Understanding the Characteristics of Patient Presentations of Young People at Outdoor Music Festivals

Hutton, Alison; Ranse, Jamie; Verdonk, Naomi; Ullah, Shahid; Arbon, Paul

doi:10.1017/s1049023x14000156

Cited by 44 publications

(97 citation statements)

References 11 publications

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“…The majority of the 20 000 attendees from the studied MGE required first aid care only, with 24 patients receiving health professional care, and seven transported to hospital. This is similar to findings from other mass gathering research relating to Australian outdoor music festivals a high proportion of females required in‐event first aid care. For those who required in‐event health professional care, there was parity between genders.…”

Section: Discussionsupporting

confidence: 88%

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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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Section: Discussionsupporting

confidence: 88%

“…For those requiring transport to hospital, most were male. This finding may highlight that males present to in‐event first aid care less frequently than females; however, males present more acutely unwell . Further research is required to explore this inference.…”

Section: Discussionmentioning

confidence: 95%

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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“…Mental health aspects of youth during MGEs are not well reported. 24 We found that mental health featured in the top five ICD-10 diagnoses for young adults presenting to the ED and EHS during Schoolies. Given nearly one in two (45%) Australians aged 16-85 years experience a common mental health disorder in their lifetime 25 and people with mental illness have a mortality rate 2.5 times higher than the general population, 26 Schoolies week may thus provide an opportunity for additional mental health support services to target early intervention and referral for potentially 'at-risk' young adults.…”

Section: Discussionmentioning

confidence: 72%

“…Mental health aspects of youth during MGEs are not well reported . We found that mental health featured in the top five ICD‐10 diagnoses for young adults presenting to the ED and EHS during Schoolies.…”

Section: Discussionmentioning

confidence: 80%

Emergency healthcare delivery for young adults during a planned mass gathering: A retrospective observational study

Crilly

Ranse

Bost

et al. 2019

Emerg Medicine Australasia

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Objective To describe patient presentation characteristics and outcomes for people aged 16–18 years pre, during and post a planned youth mass gathering event (MGE): ‘Schoolies week’ on the Gold Coast, Queensland, Australia. Methods This was a retrospective observational study, including patient presentations by all young adults requiring care in the ED or in‐event health services (EHS) over a 21‐day period in 2014. Data analysis included descriptive and inferential statistics. Results A total of 1029 patient presentations were made by people aged 16–18 years to the ED and EHS over the 21‐day study period (139 pre, 695 during [275 in ED, 420 in EHS], 195 post Schoolies week). Some ED patient characteristics and outcomes varied between the pre, during and post Schoolies periods, such as patients age (P < 0.001), usual place of residence (P < 0.001) and not waiting for treatment (P = 0.015). Of the 24 375 registered MGE attendees, 420 (1.72% [95% confidence interval 1.57–1.89], 17.2/1000) presented for in‐event care. Most patients were allocated an Australasian Triage Scale category of 4 (n = 162, 65.6%), with toxicology related presentations (n = 169, 44.9%). Transportation to hospital was undertaken for seven MGE attendees (0.03% [95% confidence interval 0.01–0.06], 0.3/1000). Conclusions Establishment of an in‐event model of care for 1 week during Schoolies served as an effective hospital avoidance strategy for a planned youth MGE. Such in‐event models of care may be considered for other similar future MGE.

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“…These compounds may be ingested intentionally as alternatives or supplements to traditional drugs of abuse (DOA), or unintentionally as adulterants (Moore, Dargan, Wood, & Measham, 2013; Vogels et al, 2016). Drug use at music festivals and raves has become normalized; consequently, drug-related adverse medical events are common at such venues (Hutton, Ranse, Verdonk, Ullah, & Arbon, 2014; Lim, Hellard, Hocking, & Aitken, 2008a). …”

Section: Introductionmentioning

confidence: 99%

Drugs of Abuse and Novel Psychoactive Substances at Outdoor Music Festivals in Colorado

Fox

Smith

Yale

et al. 2017

Substance Use & Misuse

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Background Drugs of abuse (DOA) are widely used in the United States and are ubiquitous at outdoor music festivals. Attendees at music festivals are at high-risk for novel psychoactive substance (NPS) use, which is becoming more prevalent worldwide. No U.S. studies have employed an qualitative approach to investigate the etiologies of both traditional DOA and NPS use amongst music festival attendees. Objectives The objective of this study was to improve understanding of the knowledge, attitudes, beliefs, and practices of festival attendees using NPS and DOA. Methods We conducted semi-structured interviews of 171 attendees during the Sonic Bloom and Arise music festivals in Colorado in 2015 and 2016. Discrete variables were summarized with descriptive statistics. The anonymous, multi-domain interview documented the knowledge, attitudes beliefs, and practices underlying DOA use, which were analyzed with qualitative methods. Results We enrolled 171 participants that endorsed DOA use at the festivals. Most were experienced DOA users, who perceived minimal risks associated with DOA and NPS use. Nearly all unanimously reported normalization of DOA at music festivals. Participants popularly cited empathogenic, entactogenic, and entheogenic effects of DOA as their primary motivations for use. NPS use was endorsed by 39.8% (n = 68) of respondents, all of whom identified as being experienced DOA users. Conclusions This population of novel psychoactive substance users is primarily composed of experienced drug users that endorsed use because of low cost, minimal perceived risk, accessibility, and normalization of drug use at music festivals.

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Understanding the Characteristics of Patient Presentations of Young People at Outdoor Music Festivals

Cited by 44 publications

References 11 publications

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

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

Emergency healthcare delivery for young adults during a planned mass gathering: A retrospective observational study

Drugs of Abuse and Novel Psychoactive Substances at Outdoor Music Festivals in Colorado

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