Mass-gathering Medicine: Risks and Patient Presentations at a 2-Day Electronic Dance Music Event

Lund, Adam; Turris, Sheila A.

doi:10.1017/s1049023x15004598

Cited by 54 publications

(85 citation statements)

References 21 publications

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“…Whereas a younger age and tourism as main travel reason were positively associated with alcohol intake, being a traveler from the control group, being female and traveling together with the partner were inversely associated with alcohol intake during the journey. These results are in line with other studies on alcohol-related behavior of young people attending school leaving events or music festivals [33,34]. The use of alcohol during MGs does not only raise incidents rates of gatheringrelated injuries, but also the risk of becoming victim of robbery and brawls or acquiring sexually transmitted diseases (STDs) [35,36].…”

Section: Discussionsupporting

confidence: 90%

Travelers to the FIFA world cup 2014 in Brazil: Health risks related to mass gatherings/sports events and implications for the Summer Olympic Games in Rio de Janeiro in 2016

Eberhardt

Vinnemeier

Dehnerdt

et al. 2016

Travel Medicine and Infectious Disease

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Section: Discussionsupporting

confidence: 90%

Travelers to the FIFA world cup 2014 in Brazil: Health risks related to mass gatherings/sports events and implications for the Summer Olympic Games in Rio de Janeiro in 2016

Eberhardt

Vinnemeier

Dehnerdt

et al. 2016

Travel Medicine and Infectious Disease

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“…1 This was a somewhat unique event as many music festivals are outdoor events and include "residential" camping on-site. The observational study presented the data from 2013 and documented patient presentation rates (PPR), case mix, and ATRs.…”

mentioning

confidence: 99%

Mass-gathering Medicine: Risks and Patient Presentations at a 2-day Electronic Dance Music Event - Year Two

Turris

Camporese

Gutman

et al. 2016

Prehosp. Disaster med.

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Conflicts of interest:All authors have participated at events as volunteers and in contracted roles as operational and clinical care providers. Dr. Gutman is the president of Rockdoc Inc., an event operations company.Turris SA, Camporese M, Gutman SJ, Lund A. Mass-gathering medicine: risks and patient presentations at a 2-day electronic dance music event -year two. Prehosp Disaster Med. 2016;31(6):687-688.In June of 2015, Prehospital and Disaster Medicine published a paper on the impact of a higher level of care team on ambulance transfer rates (ATRs) during an urban, indoor music festival that took place over two consecutive days, for six hours each evening.1 This was a somewhat unique event as many music festivals are outdoor events and include "residential" camping on-site. The observational study presented the data from 2013 and documented patient presentation rates (PPR), case mix, and ATRs. One outcome of particular interest was the impact of a multi-disciplinary team capable of providing care similar to that available in the emergency department, with a specific focus on reduction of ATRs.We repeated the deployment in 2014, at the same music festival, and again embedded a data collection team in the deployment (HA, MC, ST, and SV). Details regarding the methodology are available in the original paper. The study received ethical approval from the University of British Columbia (Vancouver, British Columbia, Canada). In this letter, we briefly report the findings from 2014, the second year and final year of the study.In 2014, there were roughly 10,000 attendees on each of the two nights the event was held. One hundred individuals sought medical care in the field clinic during the event (N = 100; 49% first night and 51% second night). The average age was 19.49 years (range: 12-30 years). Forty-seven individuals (47%) treated were less than 19 years of age (the legal age for consuming alcohol). Sixty-three percent were female. Individuals arrived at the field clinic on foot (n = 59), by wheelchair (n = 37), and by stretcher (n = 4). The minority of patients arrived unaccompanied (n = 14), escorted by friends (n = 6), or with security services (n = 5). Most were escorted by members of the roving medical teams (n = 68): venue medical staff (n = 18) or contracted medical staff (n = 50). Seven arrivals were not documented.There were 53 non-acute presentations (eg, knee pain or headache), and 47 were classified as potentially urgent (n = 39; eg, moderate shortness of breath or moderate allergic reaction) or emergent (n = 8; eg, overdose or poisoning, seizures, or altered level of consciousness). Accordingly, alcohol use was documented as a contributing factor for 71/100 individuals. Recreational drug use was documented in 32/100 cases. Use of 3,4-methylenedioxy-N-methylamphetamine (MDMA), or a product sold as MDMA, was the most common form of substance use disclosed (n = 30; ie, "Ecstasy" or "Molly"). Other intoxicants reported included gamma-hydroxybutyric acid/GHB (n = 1) and cocaine (n = 4).A total of seven indi...

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“…Traditionally, patients from a MGE who require care beyond first aid care would be transported by ambulance to a local ED. [16][17][18] Increased crowding and congestion in the ED results in negative patient outcomes, such as increased morbidity and mortality, increased adverse events, delays in time-critical care, 19,20 and increased cost per admission. 21 As such, the exploration of strategies to decrease crowding and congestion should be explored in relation to the MGE context.…”

Section: Discussionmentioning

confidence: 99%

Impacts on in‐event, ambulance and emergency department services from patients presenting from a mass gathering event: A retrospective analysis

Ranse

Lenson

Keene³

et al. 2018

Emerg Medicine Australasia

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Objective The aim of this study was to describe the in‐event, ambulance and ED impacts of patient presentations from an Australian mass gathering event (MGE) including patient demographics, provision of care, length of stay and discharge disposition. Methods This research was set at one MGE in Australia. The MGE had one first aid post and one in‐event health team staffed by doctors, nurses and paramedics. A retrospective analysis of patient care records from providers of in‐event, ambulance and ED services was undertaken. Data analysis included descriptive and inferential statistics. Results Of the 20 000 MGE participants, 197 (0.99% [95% CI 0.86–1.13], 9.85/1000) presented for in‐event first aid care, with 24/197 (12.2% [95% CI 8.33–17.49], 1.2/1000) referred to in‐event health professionals. Fifteen of the referred patients (62.5% [95% CI 42.71–78.84]) returned to the MGE following administration of intravenous fluids (n = 13) and/or anti‐emetics (n = 11). Seven (29.2% [95% CI 14.92–49.17], 0.35/1000) were referred to ambulance paramedic care, requiring endotracheal intubation (n = 1) and airway adjuncts (n = 3) prior to transportation to ED; these patients had an ED median length of stay of 7 h (5.5–12.5) receiving imaging and ventilator support. Five were discharged from ED, one required an operation and another required intensive care unit admission. Conclusions There was an impact on in‐event, ambulance and ED services from this MGE but the in‐event model of care may have limited ambulance usage and ED visits. The ED length of stay was greater than the national median, perhaps reflecting the appropriateness of transport and nature of care requirements while in the ED.

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Mass-gathering Medicine: Risks and Patient Presentations at a 2-Day Electronic Dance Music Event

Abstract: Electronic dance music events have predictable risks and patient presentations, and appropriate on-site health care resources may reduce significantly the impact on the prehospital and emergency health resources in the host community.

Cited by 54 publications

References 21 publications

Travelers to the FIFA world cup 2014 in Brazil: Health risks related to mass gatherings/sports events and implications for the Summer Olympic Games in Rio de Janeiro in 2016

Travelers to the FIFA world cup 2014 in Brazil: Health risks related to mass gatherings/sports events and implications for the Summer Olympic Games in Rio de Janeiro in 2016

Mass-gathering Medicine: Risks and Patient Presentations at a 2-day Electronic Dance Music Event - Year Two

Impacts on in‐event, ambulance and emergency department services from patients presenting from a mass gathering event: A retrospective analysis

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