Simulated-Scenario and Peer-Mentorship Curriculum to Train Prehospital Providers in the Practice of Mass Gathering Medicine

2021 ◽  
pp. 1-5
Author(s):  
Enzo G. Plaitano ◽  
Bianca L. Pate ◽  
Elana F. Everett ◽  
Sarah K. Golden ◽  
Raymond A. Levy ◽  
...  
Keyword(s):  
Training Program ◽  
Program Implementation ◽  
Response Rate ◽  
Emergency Medical Technicians ◽  
Mass Gathering ◽  
Program Schema ◽  
Mass Gatherings ◽  
Emergency Medical ◽  
Mass Gathering Medicine ◽  
Simulated Scenario

Abstract Objective: A mass gathering medicine training program was established for a 7,200-seat arena. The objectives of this study were to describe the program schema and determine its impact in preparing novice emergency medical technicians (EMTs) to manage the difficulties of large-venue emergency medical services (EMS). Methods: Optional, anonymous surveys were administered to EMTs. Novice EMTs were assessed pre-/post-program implementation, and both novice and experienced EMTs completed self-reported Likert scales. Data were analyzed with nonparametric methods. Results: A total of 43/56 responses (response rate = 76.8%) were received. Only 37.2% of providers felt prepared to work mass gatherings before the training, and 60.5% stated that their previous education did not prepare them for large-venue challenges. After the training program, novice EMTs were significantly associated with increased knowledge of large-venue EMS procedures (P = 0.0170), higher proficiency using extrication equipment (P = 0.0248), increased patient care skills (P = 0.0438), and both increased confidence working events (P = 0.0002) and better teamwork during patient encounters (P = 0.0001). The majority of EMTs reported the program as beneficial. Conclusion: Upon hire, EMS providers felt unprepared to work large-venue EMS. The analyses demonstrated that this training program improved select large-venue emergency skills for prehospital providers and may fill a gap in the education system regarding mass gathering medicine.

Mass Gathering Medicine: A Review

1997 ◽  
Vol 12 (1) ◽  
pp. 68-72 ◽  
Author(s):  
Robert A. De Lorenzo
Keyword(s):  
Medical Care ◽  
Mass Casualty ◽  
Mass Gathering ◽  
Emergency Medical Care ◽  
Mass Gatherings ◽  
Area Of Interest ◽  
Emergency Medical ◽  
Mass Gathering Medicine ◽  
Transportation Assets

AbstractThe provision for emergency medical care for spectators and participants at large events is a growing area of interest. This article describes the definition and characteristics of medical care at mass gatherings. The literature is reviewed with regard to the planning, organization, personnel, and staffing required at these events. The equipment and transportation assets needed are also discussed. Disaster and mass casualty planning implications also are described.

scholarly journals Mass-Gathering Medicine: A Review of the Evidence and Future Directions for Research

2007 ◽  
Vol 22 (2) ◽  
pp. 131-135 ◽  
Author(s):  
Paul Arbon
Keyword(s):  
Disaster Medicine ◽  
Mass Gathering ◽  
Future Directions ◽  
Health Services Delivery ◽  
Progressive Development ◽  
Mass Gatherings ◽  
Services Delivery ◽  
Mass Gathering Medicine ◽  
Apply Research ◽  
Research Frameworks

AbstractA review of mass-gathering medicine literature published by the Journal Prehospital and Disaster Medicine, demonstrates the progressive development of our knowledge and understanding of the health effects of mass gatherings and the strategies that appear to contribute positively to effective health services delivery during these events. In addition, the growing need for research that can underpin a more evidence-based approach to planning for and managing these events is apparent. The call for less descriptive and more critical and conceptual analyses has been increasing in volume and, it is argued, the challenge now is to apply research frameworks that can contribute more effectively to science-based, medical practice.

scholarly journals Mass gathering medicine: a practical means of enhancing disaster preparedness in Canada

CJEM ◽  
2011 ◽  
Vol 13 (04) ◽  
pp. 231-236 ◽  
Author(s):  
Adam Lund ◽  
Samuel J. Gutman ◽  
Sheila A. Turris
Keyword(s):  
Disaster Preparedness ◽  
Disaster Medicine ◽  
Mass Gathering ◽  
Medical Support ◽  
Related Services ◽  
Mass Gatherings ◽  
Medical Response ◽  
Special Events ◽  
Mass Gathering Medicine ◽  
Health Related

