Mr Jamie Ranse

TRENDS IN MASS GATHERING HEALTH

A mass gathering can be defined as an event where a group of people come together for a common purpose within a particular space or venue

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Mr Jamie Ranse, Mr Shane Lenson, Mr Toby Keene, Mr Matt Luther, Dr Brandon Burke, A/Prof Alison Hutton

Patient presentations to onsite health providers, ambulance paramedics and hospital emergency

departments from a mass gathering: a case study

• Challenges exist in providing adequate health care at a mass gathering.

• Minimising impact to the health service in the surrounding community or region.

• Onsite care from single events and does not consider the effect on prehospital or hospital services.

Aim• This research aims to enhance our understanding of

the health service requirements of an outdoor music festival.

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results

results

Onsite first aid care•The most frequent illness was headaches (n=94), injury was superficial lacerations (n=13), environmental was substance and/or alcohol intoxication (n=12).Onsite health professional care•The most frequent illness was headaches (n=3), injury was fractures (n=2), environmental was substance and/or alcohol intoxication (n=12).

results

Ambulance transport•The most frequent injury was fractures (n=2), environmental was substance and/or alcohol intoxication (n=4). •One patient required prehospital endotracheal intubation. •Three patients required airway adjuncts.Hospital services•One patient required an ORIF.•One patient required intubation and ventilator support in the Intensive Care Unit.

discussion

• Insight into the health service usage from one event.

• Presentation to the onsite health professionals resulted in a longer length of stay in the onsite medical facility.

• Possible hospital / ambulance avoidance of 15 patients.

• Multi-site research should be undertaken to explore the health service usage from a variety of mass gatherings.

Mr Jamie Ranse, Mr Shane Lenson, Mr Toby Keene, Mr Matt Luther, Dr Brandon Burke, A/Prof Alison Hutton

Patient presentations to onsite health providers, ambulance paramedics and hospital emergency

departments from a mass gathering: a case study

Mr Jamie Ranse, A/Prof Alison Hutton, Mr Toby Keene, Mr Shane Lenson, Mr Matt Luther, Dr Amy Johnson, Dr Julia Crilly, Mr Matt Cannon, Ms Nicole Jones, Ms Courtney Hayes, Dr Brandon Burke

Health service impact from mass gatherings: A systematic literature review

• Develop an understanding of the impact on health services from mass gatherings

aim

• This research used a systematic literature review methodology

• Electronic databases were searched to find articles related to the aim of the review

• Articles focused on mass gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization

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Table 1: Search terms

Table 2: Inclusion and exclusion criteria

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discussion

• In-event health services– Reporting PPR rather than raw patient numbers – Single case studies and the characteristics of patient

presentations– The number of health professionals, discipline area, clinical

skill level, and duration of the shift was scantly reported

discussion

• External health services– Some insight into the impact on ambulance services– Some insight into the impact on hospital services – Not comparable across events

• There is minimal research focusing on the impact of mass gatherings on health services, such as ambulance services and hospitals

• More research and evaluation is required to gain a better understanding of this health space

• More collaboration between in-event and external health services

conclusion

Mr Jamie Ranse, A/Prof Alison Hutton, Mr Toby Keene, Mr Shane Lenson, Mr Matt Luther, Dr Amy Johnson, Dr Julia Crilly, Mr Matt Cannon, Ms Nicole Jones, Ms Courtney Hayes, Dr Brandon Burke

Health service impact from mass gatherings: A systematic literature review