Scott A Goldberg1, Jeremy Maggin2, Michael S Molloy3, Olesya Baker1, Ritu Sarin2, Michael Kelleher4, Kevin Mont5, Adedeji Fajana3, Eric Goralnick1. 1. 1Department of Emergency Medicine,Brigham and Women's Hospital,Boston,Massachusetts. 2. 2Harvard Medical School,Boston,Massachusetts. 3. 3Department of Emergency Medicine,Beth Israel Deaconess Medical Center,Boston,Massachusetts. 4. 5Foxborough Fire Department,Foxborough,Massachusetts. 5. 6Fallon Ambulance Service,Quincy,Massachusetts.
Abstract
OBJECTIVE: Mass gathering events can substantially impact public safety. Analyzing patient presentation and transport rates at various mass gathering events can help inform staffing models and improve preparedness. METHODS: A retrospective review of all patients seeking medical attention across a variety of event types at a single venue with a capacity of 68,756 from January 2010 through September 2015. RESULTS: We examined 232 events with a total of 8,260,349 attendees generating 8157 medical contacts. Rates were 10 presentations and 1.6 transports per 10,000 attendees with a non-significant trend towards increased rates in postseason National Football League games. Concerts had significantly higher rates of presentation and transport than all other event types. Presenting concern varied significantly by event type and gender, and transport rate increased predictably with age. For cold weather events, transport rates increased at colder temperatures. Overall, on-site physicians did not impact rates. CONCLUSIONS: At a single venue hosting a variety of events across a 6-year period, we demonstrated significant variations in presentation and transport rates. Weather, gender, event type, and age all play important roles. Our analysis, while representative only of our specific venue, may be useful in developing response plans and staffing models for similar mass gathering venues. (Disaster Med Public Health Preparedness. 2018;12:752-758).
OBJECTIVE: Mass gathering events can substantially impact public safety. Analyzing patient presentation and transport rates at various mass gathering events can help inform staffing models and improve preparedness. METHODS: A retrospective review of all patients seeking medical attention across a variety of event types at a single venue with a capacity of 68,756 from January 2010 through September 2015. RESULTS: We examined 232 events with a total of 8,260,349 attendees generating 8157 medical contacts. Rates were 10 presentations and 1.6 transports per 10,000 attendees with a non-significant trend towards increased rates in postseason National Football League games. Concerts had significantly higher rates of presentation and transport than all other event types. Presenting concern varied significantly by event type and gender, and transport rate increased predictably with age. For cold weather events, transport rates increased at colder temperatures. Overall, on-site physicians did not impact rates. CONCLUSIONS: At a single venue hosting a variety of events across a 6-year period, we demonstrated significant variations in presentation and transport rates. Weather, gender, event type, and age all play important roles. Our analysis, while representative only of our specific venue, may be useful in developing response plans and staffing models for similar mass gathering venues. (Disaster Med Public Health Preparedness. 2018;12:752-758).
Entities:
Keywords:
emergency medical services; emergency medicine; emergency preparedness; mass gathering medicine
Authors: Paul Craven; Joseph Hansroth; Kimberly D Quedado; Christopher S Goode; Shane Dragan; Aaron Monseau; Brenden Balcik; Nicholas Chill; Scott W Findley Journal: Cureus Date: 2021-04-03
Authors: Neil C Murthy; David P Holland; Allison T Chamberlain; Sasha Smith; John Callahan; Wendy Smith Journal: J Public Health Manag Pract Date: 2021 Sep-Oct 01