Glasgow scale less than 15

 -  patient not affiliated with social security

 -  patient not knowing how to read or write.