Ranse J. (2014). Understanding patient presentations among young people at mass gatherings; presentation to Paramedics Australasia, Paramedics Australasia Student Association and St John Ambulance (ACT), Canberra, ACT, 29th April.

1. understanding patient presentations among
young people at mass gatherings
Jamie Ranse
www.jamieranse.com
twitter.com/jamieranse
youtube.com/jamieranse
linkedin.com/in/jamieranse

2. • Definition
• Conceptual model
• What do we know?
• Reporting of data
• Impact on health services
• Outdoor music festivals
• Considerations
overview

3. definition
Class Subclass Persons Resources Example
Mass gathering
Small 200 – 1,500 Local area Local fair
Medium 1,500 – 10,000 Local area Local sports game
Large 10,000 – 100,000 Local +/- State Concert
Major mass gathering 100,000 – 250,000 State +/- Interstate
Music festival
Agricultural show
Super mass gathering 250,000 – 500,000 State and Interstate Motor sports event
Extreme mass
gathering
500,000 – 1,000,00
National +/-
international
Religious festival
Mega mass gathering 1,000,000+
National and
International
Olympics

4. conceptual model

5. • Literature focus on:
– Single cases
– Descriptive
– PPR
– TTHR
• Reporting of data
what do we know?

6. implications
• Pre-ambulance (PPR)
• Pre-hospital (TTHR)

7. implications
• Pre-ambulance (PPR)
• Pre-hospital (TTHR)
• Emergency Department (RTHR)
• Hospital
– ICU
– Surgery

8. • Multiple versus primary presenting problem
• Diagnosis
• International language
reporting of data

9. reporting of data

10. reporting of data

11. Population and setting
•~400,000 population
•2 public emergency departments
Setting
•~20,000 participants (bounded / ticketed)
•One first aid post
•Medical assistance team
•Onsite Ambulance
impact on health services: one event

12. Findings
•197 patients to onsite care
•Additional 2 direct to ambulance and hospital
Onsite care
•34 reviewed by HCP
•22 with Medical Assistance Team
– 2 with police
– 5 local ambulance service
• 7 to local emergency departments (1 to ICU)
– 15 returned to event
impact on health services: one event

13. • Understand the characteristics of young people
who had presented as patients to on-site health
care at OMFs in four Australian states, and the
relative proportion and type of injury and illness
presentations at these events in Australia.
outdoor music festivals

14. outdoor music festivals

15. outdoor music festivals

16. outdoor music festivals

17. outdoor music festivals

18. considerations
Pre, During, Post
International
Nation state
Host
community
Event
population
Patient
population

19. • Health legacy
– Health expectations
– Changing ‘event’ site
• Event legacy
– Environmental
considerations

20. understanding patient presentations among
young people at mass gatherings
Jamie Ranse
www.jamieranse.com
twitter.com/jamieranse
youtube.com/jamieranse
linkedin.com/in/jamieranse