Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study
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Ranse J, Lenson S, Keene T, Luther M, Burke B, Hutton A. (2014). Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study; paper presented at the 12th International Conference for Emergency Nurses, Perth, Australia, 9th October.
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Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study
- 1. Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study Mr Jamie Ranse, Mr Shane Lenson, Mr Toby Keene, Mr Matt Luther, Dr Brandon Burke, A/Prof Alison Hutton
- 2. background • 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.
- 3. methods • Design • Setting • Data collection • Data analysis • Protection of human participants
- 4. results
- 5. results
- 6. results
- 7. results
- 8. results
- 9. results
- 10. 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).
- 11. 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.
- 12. 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.
- 13. Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study Mr Jamie Ranse, Mr Shane Lenson, Mr Toby Keene, Mr Matt Luther, Dr Brandon Burke, A/Prof Alison Hutton
Notes de l'éditeur
- A number of challenges exist in providing adequate health care at a mass gathering. Health providers aim to maximise their efficiency in responding to health emergencies within the mass gathering environment, whilst minimising potential impact of surge presentations to the health service in the surrounding community or region. The mass gathering literature commonly reports on the 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
- Design Retrospective review of patient report forms from onsite health services at outdoor music festival. Setting One outdoor music festival in 2012 in the Australian Capital Territory with approximately 20,000 participants. The festival had one first aid post and a health team staffed by doctors, nurses and paramedics. Data collection Data was obtained and linked between onsite care providers (St John Ambulance Australia), prehospital (ACT Ambulance Service) and hospitals (Canberra Hospital and Calvary Health Care ACT). A pre-existing and used minimum data set1 was used to code patient characteristics from this event. Data analysis Descriptive statistics such as frequency distributions and means of central tendency.
- This is the first research to describe patient presentations to onsite care providers, prehospital services and hospitals from a mass gathering. This research provides 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. Onsite health professionals may have diverted 15 patients who would have otherwise been seen by local ambulance and hospital services. Multi-site research should be undertaken to explore the health service usage from a variety of mass gatherings.