ABSTRACT:Background:We explore the health care literature and draw on two decades of experience in the provision of medical care at mass gatherings and special events to illustrate the complementary aspects of mass gathering medical support and disaster medicine. Most communities have occasions during which large numbers of people assemble in public or private spaces for the purpose of celebrating or participating in musical, sporting, cultural, religious, political, and other events. Collectively, these events are referred to as mass gatherings. The planning, preparation, and delivery of health-related services at mass gatherings are understood to be within the discipline of emergency medicine. As well, we note that owing to international events in recent years, there has been a heightened awareness of and interest in disaster medicine and the level of community preparedness for disasters. We propose that a synergy exists between mass gathering medicine and disaster medicine.Method:Literature review and comparative analysis.Results:Many aspects of the provision of medical support for mass gathering events overlap with the skill set and expertise required to plan and implement a successful medical response to a natural disaster, terrorist incident, or other form of disaster.Conclusions:There are several practical opportunities to link the two fields in a proactive manner. These opportunities should be pursued as a way to improve the level of disaster preparedness at the municipal, provincial, and national levels.

How to Cope with a Visit from the Pope

1997 ◽  
Vol 12 (2) ◽  
pp. 15-20 ◽  
Author(s):  
Jane H. Federman ◽  
Lorraine M. Giordano
Keyword(s):  
New York ◽  
New York City ◽  
Total Quality Management ◽  
York City ◽  
Emergency Medical Technicians ◽  
Management Process ◽  
Mass Gathering ◽  
Total Quality ◽  
Medical Providers ◽  
Emergency Medical

AbstractA mass gathering always presents a challenge to the medical providers of a city since preparations must be made to cover any potential disasters, big or small. With a prediction of several hundred thousand people coming to the New York City area to participate in the Papal Masses, the New York City-Emergency Medical Services readied its forces of physicians, paramedics, and emergency medical technicians from throughout the region. Extensive multiagency planning involving a Total Quality Management process was integral to the success of covering the events.

A Systematic Review of Noncommunicable Health Issues in Mass Gatherings

2014 ◽  
Vol 29 (2) ◽  
pp. 167-175 ◽  
Author(s):  
Ahmed H. Alquthami ◽  
Jesse M. Pines
Keyword(s):  
Systematic Review ◽  
Presentation Rate ◽  
Healthcare Research ◽  
Mass Gathering ◽  
Health Issues ◽  
Publication Type ◽  
Mass Gatherings ◽  
Mass Gathering Medicine ◽  
Ambulance Transports ◽  
Patient Presentation

AbstractIntroductionThe review was conducted to evaluate if the field of mass-gathering medicine has evolved in addressing: (1) the lack of uniform standard measures; (2) the effectiveness of and needs for various interventions during a mass gathering; and (3) the various types of noncommunicable health issues (trauma and medical complaints) encountered and their severity during a gathering.MethodsA systematic review of papers published from 2003 through 2012 was conducted using databases of MEDLINE, Ovid, CINHAL, EBSCOHost, National Library of Medicine (NLM), Agency for Healthcare Research and Quality (AHRQ), Elsevier, Scopus, and Proquest databases. Of 37,762 articles, 17 articles were included in this review, covering 18 mass-gathering events; 14 were multiple-day events.ResultsAcross all events, the patient presentation rate (PPR) ranged from 0.13 to 20.8 patients per 1,000 attendees and the transfer to hospital rate (TTHR) ranged from 0.01 to 10.2 ambulance transports per 1,000 attendees. In four out of the seven studies, having on-site providers was associated with a lower rate of ambulance transports. The highest frequencies of noncommunicable presentations were headaches, abdominal complaints, and abrasions/lacerations. Most presentations were minor. Emergent cases requiring hospitalization (such as acute myocardial infarction) were rare.ConclusionsThe rate of noncommunicable health issues varies across events and very serious emergencies are rare.AlquthamiAH, PinesJM. A systematic review of noncommunicable health issues in mass gatherings. Prehosp Disaster Med. 2014;29(2):1-9.

