Use of Medication at the Roskilde (Denmark) Music Festival 2015 – A Prospective Observational Study of 15,133 Treated Attendees

2019 ◽  
Vol 34 (04) ◽  
pp. 407-414 ◽  
Author(s):  
Søren Stagelund ◽  
Kenneth Geving Andersen ◽  
Jesper Søe ◽  
Michelle Roslind ◽  
Kim Wildgaard
Keyword(s):  
Prospective Observational Study ◽  
Health Care Organization ◽  
Care Organization ◽  
Over The Counter ◽  
Music Festivals ◽  
Music Festival ◽  
Large Numbers ◽  
Counter Medication ◽  
Medical Health Care ◽  
Life Threatening

AbstractBackground:Outdoor music festivals (OMFs) attract large numbers of guests and benefit from the help of large numbers of volunteers. Studies have previously described the injury patterns at OMFs, but no studies have described the use of medication and sales from on-site pharmacies at a large OMF.Method:The usage of medication and prescriptions in the Medical Health Care Organization (MHCO), including sales from the on-site pharmacy, at the Roskilde (Denmark) Festival 2015 were prospectively recorded.Results:In excess of 130,000 attendees (guests and volunteers) participated in the Roskilde Festival 2015. The number of attendees contacting the MHCO was 15,133, of which 3,723 (25%) had a consultation with a doctor. Of all attendees evaluated by a doctor, 669 attendees received some form of medication in relation to the consultation. The MHCO administered and/or handed out a total of 6,494 units of prescription and over-the-counter medication, of which analgesics represented nearly 51%. Asthma was the condition with the highest proportion of attendees requiring pharmaceutical treatment, as 28 out of 48 (58%) received medication during the consultation. Sixty-five attendees received both medicine and a prescription. The MHCO handed out 562 prescriptions. In total, 609 prescriptions were redeemed at the on-site pharmacy. Antibiotics represented more than 78% of all redeemed prescriptions at the on-site pharmacy.Conclusion:The most utilized medications were analgesics and antibiotics. The data indicate a need for on-site prophylaxis using tetanus toxoid in combination with diphtheria toxoid vaccine and an on-site pharmacy. The content of the formulary at a mass-gathering event should be based on: evacuation time by ambulance/helicopter to hospitals with the level of competence needed; types of conditions to be treated on-site; level of competencies of festival medical staff; expected incidence and type of illness and injuries; and treatment of acute, life-threatening illnesses and or injuries.

Use of Medical Supplies at the Roskilde Festival 2016: A Prospective Observational Study

2021 ◽  
pp. 1-7
Author(s):  
Mads Lønnee ◽  
Kenneth Geving Andersen ◽  
Søren Stagelund ◽  
Ole Christensen ◽  
Kim Wildgaard
Keyword(s):  
Health Care Organization ◽  
Presentation Rate ◽  
Medical Emergency ◽  
Care Organization ◽  
Personal Protection Equipment ◽  
Music Festival ◽  
Test Strips ◽  
Medical Supplies ◽  
Medical Health Care ◽  
Minor Injuries

Abstract Introduction: Music festivals are popular events often including camping at the festival site. A mix of music, alcohol, drugs, and limited hygiene increases health risks. This study aimed to assess the use of medical supplies at a major music festival, thereby aiding planning at similar events in the future. Method: The Medical Health Care Organization (MHCO) at Roskilde Festival 2016 (Denmark) collected prospective data on disposable medical supply use and injuries and illnesses presenting to the MHCO. Results: A total of 12,830 patient presentations were registered by the MHCO and a total of 104 different types of disposable medical supplies were used by the MHCO from June 25, 2016 through July 3, 2016. Out of 12,830 cases, 594 individuals (4.6%) had a potential or manifest medical emergency, 6,670 (52.0%) presented with minor injuries, and 5,566 (43.4%) presented with minor illnesses. The overall patient presentation rate (PPR) was 99.0/1,000 attendees and the transport-to-hospital rate (TTHR) was 2.1/1,000 attendees. For medical emergencies, the most frequently used supplies were aluminum rescue blankets (n = 627), non-rebreather masks (n = 121), and suction catheters for an automatic suction unit (ASU) for airway management (n = 83). Most used diagnostic equipment were blood glucose test strips (n = 1,155), electrocardiogram electrodes (n = 960), and urinary test strips (n = 400). The most frequently used personal protection equipment were non-sterile gloves (n = 1,185 pairs) and sterile gloves (n = 189). Conclusion: This study demonstrates a substantial use of disposable medical supplies at a major music festival. The results provide aid for planning similar mass-gathering (MG) events.

