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Mass Gathering Medicine: A Review

  • Robert A. De Lorenzo (a1)

Abstract

The 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.

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Corresponding author

Department of Emergency Medicine, Darnall Army Community Hospital, Ft. Hood, TX 76544-5063 USA Telephone (817) 288-8302 Facsimile (817) 288-8336

References

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1. Sanders, AB, Criss, E, Steckl, P et al. : An analysis of medical care at mass gatherings. Ann Emerg Med 1956;15:515519.
2. Rose, WD, Larid, SL, Prescott, JE et al. : Emergency medical services for collegiate football games: A six and one—half year review. Prehospital and Disaster Medicine 1992;7:157159.
3. Chused, TM, Cohn, CK, Schneider, E et al. : Medical care during the 1969 antiwar demonstrations in Washington, DC. Arch Int Med 1971;127:6770.
4. Farrow, RJ: Pop music festivals. Practitioner 1972;208:380386.
5. Franaszek, J: Medical care at mass gatherings. Ann Emerg Med 1986;15:600601. Editorial.
6. Whipkey, RR, Paris, PM, Steward, RD: Emergency care for mass gatherings. Postgrad Med 1984;76:44–47,50-51,54.
7. Spaite, DW, Criss, EA, Valenzuela, TD et al. : A new model for prehospital medical care in large stadiums. Ann Emerg Med 1988;17:825828.
8. Weaver, WD, Sutherland, K, Wirkus, MJ et al. : Emergency medical care requirements for large public assemblies and a new strategy for managing cardiac arrest in this setting. Ann Emerg Med 1989;18:155160.
9. Hnatow, DA, Gordon, DJ: Medical planning for mass gatherings: A retrospective review of the San Antonio Papal Mass. Prehospital and Disaster Medicine 1991;6:443450.
10. De Lorenzo, RA, Gray, BC, Bennett, PC et al. : Effect of crowd size on patient volume at a large, multipurpose, indoor stadium. J Emerg Med 1989;7:379384.
11. Pons, PT, Holland, B, Alfrey, E et al. : An advanced emergency medical care system at National Football League games. Ann Emerg Med 1980;4:203206.
12. Auerbach, P, Gelb, A, Turns, JE: Emergency medical services at the 1984 Democratic National Convention. Ann Emerg Med 1985;7:709710. Letter.
13. Boyle, MF, De Lorenzo, RA, Garrison, R: Physician integration into mass gathering medical care. Prehospital and Disaster Medicine 1993;8:165168.
14. Baker, WM, Simone, BM Niemann, JT et al. : Special event medical care: The 1984 Los Angeles Summer Olympics experience. Ann Emerg Med 1986;15:185190.
15. McSwain, NE Jr, Rodriguez, C: Disaster medical care: Mardi Gras. J Trauma 1982;22:235237.
16. Bock, HC, Cordell, WH, Hawk, AC et al. : Demographics of emergency medical care at the Indianapolis 500 Mile Race (1983–1990). Ann Emerg Med 1992;21:12041207.
17. De Lorenzo, RA, Johnston, R: On the ground with the U.S. Air Show. Journal of Emergency Medical Services 1994;12:6974.
18. Goldstein, SN: Presidential party. Emergency Medical Services 1993;11:6569.
19. Eadie, JL: 1980 Winter Olympics Lake Placid, New York. J Environ Health 1981;43:178187.
20. Loyd, C: Emergency medical services for large crowds. In: Lewis, G, Appenzeller, H (Eds). Successful Sports Management. Charlottesville, VA: The Michie Co., 1985, pp 8999.
21. Carlson, L: Spectator medical care. Physician Sports Med 1992;20:141144.
22. Weiss, BP, Mascola, L, Fannin, SL: Public health at the 1984 Summer Olympics: The Los Angeles County Experience. Am J Public Health 1988;78:686688.
23. Leonard, RB, Petrilli, R, Noji, EK et al. : Provision for emergency medical care for crowds. American College of Emergency Physicians, Dallas, TX 1990, pp 125.
