Abstract
The supported of medical emergency in general practice, and in unschedulded cares are a goal of our health system. The clutter of emergency services is a hudge stake. It is possible to adapt and to make easier the supported of medical emergencies by general practice, by using legal average. The first part of the maladjustment is structural : it is about financial maladjustment. Then there is a functional maladjustment which is about the building of the emergency system, which is focused on the hospital and about the liberal template. Some adjustments are possible, dealing with the modulation of means. Paradigm changes have to be included, such as the deployment of telemedecine, new corporate forms and medicine cabinet which are in the french mountains.