Use of Predictive Modeling to Plan for Special Event Medical Care During Mass Gathering Events

2019 ◽  
Vol 13 (5-6) ◽  
pp. 874-879
Author(s):  
Rachel L. Allgaier ◽  
Nina Shaafi-Kabiri ◽  
Carla A. Romney ◽  
Lee A. Wallis ◽  
John Joseph Burke ◽  
...  
Keyword(s):  
South Africa ◽  
Resource Allocation ◽  
Life Support ◽  
Advanced Life Support ◽  
Western Cape ◽  
Mass Gathering ◽  
World Cup ◽  
Mass Gathering Medicine ◽  
Number Of Patients ◽  
Patient Presentation

ABSTRACTObjectives:In 2010, South Africa (SA) hosted the Fédération Internationale de Football Association (FIFA) World Cup (soccer). Emergency Medical Services (EMS) used the SA mass gathering medicine (MGM) resource model to predict resource allocation. This study analyzed data from the World Cup and compared them with the resource allocation predicted by the SA mass gathering model.Methods:Prospectively, data were collected from patient contacts at 9 venues across the Western Cape province of South Africa. Required resources were based on the number of patients seeking basic life support (BLS), intermediate life support (ILS), and advanced life support (ALS). Overall patient presentation rates (PPRs) and transport to hospital rates (TTHRs) were also calculated.Results:BLS services were required for 78.4% (n = 1279) of patients and were consistently overestimated using the SA mass gathering model. ILS services were required for 14.0% (n = 228), and ALS services were required for 3.1% (n = 51) of patients. Both ILS and ALS services, and TTHR were underestimated at smaller venues.Conclusions:The MGM predictive model overestimated BLS requirements and inconsistently predicted ILS and ALS requirements. MGM resource models, which are heavily based on predicted attendance levels, have inherent limitations, which may be improved by using research-based outcomes.

scholarly journals Towards a safer and more efficient neonatal transfer system in South Africa: A qualitative inquiry with advanced life support paramedics

2021 ◽  
Vol 18 ◽  
Author(s):  
Pradeep Ashokcoomar ◽  
Raisuyah Bhagwan
Keyword(s):  
South Africa ◽  
Critically Ill ◽  
Transfer Process ◽  
Life Support ◽  
Advanced Life Support ◽  
Qualitative Inquiry ◽  
Research Approach ◽  
Western Cape ◽  
Group Discussions ◽  
Kwazulu Natal

Introduction The inter-healthcare transfer of the critically ill neonate is a critical aspect of larger neonatal intensive care, as it influences the safe transport of neonates from the receiving to the referring hospital. It is crucial then that the transfer process be safe and efficient so as not to compromise the already fragile condition of the neonate. The aim of the study was to understand the challenges advanced life support (ALS) paramedics face during neonatal transfers and to understand how the process could be made safer and more efficient. The objectives related to understanding the transfer process, the challenges linked to the critically ill neonate and the difficulties associated with the ambulance vehicle and equipment. Methods Using a qualitative research approach we sought the views of ALS paramedics at the forefront of transfers nationally. In-depth interviews were held with eight paramedics in KwaZulu-Natal and four focus group discussions with ALS paramedics in KwaZulu-Natal, Gauteng, Free State and the Western Cape in South Africa. A total of 35 ALS paramedics were involved in these group discussions. Results The study uncovered several challenges that paramedics face related to poor organisational preparation for transfer of the critically ill neonate, and other crucial issues that compromise the transfer such as inadequate or defective equipment. Conclusion There is a need for greater scrutiny of the transfer process and a commitment from stakeholders to begin addressing the challenges confronting the safe transfer of critically ill neonates.

scholarly journals Preparedness of Western Cape advanced life support providers to provide clinical stabilisation and intensive care for neonatal interfacility transfers

2020 ◽  
Vol 17 ◽  
Author(s):  
Erefaan Ismail ◽  
Raveen Naidoo ◽  
Dorcas Rosaley Prakaschandra
Keyword(s):  
South Africa ◽  
Intensive Care ◽  
Critically Ill ◽  
Neonatal Intensive Care ◽  
Life Support ◽  
Advanced Life Support ◽  
Practical Training ◽  
Western Cape ◽  
Chi Square ◽  
Critically Ill Neonates

