In a context of declining medical demography and a threat to the continuity of medical care in rural areas of the department, the acquisition of multiparametric defibrillators for firefighters in the Lower Rhine will equip all emergency and victim assistance vehicles (VSAVs, SIS ambulances) and improve the journey of patients from their care to their transport to reception facilities. In fact, personal assistance accounts for 82 % of their annual activity. Moreover, these connected devices are part of a process of dematerialisation and optimise communication between the different healthcare professionals in charge of the same patient.