Collegiate-Based Emergency Medical Service: Impact on Alcohol-Related Emergency Department Transports at a Small Liberal Arts College

Rosen, Joshua B.; Olson, Mark L.; Kelly, Marianne

doi:10.1080/07448481.2011.599353

Cited by 6 publications

(5 citation statements)

References 7 publications

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“…Many drug use and overdose cases begin with a 911 call that leads to a public safety or an ambulance response by the Emergency Medical Services (EMS) system. 9 Few studies have evaluated the association between activation of the ambulance system and alcohol and drug-related emergencies. Previous research has used EMS data to carry out public health surveillance of health conditions in the community at large, but this data has yet to include substance use of adolescents and young adults in a suburban community in the United States.…”

Section: Introductionmentioning

confidence: 99%

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Assessing Pediatric and Young Adult Substance Use Through Analysis of Prehospital Data

Seaman

Levy

Jenkins

et al. 2014

Prehosp. Disaster med.

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All three hypotheses were supported: the type of substance being abused was associated with both age and location, and substance abuse was associated with a history of mental illness. This research has important implications for understanding how EMS resources are utilized for substance use. This information is valuable in not only the education and training of prehospital care providers, but also for the targeting of future public health interventions.

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Section: Introductionmentioning

confidence: 99%

“…Previous studies have analyzed ambulance calls for alcohol-related emergencies 8 . Young people account for many alcohol-related calls, especially on college campuses 9 . Few studies have evaluated the association between activation of the ambulance system and alcohol and drug-related emergencies.…”

Section: Introductionmentioning

confidence: 99%

Assessing Pediatric and Young Adult Substance Use Through Analysis of Prehospital Data

Seaman

Levy

Jenkins

et al. 2014

Prehosp. Disaster med.

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“…Mobile, roving student responders who were intimately familiar with the campus environment and patient population were capable of responding to non-ambulatory patients and of identifying individuals in-need. In fact, it has been suggested that students may be more willing to approach or to receive care from peers, especially in cases of alcohol and other drugs 22 . Moreover, student responders were capable of informally obtaining pre-event information from peers regarding expected activities and illicit consumption patterns, which facilitated targeted pre-event training.…”

Section: Discussionmentioning

confidence: 99%

“…In fact, it has been suggested that students may be more willing to approach or to receive care from peers, especially in cases of alcohol and other drugs. 22 Moreover, student responders were capable of informally obtaining pre-event information from peers regarding expected activities and illicit consumption patterns, which facilitated targeted pre-event training. Similarly, student leaders of Skidmore College EMS were able to engage with event organizers, college administrators, and peer health educators to recommend safety precautions and contribute to prevention/awareness campaigns.…”

Section: Collegiate-based First Response Modelmentioning

confidence: 99%

Mass-Gathering Medical Care Provided by a Collegiate-Based First Response Service at an Annual College Music Festival and Campus-Wide Celebration

Friedman

O'Connor

Munro

et al. 2018

Prehosp. Disaster med.

