Dr Mathias Wargon is head of the Smur emergency department at Delafontaine hospital (Saint-Denis) Each year, 500,000 additional patients go to the emergency room, reaching 22 million in 2019. By the time it takes to build a service, it is already too small, he says.

The real bed manager depends on management and imposes on patients, even when they are reluctant, he writes. The emergency service is open 24 hours a day, seven days a week, now with continuous activity.