Introduction The Western Cape is a province in South Africa – known for the port city of Cape Town – surrounded by the Indian and Atlantic oceans. The transport of high-risk neonates between neonatal intensive care units in the Western Cape of South Africa is performed by advanced life support (ALS) providers.The implications of this practice have not been documented. This study will evaluate the preparedness of ALS providers to undertake intensive care of critically ill neonates during interfacility transfers.MethodsData collection was performed using a questionnaire with a response rate of 81% (n=145). The data analysis encompassed descriptive statistics using tables and figures. Inferential statistics was done using the chi-square test with a significance reported for p<0.05. Reliability was determined using Cronbach’s alpha.ResultsThe respondents highlighted that their initial ALS training was not adequate to prepare them for managing critically ill neonates. This view was expressed by the greater majority (n=63, 43.4%) when asked about their combined neonatal theory and practical training notional hours of their curriculum which focussed on managing critically ill neonates. ConclusionThere is an urgent need to improve the training programs of ALS providers with regards to neonatology. Numerous factors affecting the preparedness of ALS providers to manage critically ill neonates have been highlighted.

scholarly journals Analysis of patient load data from the 2003 Cricket World Cup in South Africa

2006 ◽  
Vol 18 (2) ◽  
pp. 52 ◽  
Author(s):  
A Kilian ◽  
RA Stretch
Keyword(s):  
South Africa ◽  
Sports Medicine ◽  
Presentation Rate ◽  
Care Plan ◽  
Eye Injuries ◽  
World Cup ◽  
Mass Gatherings ◽  
Opening Ceremony ◽  
Number Of Patients ◽  
Patient Presentation

Objectives. The purpose of this study was to evaluate the patient presentation data for spectators attending the opening ceremony and all the 2003 Cricket World Cup matches played in South Africa in order to provide organisers with the basis of a sound medical care plan for mass gatherings of a similar nature. Methods. During the 2003 Cricket World Cup, data were collected on the spectators presenting to the medical facilities during the opening ceremony and the 42 matches played in South Africa. Data included the total number of patient presentations and the category of illness or injury. This information was used to determine the venue accommodation rate and the patient presentation rate. The illness/injury data were classified into the following categories: (i) heat-related illness; (ii) blisters/scrapes/ bruises; (iii) headache; (iv) fractures/sprains/lacerations; (v) eye injuries; (vi) abdominal pain; (vii) insect bite; (viii) allergy-related illness; (ix) cardiac disorders, chest pains; (x) pulmonary disorder/shortness of breath; (xi) syncope; (xii) weakness/dizziness; (xiii) alcohol/drug-related conditions; (xiv) seizure; (xv) cardiac arrest; (xvi) obstetric/ gynaecological disorder; and (xvii) other. Results. The total number of patients who presented to the medical stations was 2 118, with a mean of 50 (range 14 - 91) injuries per match. The mean for the patient presentation rate was 4/1 000 spectators. The most frequently encountered illness or injury was headache (954 patients, 45%), followed by fractures, sprains and lacerations (351 patients, 16%). South African Journal of Sports Medicine Vol. 18 (2) 2006: pp. 52-56

Development of a Mass-Gathering Medical Resource Matrix for a Developing World Scenario

2010 ◽  
Vol 25 (6) ◽  
pp. 547-552 ◽  
Author(s):  
Wayne P. Smith ◽  
Vernon Wessels ◽  
Diane Naicker ◽  
Elizabeth Leuenberger ◽  
Peter Fuhri ◽  
...  
Keyword(s):  
South Africa ◽  
Presentation Rate ◽  
Medical Personnel ◽  
Mass Gathering ◽  
Medical Resource ◽  
World Cup ◽  
Medical Resources ◽  
Mass Gatherings ◽  
The United Kingdom ◽  
Patient Presentation

AbstractMass gatherings have a higher patient presentation rate than is found within the general population. Despite this fact, many mass gatherings are occurring without suitable medical coverage. South Africa has had no standard approach or model to determine the number of medical personnel needed to deploy to an event. The awarding of the FIFA (Federation International de Football Association) 2010 World Cup to South Africa has provided the impetus for the development of such a model. The model presented in this paper is based on existing recommendations that originate from the United Kingdom.This paper outlines the modifications that have been made to this model to ensure that adequate medical resources still are provided, albeit in a developing country where medical resources may not be as plentiful.