Over-the-counter medication and acute life-threatening myocardial damage

2005 ◽  
Vol 102 (3) ◽  
pp. 545-547 ◽  
Author(s):  
Masatsugu Nozoe ◽  
Akira Namera ◽  
Kazuaki Kohriyama ◽  
Masao Takemoto
Keyword(s):  
Myocardial Damage ◽  
Over The Counter ◽  
Counter Medication ◽  
Life Threatening

Contac 400: A Possible Cause of Aspiration Under Anaesthesia

1987 ◽  
Vol 6 (6) ◽  
pp. 529-531
Author(s):  
D.J. Wilkinson
Keyword(s):  
Over The Counter ◽  
Counter Medication ◽  
Life Threatening ◽  
Anaesthetic Assessment ◽  
Possible Cause

Patients often take proprietary medicines which they do not report to their anaesthetist. One such case is reported in which a self administered high dosage of such a medication can be linked with a potentially life threatening anaesthetic complication. Pre-anaesthetic assessment should include specific questioning on over-the-counter medication.

scholarly journals Compliance to the Alcohol Law: Overserving to Obviously Intoxicated Visitors at Music Festivals

2020 ◽  
Vol 17 (22) ◽  
pp. 8699
Author(s):  
Kristin Feltmann ◽  
Johanna Gripenberg ◽  
Tobias H. Elgán
Keyword(s):  
Alcohol Intoxication ◽  
Age Groups ◽  
Music Festivals ◽  
Music Festival ◽  
Multicomponent Intervention ◽  
Large Numbers ◽  
Licensed Premises ◽  
Health Related ◽  
Policy Work ◽  
Training Policy

Music festivals are often high-risk settings associated with large numbers of visitors and high alcohol intoxication levels, which contribute to a number of public health-related problems. According to the Swedish Alcohol Act, servers are responsible for not overserving alcohol to obviously intoxicated patrons. The aim of the current study was to examine compliance to the Swedish Alcohol Act at music festivals by assessing the rate of alcohol overserving to festival-goers. We conducted a study at a large music festival in Sweden hosting approximately 50,000 visitors. Professional actors, i.e., pseudo-patrons, enacted a standardized scene in which a highly intoxicated festival-goer attempted to buy beer at licensed premises inside the festival. Observers monitored each attempt. A total of 52 purchase attempts were conducted. The rate of overserving was 26.9% and was not influenced by the server’s gender, the number of servers, or the level of crowdedness at the bar area. Overserving differed between server age groups, which was not statistically significant when controlling for other factors. Compliance to the Alcohol Act at the festival can be improved. Intoxication levels and related problems can be reduced by implementing a multicomponent intervention including staff training, policy work, and improved enforcement.

scholarly journals Cardiac Arrest Following the Administration of Intravenous Diphenhydramine for Sedation to an Infant With Congenital Heart Disease

2021 ◽  
Vol 26 (3) ◽  
pp. 311-314
Author(s):  
Courtney L. Andersen ◽  
Joseph D. Tobias
Keyword(s):  
Cardiac Arrest ◽  
Trisomy 21 ◽  
First Generation ◽  
Intravenous Route ◽  
Allergic Reactions ◽  
Over The Counter ◽  
Respiratory Effects ◽  
Counter Medication ◽  
Life Threatening ◽  
Pediatric Icu

