Ranse J. (2019). The 2018 Commonwealth Games Experience; invited speaker for 4th International Conference for Mass Gathering Medicine, Jeddah, Saudi Arabia, 16th December.

1. 2018 COMMONWEALTH
GAMES EXPERIENCE
facebook.com/MassGathCollab
twitter.com/MassGathCollab
linkedIn.com/company/MassGathCollab
www.MassGatherings.com.au
Dr Jamie Ranse RN PhD
Research Fellow
Emergency Care
www.JamieRanse.com
facebook.com/JamieRanse
twitter.com/JamieRanse
linkedIn.com/in/JamieRanse

2. Gold Coast, Australia

3. Gold Coast, Australia

4. Gold Coast 2018 Commonwealth Games Corporation

5. Non-competition
medical care
Competition medical
care
Emergency transport
and pre-hospital care
Hospital carePreventative health
GC2018 Medical Team
Queensland Ambulance Service
Hospital and Health
Service
Queensland Health Public Health Units
Gold Coast 2018 Commonwealth Games Corporation
Shared model of care

6. Gold Coast Public Health Unit. (2019). Gold Coast 2018 Commonwealth Games Summary Report. Retrieved from https://www.goldcoast.health.qld.gov.au/sites/default/files/GC2018%20Public%20Health%20Summary%20Report%20Final%20.pdf
Public Health Unit
Public Emergency Department: Gastroenteritis

7. Other sites: Gastroenteritis
Public Health Unit
Gold Coast Public Health Unit. (2019). Gold Coast 2018 Commonwealth Games Summary Report. Retrieved from https://www.goldcoast.health.qld.gov.au/sites/default/files/GC2018%20Public%20Health%20Summary%20Report%20Final%20.pdf

8. Public Health Unit
Other notifications
Gold Coast Public Health Unit. (2019). Gold Coast 2018 Commonwealth Games Summary Report. Retrieved from https://www.goldcoast.health.qld.gov.au/sites/default/files/GC2018%20Public%20Health%20Summary%20Report%20Final%20.pdf

9. Encounters Total %
Medical Encounters 9,035 77
First Aid Encounters 2,727 23
Total 11,762 100
Out-of-hospital teams
In-venue and Games village encounters

10. Out-of-hospital teams
Festival sites and ambulance services
• Queensland Ambulance Service
• Festival sites
• Supported in-venue health teams
• Normal ambulance operations

11. Hospital, Health Services
Impact from mass gatherings
Ranse J, Hutton A, Keene T, Lenson S, Luther M, Bost N, Johnston A, Crilly J, Cannon M, Jones N, Hayes C, Burke B. (2017) Health service impact from mass-gatherings: A systematic literature review. Prehospital and Disaster Medicine. 32(1):71-77.
Ranse J, Lenson S, Keene T, Luther M, Burke B, Hutton A, Johnston A, Crilly J. (2018). Impacts on in-event, ambulance and emergency department services from patients presenting from a mass gathering event: A retrospective analysis. Emergency Medicine
Australasia. 31:423–428.
Crilly J, Ranse J, Bost N, Donnelly T, Timms J, Gilmour K, Aitken M, Johnston A. (2019). Emergency health care delivery for young adults during a planned mass gathering: A retrospective observational study. Emergency Medicine Australasia.

12. Hospital, Health Services
Emergency Departments
0
1000
2000
3000
4000
5000
6000
7000
Pre During After
Hospital 1 Hospital 2
• Identify differences in the demographics, clinical characteristics and
outcomes of ED patient presentations (pre, during and post)
• Presentation numbers
• Waiting times (pre, during, post)
• Length of stay (pre, during, post)
• Admissions (pre, during, post)
• Certain infectious and parasitic
diseases (pre, during, post)

13. Hospital, Health Services
Emergency Departments: Drugs and alcohol
• Previous mega sporting mass gatherings have reported spikes in drug and
alcohol related presentations
• No difference between patient demographics, characteristics and outcomes
• Sub-group analysis showed an increase in ED related psychotropic
medication overdoses prior
Catherine Delany. Master of Emergency Nursing (Dissertation). A retrospective analysis of drug and alcohol related patient presentations to the Gold Coast Health emergency departments during the 2018 Commonwealth Games. Supervisors: Julia Crilly, Jamie
Ranse.

14. Hospital, Health Services
Emergency Departments: Communicable diseases
• Communicable diseases reported at previous mass gatherings
• Presentations: 1,501 (pre, during, post)
• ICD-10 grouping:
• Communicable respiratory disease (51.4%)
• Other viral diseases (25.3%)
• Intestinal infectious diseases (18.2%)
• Median age: 8 years old
• Arrival by ambulance (pre, during, after)
• Median length of stay in minutes (pre, during, post)
Shirley (Yunjing) Qiu. Bachelor of Nursing (Honours), First Class. A retrospective cohort study evaluating the impact of a mass gathering (the 2018 Commonwealth Games) on emergency department presentations with communicable diseases. Supervisors: Julia
Crilly, Jamie Ranse, Peta-Anne Zimmerman

15. Summary
2018 Commonwealth Games Experience
• A shared model of health care
• Public Health Unit
• In-venue and village health service
• Pre-hospital / ambulance service
• Hospital and Health Service

16. 2018 COMMONWEALTH
GAMES EXPERIENCE
facebook.com/MassGathCollab
twitter.com/MassGathCollab
linkedIn.com/company/MassGathCollab
www.MassGatherings.com.au
Dr Jamie Ranse RN PhD
Research Fellow
Emergency Care
www.JamieRanse.com
facebook.com/JamieRanse
twitter.com/JamieRanse
linkedIn.com/in/JamieRanse