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Medical Support for Children's Mass Gatherings

Published online by Cambridge University Press:  28 June 2012

Andreas R. Thierbach ,
Benno B. Wolcke ,
Tim Piepho ,
Marc Maybauer  and
Rainer Huth
Andreas R. Thierbach*
Affiliation:
Clinic of Anesthesiology, Clinic of Pediatrics, Johannes Gutenberg University Mainz, Mainz, Germany
Benno B. Wolcke
Affiliation:
Clinic of Anesthesiology, Clinic of Pediatrics, Johannes Gutenberg University Mainz, Mainz, Germany
Tim Piepho
Affiliation:
Clinic of Anesthesiology, Clinic of Pediatrics, Johannes Gutenberg University Mainz, Mainz, Germany
Marc Maybauer
Affiliation:
Clinic of Anesthesiology, Clinic of Pediatrics, Johannes Gutenberg University Mainz, Mainz, Germany
Rainer Huth
Affiliation:
Clinic of Anesthesiology, Clinic of Pediatrics, Johannes Gutenberg University Mainz, Mainz, Germany
*
Clinic of Anesthesiology, Johannes Gutenberg University, Langenbeckstrasse 1, 55131 Mainz, Germany, E-mail: Thierbac@mail.uni-mainz.de
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Abstract

Introduction:

Medical care must be well-planned for mass gatherings. Events such as fairs, concerts, parades, and rallies cause many people to gather in one place, increasing the chance of injuries and for the development of a disaster. In this study, the level and quality of medical care were evaluated at a mass gathering of approximately 100,000 children. The event was a television-sponsored fun fair.

Methods:

Every patient contact was documented on printed forms, including data such as the number of patients treated, gender of the patients, presence or absence of a parental escort, time distribution of patient contacts, the diagnoses for the patient contacts, specific therapies applied, duration of the treatment, and patient discharge information. All data were coded after the event and transferred into a computer database. These data were analyzed using descriptive statistics.

Results:

Of the 100,000 spectators, 192 patients (81 male [42.2%] and 111 female [57.8%]) were treated during the nine-hour period, from 09:00 hours (h) until 18:00 h. Twenty percent of all the children up to the age of 10 years needing medical assistance were not accompanied by an adult. Seventy-five percent of all patient contacts were made during the afternoon. Of those treated, 164 patients (85.4%) suffered only minor injuries and were seen for <10 minutes. The most common type of complaint was minor trauma (103 patients, 53.6%); followed by minor medical problems such as headaches or light allergic reactions (21 patients, 10.9%); insect bites (20 patients, 10.4%); and serious medical problems or trauma such as severe arterial hypertension or long bone fractures (19 patients, 9.9%). Treatment included, but was not limited to, dressings (100 patients; 52.1%), local therapy (68 patient, 35.4%), and analgesic therapy (10 patients, 5.2%). Four patients (2%) were transferred to local hospitals.

Conclusion:

Most of the medical needs in the patients attending the children's fun fair were minor. Nevertheless, for similar events in the future, the medical team should be qualified for all serious medical emergencies, as well as major trauma; and should be prepared to meet the requirements of the specific group of spectators.

The overall usage rate in the children's fun fair described was 19.2 patient encounters per 10,000 spectators. Half of all of the patients were children below the age of 14 years. Medical services should consider that this study shows that up to 33% of children seeking medical assistance may not be accompanied by adults.

Keywords

chief emergency physicianchildrencrowd medicinefestivalfrequency ratemass gatheringson-site physicianprehospital caretransport rate
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 18 , Issue 1 , March 2003 , pp. 14 - 19
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2003