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BackgroundThere is insufficient research on medical care at mass-gathering events (MGEs) on college and university campuses. Fun Day is an annual celebratory day held at Skidmore College (Saratoga Springs, New York USA), a small liberal arts college in the Northeastern United States. Fun Day is focused around an outdoor music festival; students also congregate and celebrate throughout the surrounding campus. To improve care and alleviate strain on local resources, a model was developed for the provision of emergency care by a collegiate-based, volunteer first-response service – Skidmore College Emergency Medical Services (EMS) – in coordination with a contracted, private ambulance service.Study/ObjectiveThe aims of this study were to: (1) analyze medical usage rates and case mixes at Fun Day over a four-year period, and to (2) describe the collegiate-based first response model for MGEs.MethodsData were collected retrospectively from event staff, college administrators, and Skidmore College EMS on event-related variables, patient encounters, and medical operations at Fun Day over a four-year period (2014-2017).ResultsAnnual attendance at the music festival was estimated at 2,000 individuals. Over four years, 54 patients received emergency medical care on campus on Fun Day, and 18 (33.3%) were transported to the emergency department. On-site contracted ambulances transported 77.8% of patients who were transported to the emergency department; mutual aid was requested for the other 22.2% of transports. The mean (SD) patient presentation rate (PPR) was 7.0 (SD = 1.0) per 1,000 attendees. The mean (SD) transport-to-hospital rate (TTHR) was 2.0 (SD = 1.0) per 1,000 attendees. Thirty (55.6%) patients presented with intoxication, seven (13.0%) with laceration(s), and five (9.3%) with head trauma as the primary concern. Medical command was established by volunteer undergraduate students. Up to 16 volunteer student first responders (including emergency medical technicians [EMTs]) were stationed on campus, in addition to two contracted ambulances at the Basic Life Support (BLS) and Advanced Life Support (ALS) levels. Operational strategies included: mobile first response crews, redundant communication systems, preventative education, and harm reduction.ConclusionHigh medical usage rates were observed, primarily due to alcohol/illicit substance use and traumatic injuries. The provision of emergency care by a collegiate-based first response service in coordination with a contracted, private ambulance agency serves as an innovative model for mass-gathering medical care on college and university campuses.FriedmanNMG, O’ConnorEK, MunroT, GoroffD.Mass-gathering medical care provided by a collegiate-based first response service at an annual college music festival and campus-wide celebration. Prehosp Disaster Med. 2019;34(1):98–103.

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“…Carey et al 14 found that alcohol intoxication was responsible for approximately 1 out of every 6 campus-based ambulance runs at a private fouryear residential university in the northeastern United States in [2005][2006]. Additionally, Rosen et al 15 reported that more than twice the number of students were transported to an emergency department for alcohol intoxication following the introduction of a CBEMS agency at a small liberal arts college in the northeastern United States in 2009. Although the study was limited in scale, the authors noted that the presence of CBEMS may promote a culture on college campuses that is conducive to increased reporting and care-seeking behavior.…”

mentioning

confidence: 99%

Drug-Facilitated Sexual Assault: Implications for Collegiate-Based Emergency Medical Services

Gorstein¹,

Riviello²

2018

J Coll Emerg Med Serv

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the unwanted penetration of an individual's body. 2 Rape is a legal term defined by the F.B.I. as "the penetration, no matter how slight, of the vagina or anus, with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim." 2 While some perpetrators physically force or threaten victims to engage in sexual activity (ie, forcible sexual assault), increasing awareness is evolving around the use of drugs and/or alcohol as another means to facilitate sexual violence. [3][4][5][6][7][8][9][10] Previous literature refers to this type of sexual assault using the terms incapacitated sexual assault 6 , drug-enabled sexual assault 7 , and drug-facilitated sexual assault 8 . In this review, the term drug-facilitated sexual assault (DFSA) is used to refer to any act of sexual violence committed against someone who is, voluntarily or involuntarily, under the influence of one or more disinhibiting substances. DFSA is described using two categories: (1) Proactive DFSA: the covert or forcible administration of a disinhibiting or incapacitating substance to T he Centers for Disease Control and Prevention identifies sexual assault as a serious public health issue affecting millions of men and women in the United States. 1 Sexual assault refers to a range of sexual acts or behaviors that occur without the explicit consent of the recipient, including the unwanted fondling or sexual touching of an individual, attempted rape, coercion or forcing of an individual to perform sexual acts, or Lauren N. Gorstein, BA, EMT-B is a researcher for the Department of Sociology at Skidmore College. Her research interests include understanding the factors that contribute to sexual and gender-based violence on college campuses and improving emergency medical response to intimate partner violence and sexual assault. She also serves as a prevention educator and victim advocate.

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Collegiate-Based Emergency Medical Service: Impact on Alcohol-Related Emergency Department Transports at a Small Liberal Arts College

Cited by 6 publications

References 7 publications

Assessing Pediatric and Young Adult Substance Use Through Analysis of Prehospital Data

Assessing Pediatric and Young Adult Substance Use Through Analysis of Prehospital Data

Mass-Gathering Medical Care Provided by a Collegiate-Based First Response Service at an Annual College Music Festival and Campus-Wide Celebration

Drug-Facilitated Sexual Assault: Implications for Collegiate-Based Emergency Medical Services

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