24. Sanders, AB, Criss, E: Planning medical care for large-scale events. Emergency Medical Services 1987;16:33,48.
25. Cohen, DL, Montalvo, MA, Turnbull, GP: Medical support for a major military air show: The RAF Mildenhall medical emergency support plan. J Trauma 1994;36:237244.
26. Ouanian, LL, Salinas, C, Shear, CL et al. : Medical care at the 1982 U.S. Festival. Ann Emerg Med 1986;15:520527.
27. McDonald, CD, Koenigsberg, MD, Ward, S: Medical control of mass gatherings: Can paramedics perform without physicians on site? Prehospital and Disaster Medicine 1992;8:327331.
28. Erickson, TB, Aks, SE, Koenigsberg, M et al. : Drug use patterns at major rock concert events. Ann Emerg Med 1996;28:2226.
29. Streat, S, McCallum, JA, Boswell, R et al. : Medical services at a music festival. NZ J Med 1975;82:7680.
30. Thompson, JM, Savoia, G, Powell, G et al. : Level of medical care required for mass gatherings: The XV Winter Olympic Games in Calgary, Canada. Ann Emerg Med 1991;20:385390.
31. Flabouris, A: An analysis of demand for first-aid care at a major public event. Prehospital and Disaster Medicine 1996;11:4851.
32. Hewitt, S, Jarrett, L, Winter, B: Emergency medicine at a large rock festival. J Accid Emerg Med 1996;13:2627.
33. Vacalis, TD, Blewett, J: Advanced emergency medical care system at the University of Texas football stadium. J Am Coll Health Assoc 1981;30:145147.
34. Ma, OJ, Pirrallo, RG, Rubin, JM: Survey of medical services a major league baseball stadiums. Prehospital and Disaster Medicine 1995;10:268272.
35. De Lorenzo, RA: Can casualty rates be predicted? Sidebar accompanying De Lorenzo RA, Johnston R: On the ground with the U.S. Air Show. Journal of Emergency Medical Services 1994;12:6974.
36. Editorial Staff: Mass casualty: Pope's visit to Denver causes mega MCI. Journal of Emergency Medical Services 1993;11:64–69,7275.
37. Nordberg, M: EMS and mass gatherings. Emergency Medical Services 1990;19:46–61,91.
38. Bowdish, GE, Cordell, WH, Bock, HC et al. : Using regression analysis to predict emergency patient volume at the Indianapolis 500 Mile Race. Ann Emerg Med 1992;21:12001203.
39. Chapman, KR, Carmichael, FJ, Goode, JE: Medical services for outdoor rock music festivals. Can Med Assoc J 1982;126:935938.
40. Blandford, AG, Dunlop, HA: Glastonbury Fair. Practitioner 1972;209:205211.
41. Burns, RS, Lerner, SE, Sexton, PA: Emergency medicine at Diamond Head Crater Festival. Hawaii Med J 1974;33:331335.
42. Fulde, GWO, Forster, SL, Preisz, : Open air rock concert: Organised disaster. Med J Australia 1992;157:820822.
43. Richards, R, Richards, D, Whittaker, R: Method of predicting the number of casualties in the Sidney City-to-Surf Fun Runs. Med J Australia 1984;141:805808.
44. Ellis, DG, Verdile, VP, Paris, PM et al. : Medical coverage of a marathon: Establishing guidelines for deployment of health care resources. Prehospital and Disaster Medicine 1991;6:435441.
45. Gannon, DM, Derse, AR, Bronkema, PJ: The emergency care network of a ski marathon. Am J Sports Med 1985;13:316320.
46. Reddy, IS, Cusack, S: Emergency medicine at a large rock festival. J Accid Emerg Med 1996;13:303.
47. James, SH, Calendrillo, B, Schnoll, SH; Medical and toxicological aspects of the Watkins Glen Rock Concert. J Forensic Sci 1974;1:7182.
48. Sexton, PA, Burns, SR, Lerner, SE: Drug abuse may be declining. Sunshine '75: Rock medicine inside Diamond Head. Hawaii Med J 1975;34:271275.
49. Steele, AG: Emergency medical care for open wheel racing events at Indianapolis Raceway Park. Ann Emerg Med 1994;24:264268.