Mass gathering medicine: event factors predicting patient presentation rates

2016 ◽  
Vol 11 (5) ◽  
pp. 745-752 ◽  
Author(s):  
Samuel Locoh-Donou ◽  
Guofen Yan ◽  
Thomas Berry ◽  
Robert O’Connor ◽  
Mark Sochor ◽  
...  
Keyword(s):  
Mass Gathering ◽  
Mass Gathering Medicine ◽  
Patient Presentation

A Prospective Analysis of Patients Presenting for Medical Attention at a Large Electronic Dance Music Festival

2016 ◽  
Vol 32 (1) ◽  
pp. 78-82 ◽  
Author(s):  
Matt S. Friedman ◽  
Alex Plocki ◽  
Antonios Likourezos ◽  
Illya Pushkar ◽  
Andrew N. Bazos ◽  
...  
Keyword(s):  
New York ◽  
Vital Signs ◽  
Medical Attention ◽  
Prospective Analysis ◽  
Mass Gathering ◽  
Dance Music ◽  
Electronic Dance Music ◽  
Music Festival ◽  
Mass Gathering Medicine ◽  
Patient Presentation

AbstractMass-Gathering Medicine studies have identified variables that predict greater patient presentation rates (PPRs) and transport to hospital rates (TTHRs). This is a descriptive report of patients who presented for medical attention at an annual electronic dance music festival (EDMF). At this large, single EDMF in New York City (NYC; New York, USA), the frequency of patient presentation, the range of presentations, and interventions performed were identified.This descriptive report examined consecutive patients who presented to the medical tent of a summertime EDMF held at an outdoor venue with an active, mobile, bounded crowd. Alcohol was available for sale. Entry was restricted to persons 18 years and older. The festival occurred on three consecutive days with a total cumulative attendance of 58,000. Medical staffing included two Emergency Medicine physicians, four registered nurses, and 86 Emergency Medical Services (EMS) providers. Data collected included demographics, past medical history, vital signs, physical exam, drug and alcohol use, interventions performed, and transport decisions.Eighty-four patients were enrolled over 2.5 days. Six were transported and zero died. The ages of the subjects ranged from 17 to 61 years. Forty-three (51%) were male. Thirty-eight (45%) initially presented with abnormal vital signs; four (5%) were hyperthermic. Of these latter patients, 34 (90%) reported ingestions with 3,4-methylenedioxymethamphetamine (MDMA) or other drugs. Eleven (65%) patients were diaphoretic or mydriatic. The most common prehospital interventions were intravenous normal saline (8/84; 10%), ondansetron (6/84; 7%), and midazolam (3/84; 4%).Electronic dance music festivals are a growing trend and a new challenge for Mass-Gathering Medicine as new strategies must be employed to decrease TTHR and mortality. Addressing common and expected medical emergencies at mass-gathering events through awareness, preparation, and early, focused medical interventions may decrease PPR, TTHR, and overall mortality.FriedmanMS, PlockiA, LikourezosA, PushkarI, BazosAN, FrommC, FriedmanBW. A prospective analysis of patients presenting for medical attention at a large electronic dance music festival. Prehosp Disaster Med.2017; 32(1):78–82.

scholarly journals The pending loss of advanced life support paramedics in South Africa

2012 ◽  
Vol 2 (2) ◽  
pp. 59-66 ◽  
Author(s):  
Kevin Govender ◽  
Linda Grainger ◽  
Raveen Naidoo ◽  
Russell MacDonald
Keyword(s):  
South Africa ◽  
Life Support ◽  
Advanced Life Support

scholarly journals Trends in trauma care before and after the introduction of ‘Mukhyamantri Santwana Harish Scheme’ in a tertiary care hospital at Kolar

2018 ◽  
Vol 5 (5) ◽  
pp. 2072
Author(s):  
Vikas Sankar Kottareddygari ◽  
Vishwas S. ◽  
Praveen G. P. ◽  
Amal Abraham ◽  
Sreeramulu P. N.
Keyword(s):  
Critical Care ◽  
Low Income ◽  
Life Support ◽  
Road Traffic ◽  
Tertiary Care ◽  
Advanced Life Support ◽  
Low Income Countries ◽  
Care Hospital ◽  
Number Of Patients ◽  
Before And After

Background: Road traffic injuries (RTI) are responsible for 1.2 million global deaths and rank 9th as cause of death in both the high and low income countries. Polytrauma cases make the bulk of emergencies in our centre and the victims were previously given only first aid and critical care before being referred to a government aided institute for further management due to monetary issues. After the introduction of Mukhyamantri Santwana - 'Harish' Scheme (MSHS), all the patients are entitled for cashless treatment for the first 48 hoursand this improved the quality of care they received.Methods: All the polytrauma cases brought to the emergency and critical care department for a period of 7months before the introduction of MSHS (October 2015- April 2016) and for a period of 7 months from the introduction of MSHS (May 2016- November 2016) were studied retrospectively. Data on the number of patients referred, admitted and underwent intervention during the time periods were collected and compared.Results: The number of cases that were admitted and given intervention in our centre increased considerably and number of cases referred to other centres decreased after the introduction of MSHS.Conclusions: Introduction of MSHS lead to patients receiving more advanced life support and interventions as necessary. However this cannot be generalised to all the centres as data is still lacking. Multicentric studies need to be done in this aspect.

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