{"id":6593,"date":"2021-11-22T09:54:37","date_gmt":"2021-11-22T13:54:37","guid":{"rendered":"https:\/\/bikeskills.ca\/?page_id=6593"},"modified":"2024-04-26T07:54:18","modified_gmt":"2024-04-26T11:54:18","slug":"accidentss","status":"publish","type":"page","link":"https:\/\/bikeskills.ca\/fr\/accidentss\/","title":{"rendered":"Formulaire d&#8217;accident"},"content":{"rendered":"<div class=\"wpcf7 no-js\" id=\"wpcf7-f2971-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/6593#wpcf7-f2971-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" enctype=\"multipart\/form-data\" novalidate=\"novalidate\" data-status=\"init\" data-trp-original-action=\"\/fr\/wp-json\/wp\/v2\/pages\/6593#wpcf7-f2971-o1\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"2971\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.9.8\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f2971-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.7\" \/>\n<\/div>\n<h4 class=\"text-center my-5\">Rapport d'accident\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Nom complet de l'entra\u00eeneur<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"name1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"name1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Date de l'accident<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"date\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"date\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Heure<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heure\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heure\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Lieu (site de pratique)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lieu\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Sentier<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"sentier\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"sentier\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Temp\u00e9rature<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-client\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-client\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Pr\u00e9cipitations<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom-client\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom-client\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h4 class=\"text-center my-5\">Informations personelles\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Nom du client<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-client\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-client\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Pr\u00e9nom du client<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"prenom-client\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"prenom-client\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Age des participants<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Age\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Age\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Genre<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"genre\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"genre\"><option value=\"Homme\">Homme<\/option><option value=\"Femme\">Femme<\/option><option value=\"Non Binaire\">Non Binaire<\/option><\/select><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Nom \u00e0 contacter en cas d'urgence<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nom-urgence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nom-urgence\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Telephone en cas d'urgence<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-urgence\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"tel-urgence\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h4 class=\"text-center my-5\">Covid-19\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> \u00cates vous diagnostiqu\u00e9 avec la Covid-19?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"covid\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"covid\"><option value=\"Non\">Non<\/option><option value=\"Oui\">Oui<\/option><\/select><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Etiez-vous en contact avec une personne ayant la Covid-19<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"covid1\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"covid1\"><option value=\"Non\">Non<\/option><option value=\"Oui\">Oui<\/option><\/select><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h3 class=\"text-center my-5\">Examen primaire\n<\/h3>\n<p>L: L'\u00e9tat de conscience\n<\/p>\n<p>': Ambulance ou DEA\n<\/p>\n<p>A: Airways\n<\/p>\n<p>B: Breathing\n<\/p>\n<p>C: Circulation\n<\/p>\n<h3 class=\"text-center my-5\">Examen secondaire\n<\/h3>\n<h4 class=\"text-center my-5\">\u00c9tat de conscience - AVPU\n<\/h4>\n<p>A: Alert\n<\/p>\n<p>V: Verbal\n<\/p>\n<p>P: Painful\n<\/p>\n<p>U: Unresponsive\n<\/p>\n<h4 class=\"text-center my-5\">Alerte et orient\u00e9e\n<\/h4>\n<p>L: Lieu - Ou \u00eates vous\n<\/p>\n<p>I: Identit\u00e9 - Quel est votre nom?\n<\/p>\n<p>T: Temps - Quelle heure \/ journ\u00e9e?\n<\/p>\n<p>E: \u00c9v\u00e8nement - Que s'est il pass\u00e9?\n<\/p>\n<h4 class=\"text-center my-5\">Examen t\u00eate au pieds\n<\/h4>\n<p>T\u00eate + Thorax + Bassin + Jambes + Bras\n<\/p>\n<p>Exposer et stabiliser une blessure\n<\/p>\n<h4 class=\"text-center my-5\">Historique de blessure - SAMPLE\n<\/h4>\n<p>S: Signes et sympt\u00f4mes\n<\/p>\n<p>A: Allergies\n<\/p>\n<p>M: Medicaments\n<\/p>\n<p>P: Pass\u00e9 \/ Lunch\n<\/p>\n<p>E: Evenement\n<\/p>\n<h4 class=\"text-center my-5\">Circonstances de l'accident - OPQRST\n<\/h4>\n<p>0: Onset (d\u00e9but)\n<\/p>\n<p>P: Provocation (Cause)\n<\/p>\n<p>Q: Qualit\u00e9\n<\/p>\n<p>R: Radiation\n<\/p>\n<p>S: S\u00e9v\u00e9rit\u00e9\n<\/p>\n<p>T: Temps\n<\/p>\n<h4 class=\"text-center my-5\">Traitement - CORPS\n<\/h4>\n<p>C: Couverture\n<\/p>\n<p>O: Oxyg\u00e8ne\n<\/p>\n<p>R: R\u00e9confort\n<\/p>\n<p>P: Position\n<\/p>\n<p>S: Signes vitaux\n<\/p>\n<h4 class=\"text-center my-5\">ACV - VITE\n<\/h4>\n<p>V: Visage\n<\/p>\n<p>I: Incapacit\u00e9 \u00e0 bouger\n<\/p>\n<p>T: Parole\n<\/p>\n<p>E: Extreme