50. Laskowski, ER, Najarian, MM, Smith, AM et al. : Medical coverage for multievent sports competition: A comprehensive analysis of injuries in the 1994 Star of the North summer games. Mayo Clin Proc 1995;70:549555.
51. Janicke, DM, Jacob, DJ, La Fountain, RB et al. : Emergency medical care in athlete's village: World University Games 1993. Prehospital and Disaster Medicine 1995;10:113117.
52. Dyche, WJ, Felsen, D, Gay, JH: Organizing medical services for large groups in field situations. EMT Journal 1980;4:4349.
53. Kulp, RC: Preparing prehospital medical coverage for a Papal visit. Emerg Health Svces Q 1980;1:111127.
54. Parrillo, SJ: Medical care at mass gatherings: Considerations for physician involvement. Prehospital and Disaster Medicine 1995;10:273275.
55. Vukmir, RB, Paris, PM: The Three Rivers Regatta accident: An EMS perspective. Am J Emerg Med 1991;9:6471.
56. Milne, D: EMS at the Indy 500. Emergency 1983;15:2831.
57. Orr, SM, Robinson, WA: The Hyatt Regency Skywalk: An EMS-based disaster response. Ann Emerg Med 1983;12:601605.
58. Waeckerle, JF: Disaster planning and response. N Engl J Med 1991;324:815821.
59. Champion, MR, Sacco, WJ, Gainer, PS et al. : The effect of medical direction on trauma triage. J Trauma 1988;28:235239.
60. Brunko, M: Emergency physicians and special events. J Emerg Med 1989;7:405406. Editorial.
61. Goldman, B: Spectator events: Medical preparations a must. CMA, 1988;138:164165.
62. Brown, WE: EMS at the Indianapolis 500. Emergency Medical Services 1978;7:1223.
63. Krentz, MJ, Wainscott, MP: Medical accountability. Emerg Med Clin N Amer 1990;8:1732.
64. Frew, SA: Emergency medical services legal issues for the emergency physician. Emerg Med Clin N Amer 1990;8:4155.
65. Goldberg, RJ, Zautcke, JL, Koenigsberg, MD et al. : A review of prehospital care litigation in a large metropolitan EMS system. Ann Emerg Med 1990;19:557561.
66. Soler, JJ, Montes, MF, Egol, AB et al. : The ten-year malpractice experience of a large urban EMS system. Ann Emerg Med 1985;14:982985.
67. Editorial staff: Nontransport lawsuits. Journal of Emergency Medical Services 1983;8:107109.
68. Zehner, WJ Jr, Davidson, SJ, Kelly, JJ et al. : Nontransport of prehospital patients: Is stronger medical control needed? Ann Emerg Med 1991;20:446. Abstract.
69. Bryon, ED, Zachariah, BS, Griffin, MP: Outcome of patients not transported by ambulance. Prehospital and Disaster Medicine 1991;6:381. Abstract.
70. Thomas, DR, Amos, WL: Medical services provided at the 1982 Southern Open Golf Tournament. Am J Sports Med 1984;12:155158.
71. American College of Emergency Physicians. Core content for emergency medicine. Ann Emerg Med 1991;20:920934.
72. De Lorenzo, RA, Boyle, MF, Garrison, F: A proposed model for a residency experience in mass gathering medicine: The United States Air Show. Ann Emerg Med 1993;22:17111714.
73. Seletz, JM: Flugtag–88 (Ramstein Air Show Disaster): An Army response to a MASCAL. Milit Med 1990;155:152155.
74. Anonymous: Stampede kills 93, injures 200 at stadium in Great Britain. Emerg Preparedness News 1989;13:61.
75. Klem, TJ: How could this fire cause 56 deaths in 5 minutes? Fire Command 1986;53:2125.
76. Isner, MS; Stadium fires demonstrate unique protection problems. NFPA J 1994;88:4954.
77. Newburn, T: Some lessons from Hillsborough. Civil Protection 1993;27(Summer):68.
78. Drabek, TE: Disaster in aisle 13: A case study of the coliseum explosion; at the Indiana State Fairgrounds, 31 October 1963. College of Administrative Science monograph No. D1, Ohio State University, Columbus, OH, 1968, p 197.

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