Diphenhydramine (Benadryl) is a first-generation antihistamine that is used primarily to treat allergic reactions including anaphylaxis, urticaria, and allergic rhinitis. Despite its availability as an over-the-counter medication, toxicity may occur with its use especially when administered in large doses or via the intravenous route. We present a 3-month-old infant with Trisomy 21 who suffered a cardiac arrest immediately following administration of a single 1.25 mg/kg dose of intravenous diphenhydramine, prescribed for sedation in the Pediatric ICU setting. The potential cardiovascular and respiratory effects of diphenhydramine are presented, previous reports of life-threatening adverse effects reviewed, and options to limit these effects discussed.

Intelligent Processing of Loosely Structured Documents as a Strategy for Organizing Electronic Health Care Records

1993 ◽  
Vol 32 (04) ◽  
pp. 265-268 ◽  
Author(s):  
D. J. Essin
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Database Systems ◽  
Relevant Information ◽  
Full Potential ◽  
Care Organization ◽  
Intelligent Processing ◽  
Data Interchange ◽  
Structured Documents ◽  
Health Care Records

AbstractLoosely structured documents can capture more relevant information about medical events than is possible using today’s popular databases. In order to realize the full potential of this increased information content, techniques will be required that go beyond the static mapping of stored data into a single, rigid data model. Through intelligent processing, loosely structured documents can become a rich source of detailed data about actual events that can support the wide variety of applications needed to run a health-care organization, document medical care or conduct research. Abstraction and indirection are the means by which dynamic data models and intelligent processing are introduced into database systems. A system designed around loosely structured documents can evolve gracefully while preserving the integrity of the stored data. The ability to identify and locate the information contained within documents offers new opportunities to exchange data that can replace more rigid standards of data interchange.

Effective and cost-efficient health care organization in cataract patient

2018 ◽  
Vol 5 (2) ◽  
pp. 119-127
Author(s):  
Monika Raulinajtys-Grzybek ◽  
Renata Wachowicz ◽  
Arnold Maciejewski
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Care Organization ◽  
Cataract Patient ◽  
Cost Efficient

scholarly journals Data Protection Impact Assessment (DPIA) for Cloud-Based Health Organizations

2021 ◽  
Vol 13 (3) ◽  
pp. 66
Author(s):  
Dimitra Georgiou ◽  
Costas Lambrinoudakis
Keyword(s):  
Impact Assessment ◽  
Data Protection ◽  
Gap Analysis ◽  
Health Care Organization ◽  
Personal Data ◽  
Care Organization ◽  
The European Union ◽  
General Data Protection Regulation ◽  
Personal Data Protection ◽  
Compliance Level

The General Data Protection Regulation (GDPR) harmonizes personal data protection laws across the European Union, affecting all sectors including the healthcare industry. For processing operations that pose a high risk for data subjects, a Data Protection Impact Assessment (DPIA) is mandatory from May 2018. Taking into account the criticality of the process and the importance of its results, for the protection of the patients’ health data, as well as the complexity involved and the lack of past experience in applying such methodologies in healthcare environments, this paper presents the main steps of a DPIA study and provides guidelines on how to carry them out effectively. To this respect, the Privacy Impact Assessment, Commission Nationale de l’Informatique et des Libertés (PIA-CNIL) methodology has been employed, which is also compliant with the privacy impact assessment tasks described in ISO/IEC 29134:2017. The work presented in this paper focuses on the first two steps of the DPIA methodology and more specifically on the identification of the Purposes of Processing and of the data categories involved in each of them, as well as on the evaluation of the organization’s GDPR compliance level and of the gaps (Gap Analysis) that must be filled-in. The main contribution of this work is the identification of the main organizational and legal requirements that must be fulfilled by the health care organization. This research sets the legal grounds for data processing, according to the GDPR and is highly relevant to any processing of personal data, as it helps to structure the process, as well as be aware of data protection issues and the relevant legislation.

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