urgence\n<\/p>\n<h4 class=\"text-center my-5\">Diagnostique de base\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Niveau de conscience<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"conscience\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"conscience\"><option value=\"Alerte et orient\u00e9\">Alerte et orient\u00e9<\/option><option value=\"Verbal\">Verbal<\/option><option value=\"Douleurs\">Douleurs<\/option><option value=\"Sans r\u00e9ponses\">Sans r\u00e9ponses<\/option><\/select><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Respiration<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"respiration\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"respiration\"><option value=\"Normal\">Normal<\/option><option value=\"Essouflement\">Essouflement<\/option><option value=\"Douleur respiratoires\">Douleur respiratoires<\/option><option value=\"Trouble respiratoire majeur\">Trouble respiratoire majeur<\/option><\/select><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Choc \u00e0 la t\u00eate ou au visage<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"conscience\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"conscience\"><option value=\"Non\">Non<\/option><option value=\"Oui\">Oui<\/option><\/select><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Perte de conscience<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"respiration\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"respiration\"><option value=\"Non\">Non<\/option><option value=\"Oui\">Oui<\/option><\/select><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<p><label> Cause de la blessure?:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cause\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cause\" \/><\/span> <\/label>\n<\/p>\n<p><label> Douleur principale (dans les mots du patient?:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"cause\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cause\" \/><\/span> <\/label>\n<\/p>\n<h4 class=\"text-center my-5\">Histoire m\u00e9dicale\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Medicaments?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medicaments\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medicaments\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Allergies?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"allergies\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"allergies\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Historique de blessure?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"historique\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"historique\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Dernier repas pris?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"repas\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"repas\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h4 class=\"text-center my-5\">Description et localisation de la blessure\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Observation<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"observation\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"observation\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Etat g\u00e9n\u00e9ral<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"etat\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"etat\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Medicaments donn\u00e9es?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medicaments-donnes\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medicaments-donnes\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> A quelle heure?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"medicaments-donnes-heure\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"medicaments-donnes-heure\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"w-50 ml-2 mb-3\">\n\t<p><label> Refus de traitement<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"respiration\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"respiration\"><option value=\"Non\">Non<\/option><option value=\"Oui\">Oui<\/option><\/select><\/span> <\/label>\n\t<\/p>\n<\/div>\n<h4 class=\"text-center my-5\">Assistance requise\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Transport (premiers r\u00e9pondants, ambulance)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"transport\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"transport\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Compagnie<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"compagnie\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"compagnie\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Heure d'arriv\u00e9e du transport<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heure-transport\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heure-transport\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Heure d'arriv\u00e9e \u00e0 l'h\u00f4pital<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heure-hopital\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heure-hopital\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Lieu ou la victime \u00e0 \u00e9t\u00e9 embarqu\u00e9e<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-transport\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu-transport\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Nom de l'h\u00f4pital ou la victime \u00e0 \u00e9t\u00e9 emport\u00e9e<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hopital\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hopital\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Nom de l'accompagnateur<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"lieu-transport\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"lieu-transport\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Nom de l'h\u00f4pital ou la victime \u00e0 \u00e9t\u00e9 emport\u00e9e<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"hopital\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"hopital\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"w-50 ml-2 mb-3\">\n\t<p><label> Les proches ont \u00e9t\u00e9 avis\u00e9s?