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Mass gatherings: Impacts on emergency departments

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Ranse J. (2018). Mass gatherings: Impacts on emergency departments; presentation to nurses and doctors of the Royal Adelaide Hospital, Emergency Department, Adelaide, SA, 16th May

Veröffentlicht in: Gesundheit & Medizin
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Mass gatherings: Impacts on emergency departments

  1. 1. MASS GATHERINGS: Impact on emergency departments Dr Jamie Ranse RN PhD Research Fellow, Emergency Care www.jamieranse.com twitter.com/jamieranse youtube.com/jamieranse linkedin.com/in/jamieranse
  2. 2. An event where a group of people come together for a common purpose within a particular space or venue. Where there is the potential for a delayed response to health emergencies due to a number of challenges, primarily related to the environment and patient egress. Arbon P. Mass-gathering medicine: a review of the evidence and future directions for research. Prehospital and Disaster Medicine. 2007;22(2):131-135. Ranse J, Zeitz K. Chain of survival at mass gatherings: a case series of resuscitation events. Prehospital and Disaster Medicine. 2010;25(5), 457-463. mass gatherings
  3. 3. frameworks
  4. 4. frameworks Lund A, Turris S, Bowles R, Steenkamp M, Hutton A, Ranse J, Arbon P. (2014). Mass gathering health research foundational theory: Part 1 Population models for mass gatherings. Prehospital and Disaster Medicine. 29(6):648-654. Turris S, Lund A, Hutton A, Bowles R, Ellerson E, Steenkamp M, Ranse J, Arbon P. (2014). Mass gathering health research foundational theory: Part 2 Event modelling for mass gatherings. Prehospital and Disaster Medicine. 29(6):655-663. host population event population event-to-host population
  5. 5. literature review
  6. 6. latest literature • USA: Characteristics and resource utilization over a two year period • 209 patients • Present with alcohol intoxication • Intravenous fluids and antiemetic’s • Average length of stay of 3.3 hours • USA: In-hospital care of adolescents and young adults who attended music concerts over a five year period • 142 patients • 61% required an intervention (medications, intravenous fluids, intubation, imaging). • Some events resulted in the activation of the hospital disaster and emergency incident plan DeMott J, Hebert C, Novak M, et al. Characteristics and resource utilization of patients presenting to the emergency department from mass gathering events. Am J Emerg Med. 2018;[in-press] Ruest S, Stephan M, Masiakos P, et al. Substance use patterns and in-hospital care of adolescents and young adults attending music concerts. Addict Sci Clin Prac. 2018; 13(1): 1
  7. 7. CASE: Music Festival, Canberra 2014 Ranse J, Lenson S, Keene T, Luther M, Burke B, Hutton A, Johnston A, Crilly J. The in-event, ambulance, and hospital impacts of patient presentations from a mass gathering event: A retrospective analysis.
  8. 8. CASE: Commonwealth Games, Gold Coast 2018 Fast facts about the health service during the Commonwealth Games • Over 440 Games-related presentations to emergency departments at Gold Coast University Hospital and Robina Hospital •178 inpatient admissions were Games-related • Increase of 7% on the same period in 2017 • Gold Coast Health staff were seconded to develop and run the polyclinic in the Athletes Village
  9. 9. CASE: when mass gatherings become mass casualty Boston Marathon 2013 Nice attack 2016 Las Vagas 2017 5/264 87/434 59/851
  10. 10. discussion • In-event health services • Reasonable understanding • External health services • Some insight into the impact on ambulance services • Some insight into the impact on hospital services • Not comparable across events • Overall • There is minimal research focusing on the impact of mass gatherings on health services, such as ambulance services and hospitals • A better understanding of this health space is required • Collaboration between in-event and external health services
  11. 11. Prior are you ready? During After
  12. 12. MASS GATHERINGS: Impact on emergency departments Dr Jamie Ranse RN PhD Research Fellow, Emergency Care www.jamieranse.com twitter.com/jamieranse youtube.com/jamieranse linkedin.com/in/jamieranse

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