Half-a-Million Strong: The Emergency Medical Services Response to a Single-Day, Mass-Gathering Event

2004 ◽  
Vol 19 (04) ◽  
pp. 287-296 ◽  
Author(s):  
Michael J. Feldman ◽  
Jane L. Lukins ◽  
P. Richard Verbeek ◽  
Russell D. MacDonald ◽  
Robert J. Burgess ◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
First Aid ◽  
Medical Services ◽  
Medical Attention ◽  
Mass Gathering ◽  
Field Hospital ◽  
Mass Gatherings ◽  
Emergency Medical ◽  
Included Patient

AbstractIntroduction:Emergency medical services (EMS) responses to mass gatherings have been described frequently, but there are few reports describing the response to a single-day gathering of large magnitude.Objective:This report describes the EMS response to the largest single-day, ticketed concert held in North America: the 2003 “Toronto Rocks!” Rolling Stones Concert.Methods:Medical care was provided by paramedics, physicians, and nurses. Care sites included ambulances, medically equipped, all-terrain vehicles, bicycle paramedic units, first-aid tents, and a 124-bed medical facility that included a field hospital and a rehydration unit. Records from the first-aid tents, ambulances, paramedic teams, and rehydration unit were obtained. Data abstracted included patient demographics, chief complaint, time of incident, treatment, and disposition.Results:More than 450,000 people attended the concert and 1,870 sought medical care (42/10,000 attendees). No record was kept for the 665 attendees simply requesting water, sunscreen, or bandages. Of the remaining 1,205 patients, the average of the ages was 28 ±11 years, and 61% were female. Seven-hundred, ninety-five patients (66%) were cared for at one of the first-aid tents. Physicians at the tents assisted in patient management and disposition when crowds restricted ambulance movement. Common complaints included headache (321 patients; 27%), heat-related complaints (148; 12%), nausea or vomiting (91; 7.6%), musculoskeletal complaints (83; 6.9%), and breathing problems (79; 6.6%). Peak activity occurred between 14:00 and 19:00 hours, when 102 patients per hour sought medical attention. Twenty-four patients (0.5/10,000) were transferred to off-site hospitals.Conclusions:This report on the EMS response, outcomes, and role of the physicians at a large single-day mass gathering may assist EMS planners at future events.

Mass-Gathering Medicine: Creation of an Online Event and Patient Registry

2012 ◽  
Vol 27 (6) ◽  
pp. 601-611 ◽  
Author(s):  
Adam Lund ◽  
Sheila A. Turris ◽  
Neda Amiri ◽  
Kerrie Lewis ◽  
Michael Carson
Keyword(s):  
Data Collection ◽  
Large Scale ◽  
Patient Characteristics ◽  
Patient Registry ◽  
Mass Gathering ◽  
Publication Type ◽  
Pilot Testing ◽  
Mass Gatherings ◽  
Mass Gathering Medicine ◽  
Early Implementation

AbstractIntroduction/ProblemA review of the mass-gathering medicine literature confirms that the research community currently lacks a standardized approach to data collection and reporting in relation to large-scale community events. This lack of consistency, particularly with regard to event characteristics, patient characteristics, acuity determination, and reporting of illness and injury rates makes comparisons between and across events difficult. In addition, a lack of access to good data across events makes planning medical support on-site, for transport, and at receiving hospitals, challenging. This report describes the development of an Internet-hosted, secure registry for event and patient data in relation to mass gatherings.MethodsDescriptive; development and pilot testing of a Web-based event and patient registry.ResultsSeveral iterations of the registry have resulted in a cross-event platform for standardized data collection at a variety of events. Registry and reporting field descriptions, successes, and challenges are discussed based on pilot testing and early implementation over two years of event enrollment.ConclusionThe Mass-Gathering Medicine Event and Patient Registry provides an effective tool for recording and reporting both event and patient-related variables in the context of mass-gathering events. Standardizing data collection will serve researchers and policy makers well. The structure of the database permits numerous queries to be written to generate standardized reports of similar and dissimilar events, which supports hypothesis generation and the development of theoretical foundations in mass-gathering medicine.LundA,TurrisSA,AmiriN,LewisK,CarsonM.Mass-gathering medicine: creation of an online event and patient registry.Prehosp Disaster Med.2012;27(6):1-11.

Naloxone access for Emergency Medical Technicians: An evaluation of a training program in rural communities

2018 ◽  
Vol 86 ◽  
pp. 79-85 ◽  
Author(s):  
Xiangjun Zhang ◽  
Christopher Marchand ◽  
Bobbie Sullivan ◽  
Evan M. Klass ◽  
Karla D. Wagner
Keyword(s):  
Rural Communities ◽  
Training Program ◽  
Emergency Medical Technicians ◽  
Emergency Medical
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