<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"respiration\"><select class=\"wpcf7-form-control wpcf7-select\" aria-invalid=\"false\" name=\"respiration\"><option value=\"Non\">Non<\/option><option value=\"Oui\">Oui<\/option><\/select><\/span> <\/label>\n\t<\/p>\n<\/div>\n<h4 class=\"text-center my-5\">Signes vitaux #1\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Heure<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heure-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heure-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Pouls<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pouls-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pouls-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Respiration<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"repiration-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"repiration-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Couleur de peau<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"couleur-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"couleur-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Niveau de conscience<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"conscience-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"conscience-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Pression art\u00e9rielle<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"press-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"press-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Temp\u00e9rature corporelle<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"temp-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"temp-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h4 class=\"text-center my-5\">Signes vitaux #2\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Heure<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heure-signe-vitaux2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heure-signe-vitaux2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Pouls<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pouls-signe-vitaux2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pouls-signe-vitaux2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Respiration<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"repiration-signe-vitaux2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"repiration-signe-vitaux2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Couleur de peau<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"couleur-signe-vitaux2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"couleur-signe-vitaux2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Niveau de conscience<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"conscience-signe-vitaux2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"conscience-signe-vitaux2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Pression art\u00e9rielle<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"press-signe-vitaux2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"press-signe-vitaux2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Temp\u00e9rature corporelle<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"temp-signe-vitaux2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"temp-signe-vitaux2\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h4 class=\"text-center my-5\">Signes vitaux #3\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Heure<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heure-signe-vitaux1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heure-signe-vitaux1\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Pouls<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"pouls-signe-vitaux3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"pouls-signe-vitaux3\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Respiration<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"repiration-signe-vitaux3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"repiration-signe-vitaux3\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Couleur de peau<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"couleur-signe-vitaux3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"couleur-signe-vitaux3\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Niveau de conscience<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"conscience-signe-vitaux3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"conscience-signe-vitaux3\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Pression art\u00e9rielle<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"press-signe-vitaux3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"press-signe-vitaux3\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> Temp\u00e9rature corporelle<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"temp-signe-vitaux3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"temp-signe-vitaux3\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<h4 class=\"text-center my-5\">Rapport post accident\n<\/h4>\n<p><label> Genre d'accident <span class=\"wpcf7-form-control-wrap\" data-name=\"genre\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"genre\" \/><\/span> <\/label>\n<\/p>\n<p><label> Nature de la blessure <span class=\"wpcf7-form-control-wrap\" data-name=\"nature\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nature\" \/><\/span> <\/label>\n<\/p>\n<p><label> Partie du corps bless\u00e9 <span class=\"wpcf7-form-control-wrap\" data-name=\"blessure\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"blessure\" \/><\/span> <\/label>\n<\/p>\n<p><label> Soins re\u00e7us <span class=\"wpcf7-form-control-wrap\" data-name=\"soins\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"soins\" \/><\/span> <\/label>\n<\/p>\n<p><label> Dommages mat\u00e9riels et co\u00fbts estim\u00e9s <span class=\"wpcf7-form-control-wrap\" data-name=\"materiel\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"materiel\" \/><\/span> <\/label>\n<\/p>\n<p><label> Autres cons\u00e9quences [text cons\u00e9quence] <\/label>\n<\/p>\n<h4 class=\"text-center my-5\">Analyse de l'accident\n<\/h4>\n<p><label> L\u2019activit\u00e9 qui se