Rethinking Mass-Gathering Domains for Understanding Patient Presentations: A Discussion Paper

Hutton, Alison; Ranse, Jamie; Zimmerman, Peta-Anne

doi:10.1017/s1049023x20001454

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…These factors can broadly be described as biomedical, psychosocial, environmental, public health, command and control, and security. 35 Internationally, many guidelines or considerations are primarily based on expert opinion rather than evidence. However, it could be argued that some guidelines bring a false sense of security to MGE organizers and attendees, while missing important parts of the risk assessment.…”

Section: Discussionmentioning

confidence: 99%

Mass Gathering Event Medical Preparedness and Response: A Review of Canadian Legislation and Guidelines

Pigeon,

Hertelendy,

Hart

et al. 2024

Disaster med. public health prep.

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Introduction: The mass gathering event (MGE) industry is growing globally, including in countries such as Canada. MGEs have been associated with a greater prevalence of injury and illness when compared to daily life events, despite most participants having few comorbidities. As such, adequate health, safety, and emergency medical planning is required. However, there is no single entity regulating these concerns for MGEs resulting in the responsibility for health planning lying with event organizers. This study aims to compare the legislative requirements for MGE medical response systems in the 13 provinces and territories of Canada. Methods: This study is a cross-sectional descriptive analysis of Canadian legislation. Lists of publicly available legislative requirements were obtained via the emergency medical services directors and Health Ministries. Descriptive statistics were performed to compare legislation. Results: Of the 13 provinces and territories, 10 responded. For the missing three, a law library review confirmed the absence of specific legislation. Most (n=6, 60%) provinces and territories referred to provisions in their Public Health laws. Four confirmed that MGE medical response was a municipal or local concern to be addressed by the event organizers. Conclusion: No provinces could list specific legislation guiding safety, health, and medical response for MGE.

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Section: Discussionmentioning

confidence: 99%

Mass Gathering Event Medical Preparedness and Response: A Review of Canadian Legislation and Guidelines

Pigeon,

Hertelendy,

Hart

et al. 2024

Disaster med. public health prep.

Self Cite

View full text Add to dashboard Cite

show abstract

“…Examples of planned events include mass-gathering events (MGEs) such as music festivals and sporting events; policy events such as changes in alcohol legislation; and social events such as school leaver celebrations and certain public holidays, like New Year's Eve. 2,[15][16][17] Examples of unplanned events include natural disasters such as earthquake, tsunamis, and hurricanes, humanitarian emergencies such as displaced people, and disease outbreaks such as Ebola, Severe Acute Respiratory Syndrome (SARS), and coronavirus disease 2019 (COVID-19). 18 For some planned events, such as MGEs, there can be a recognized impact on local EDs, especially when alcohol is involved.…”

Section: Introductionmentioning

confidence: 99%

Alcohol-Related Presentations to Emergency Departments on Days with Holidays, Social, and Sporting Events: An Integrative Literature Review

Hagan,

Crilly,

Ranse

2023

Prehosp. Disaster med.

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Introduction: Events, specifically those where excessive alcohol consumption is common, pose a risk to increase alcohol-related presentations to emergency departments (EDs). Limited evidence exists that synthesizes the impact from events on alcohol-related presentations to EDs. Study Objective: This integrative review aimed to synthesize the literature regarding the impact events have on alcohol-related presentations to EDs. Methods: An integrative literature review methodology was guided by the Preferred Reporting Items of Systematic Reviews and Meta-Analysis (PRISMA) Guidelines for data collection, and Whittemore and Knafl’s framework for data analysis. Information sources used to identify studies were MEDLINE, CINAHL, and EMBASE, last searched May 26, 2021. Results: In total, 23 articles describing 46 events met criteria for inclusion. There was a noted increase in alcohol-related presentations to EDs from 27 events, decrease from eight events, and no change from 25 events. Public holidays, music festivals, and sporting events resulted in the majority of increased alcohol-related presentations to EDs. Few articles focused on ED length-of-stay (LOS), treatment, and disposition. Conclusion: An increase in the consumption of alcohol from holiday, social, and sporting events pose the risk for an influx of presentations to EDs and as a result may negatively impact departmental flow. Further research examining health service outcomes is required that considers the impact of events from a local, national, and global perspective.

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“…Previous research has shown that MG environmental characteristics that influence workload include on-site medical care [ 9 – 19 ], the event type, location and duration [ 20 , 21 ] and the weather conditions [ 22 , 23 ]. In addition, participant-related factors, such as drug and alcohol use and crowd demographics and behaviour, can have an impact on medical workload [ 3 , 13 , 15 , 21 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events

Koski

Pappinen

Kouvonen

et al. 2022

Scand J Trauma Resusc Emerg Med

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Background Mass gathering (MG) events may cause delayed emergency responses via various mechanisms and strain the resources of local emergency services. Therefore, preparedness, including adequate pre-planning and sufficient resourcing during MG events, is vital. The aim of this retrospective register study was to investigate the impact of MG events on the workload of rescue and emergency medical service (EMS) personnel during events to enable more precise and sufficient deployment of these authorities’ operative resources. Methods The data from Finland covered of 25,124 EMS and rescue service missions during a three-year period (2015–2017), including data from nine MG events and reference material for the same weekdays two weeks before and after the event. The data were analysed through statistical and geospatial analyses. Results Our findings showed that missions increased in most events included in this study. Analysis of the missions’ reasons showed that the categories of violence, traffic accidents and other accidents and injuries increased during events, with violence-related missions showing the highest relative risk (RR 1.87, 95% CI 1.43–2.44). In the four-grade (A–D) urgency grading, the analysis showed an increase in category C missions and a decrease in non-urgent category D missions. The analysis indicated an increase in missions during the evening and night-time. The geospatial analysis revealed dense hotspots of missions in the vicinity of the event area. Conclusion The workload for EMS and rescue service personnel increases during MG events. Most of the increase is allocated to EMS staff, peaking in evening and night hours. The geospatial analysis showed hotspots of missions on the outskirts of the actual event area during events; thus, the workload can also increase for those authority resources that are not directly allocated to the event. Detailed information regarding workloads is valuable for the authorities that are responsible for resource planning and preparedness for MG events. Replicating the study internationally would improve the methodology for the future.

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Rethinking Mass-Gathering Domains for Understanding Patient Presentations: A Discussion Paper

Cited by 5 publications

References 15 publications

Mass Gathering Event Medical Preparedness and Response: A Review of Canadian Legislation and Guidelines

Mass Gathering Event Medical Preparedness and Response: A Review of Canadian Legislation and Guidelines

Alcohol-Related Presentations to Emergency Departments on Days with Holidays, Social, and Sporting Events: An Integrative Literature Review

Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events

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