d\u00e9roulait au moment de l\u2019accident \u00e9tait-elle li\u00e9e au produit ou autoris\u00e9e? <span class=\"wpcf7-form-control-wrap\" data-name=\"autorise\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"autorise\" \/><\/span> <\/label>\n<\/p>\n<p><label> Le d\u00e9roulement de l\u2019activit\u00e9 \u00e9tait-il s\u00e9curitaire? <span class=\"wpcf7-form-control-wrap\" data-name=\"securitaire\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"securitaire\" \/><\/span> <\/label>\n<\/p>\n<p><label> L\u2019information sur les risques inh\u00e9rents \u00e9tait-elle fournie? <span class=\"wpcf7-form-control-wrap\" data-name=\"info\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"info\" \/><\/span> <\/label>\n<\/p>\n<p><label> Est-ce qu\u2019il y avait modification des aptitudes physiques ou mentales? <span class=\"wpcf7-form-control-wrap\" data-name=\"aptitude\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"aptitude\" \/><\/span> <\/label>\n<\/p>\n<p><label> L\u2019\u00e9quipement li\u00e9 \u00e0 l\u2019activit\u00e9 \u00e9tait-il s\u00e9curitaire? <span class=\"wpcf7-form-control-wrap\" data-name=\"equipement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"equipement\" \/><\/span> <\/label>\n<\/p>\n<p><label> La surveillance et l\u2019encadrement \u00e9taient-ils normaux? <span class=\"wpcf7-form-control-wrap\" data-name=\"equipement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"equipement\" \/><\/span> <\/label>\n<\/p>\n<p><label> Les mesures prises \u00e0 l\u2019\u00e9gard de la personne accident\u00e9e \u00e9taient-elles appropri\u00e9es? <span class=\"wpcf7-form-control-wrap\" data-name=\"equipement\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"equipement\" \/><\/span> <\/label>\n<\/p>\n<h4 class=\"text-center my-5\">CAUSES DE L\u2019ACCIDENT OU DE L\u2019\u00c9V\u00c9NEMENT - directe et indirecte\n<\/h4>\n<p><label> Cause #1 <span class=\"wpcf7-form-control-wrap\" data-name=\"cause1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cause1\" \/><\/span> <\/label><br \/>\n<label> Cause #2 <span class=\"wpcf7-form-control-wrap\" data-name=\"cause2\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cause2\" \/><\/span> <\/label><br \/>\n<label> Cause #3 <span class=\"wpcf7-form-control-wrap\" data-name=\"cause3\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cause3\" \/><\/span> <\/label>\n<\/p>\n<h4 class=\"text-center my-5\">Mesures pr\u00e9ventives recommand\u00e9s\n<\/h4>\n<p><label> Mesures pr\u00e9ventives <span class=\"wpcf7-form-control-wrap\" data-name=\"cause1\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"cause1\" \/><\/span> <\/label>\n<\/p>\n<h4 class=\"text-center my-5\">Personne ayant compl\u00e9t\u00e9 le pr\u00e9sent formulaire, le rapport post-accident et ayant donn\u00e9 les premiers soins\n<\/h4>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Nom<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"nomcomplet\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"nomcomplet\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Adresse<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"adresse\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"adresse\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t\t<p><label> T\u00e9l\u00e9phone<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"heure\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"heure\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n<\/div>\n<div class=\"d-md-flex\">\n\t<div class=\"w-50 mr-2 mb-3\">\n\t\t<p><label> Fonction<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"fonction\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"fonction\" \/><\/span> <\/label>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"w-50 ml-2 mb-3\">\n\t<\/div>\n<\/div>\n<p><label> Toute photo nous permettant de documenter l'incident:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachments\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachments\" \/><\/span> <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachments1\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachments1\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachments2\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachments2\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachments3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachments3\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachments4\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachments4\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"attachments5\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-file\" accept=\"audio\/*,video\/*,image\/*\" aria-invalid=\"false\" type=\"file\" name=\"attachments5\" \/><\/span>\n<\/p>\n<div class=\"icon-li\">\n\t<div class=\"d-md-flex\">\n\t\t<div class=\"w-200 mr-2 mb-3\">\n\t\t\t<p><label><b> Choisir:<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Acceptation-contrat\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"Acceptation-contrat\"><option value=\"\">&#8212;Please choose an option&#8212;<\/option><option value=\"J&#039;accepte \/ (ceci fait office de signature)\">J&#039;accepte \/ (ceci fait office de signature)<\/option><option value=\"Je n&#039;accepte pas\">Je n&#039;accepte pas<\/option><\/select><\/span> <\/b><\/label>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div class=\"w-200 ml-2 mb-3\">\n\t\t<\/div>\n\t<\/div>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n\t<\/p>\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Envoyer\" \/>\n\t<\/p>\n\t<div>\n\t\t<h4 class=\"text-center my-5\">Envoyez deux fois plut\u00f4t qu'une. Les notifications d'envoi ne fonctionnent pas.\n\t\t<\/h4>\n\t<\/div>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"166\"\/><script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n\/* ]]> *\/\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<input type=\"hidden\" name=\"trp-form-language\" value=\"fr\"\/><\/form>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":"","_links_to":"","_links_to_target":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.2 - 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