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References

1.Sanders, AB, Criss, E, Steckl, P, et al: An analysis of medical care at mass gatherings. Ann Emerg Med 1986; 15: 515–519.CrossRefGoogle ScholarPubMed
2.Cordell, WH: Mass gathering medical care and research at the Indianapolis Motor Speedway. Prehosp Disast Med 1993; 8: S154.CrossRefGoogle Scholar
3.De Lorenzo, RA: Mass gathering medicine: A Review. Prehosp Disast Med 1997; 12: 68–72.CrossRefGoogle ScholarPubMed
4.Levens, LK, Durhan, JE: Pop-music festivals: Some medical aspects. Brit Med J 1971; 1: 218–220.CrossRefGoogle ScholarPubMed
5.Schlicht, J, Mitcheson, M, Henry, M: Medical aspects of large outdoor festivals. Lancet 1972; I: 948–952.CrossRefGoogle Scholar
6.Franaszek, J: Medical care at mass gatherings [Editorial]. Ann Emerg Med 1986; 15: 600–601.CrossRefGoogle ScholarPubMed
7.Boyle, MF, De Lorenzo, RA, Garrison, R: Physician integration into mass gathering medical care. The United States Air Show. Prehosp Disast Med 1993; 8: 165–168.CrossRefGoogle ScholarPubMed
8.Butler, WC, Gesner, DE: Developing a mass gathering EMS plan. J Emerg Med Serv 1999; 24: 66.Google ScholarPubMed
9.Michael, JA, Barbera, JA: Mass gathering medical care: A twenty-five-year review. Prehosp Disast Med 1997; 12: 305–312.CrossRefGoogle ScholarPubMed
10. Ministry of Social Politics Hessia, Germany: Einsatzplanung für den Sanitätsdienst bei Grossveranstaltungen - Grundsätze der Risikoanalyse und Gefahrenprognose [Planning of medical resources for mass gatherings -Basic principles of risk analysis and risk prediction]. 2000.Google Scholar
11.Arbon, P, Bridgewater, FH, Smith, C: Mass gathering medicine: A predictive model for patient presentation and transport rates. Prehosp Disast Med 2001; 16: 150–158.CrossRefGoogle ScholarPubMed
12.Osler, DC, Shapiro, F, Shapiro, S: Medical services at outdoor music festivals. Risks and recommendations. Clin Pediatr (Phila) 1975; 14: 390–39.CrossRefGoogle ScholarPubMed
13.Simon, HK, Stegelman, M, Button, T: A prospective evaluation of pediatric emergency care during the 1996 Summer Olympic Games in Atlanta, Georgia. Pediatr Emerg Care 1998; 14: 1–3.CrossRefGoogle ScholarPubMed
14.Thierbach, AT, Lippert, F, Grande, CM: The international chief emergency physician training course on incident command management and mass casualty disasters - ICEP. Trauma Care 2003; 13:in press.Google Scholar
15.Suy, K, Gijsenbergh, F, Baute, L: Emergency medical assistance during a mass gathering. Eur J Emerg Med 1999; 6: 249–254.CrossRefGoogle ScholarPubMed
16.Ounanian, LL, Salinas, C, Shear, CL, et al: Medical care at the 1982 US festival. Ann Emerg Med 1986; 15: 520–527.CrossRefGoogle ScholarPubMed
17.Hodgetts, TJ, Cooke, MW: The largest mass gathering. BMJ 1999; 318: 957–958.CrossRefGoogle ScholarPubMed
18.Baker, WM, Simone, BM, Niemann, J T, et al: Special Event Medical Care: The 1984 Los Angeles Summer Olympics experience. Ann Emerg Med 1986; 15: 185–190.CrossRefGoogle ScholarPubMed
19.Flabouris, A, Bridgewater, F: An analysis of demand for first-aid care at a major public event. Prehosp Disast Med 1996; 11: 48–54.CrossRefGoogle Scholar
20.Geier, W, Lass, S, Sandmann, JO, et al: Sanitätsdienst bei Grossveranstaltungen - Grundlagen zur Einsatzplanung [Medical Services for Mass Gatherings - Guidelines for Planning]. 1995.Google Scholar
21.Maurer, K: Sinnvolle einsatzplanung bei grossveranstaltungen - Ein leitfaden für die praxis [Practical Planning for Mass Gatherings - Guidelines]. Rettungsdienst 1995; 18: 263–270.Google Scholar
22.Furst, IM, Sandor, GK: Analysis of a medical tent at the Toronto Caribana Parade. Prehosp Emerg Care 2002; 6: 199–203.CrossRefGoogle ScholarPubMed
23.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: 385–390.CrossRefGoogle ScholarPubMed
24.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. Annals of Emergency Medicine 1989; 18: 155–160.CrossRefGoogle Scholar
25.Buns, LS, Ellison, PA: First aid and emergency care at a major-league baseball stadium. J Emerg Nurs 1992; 18: 329–334.Google Scholar
26.Erickson, TB, Koenigsberg, M, Bunney, EB, et al: Prehospital severity scoring at major rock concert events. Prehosp Disast Med 1997; 12: 195–199.CrossRefGoogle ScholarPubMed
27. The Automated External Defibrillator—Key Link in the Chain of Survival. Circulation 2000;102 (Suppl. 1):I-60-I-76.CrossRefGoogle Scholar
28.Gratton, M, Lindholm, DJ, Campbell, JP: Public-access defibrillation: where do we place the AEDs? Prehosp Emerg Care 1999; 3: 303–305.CrossRefGoogle ScholarPubMed
29.Spaite, DW, Criss, EA, Valenzuela, TD, et al: A new model for providing prehospital medical care in large stadiums. Ann Emerg Med 1988; 17: 825–882.CrossRefGoogle ScholarPubMed
30.Schellevis, FG, Vand, V d, V, Van, de LE, et al: Comorbidity of chronic diseases in general practice. J Clin Epidemiol 1993; 46: 469–473.CrossRefGoogle ScholarPubMed
31.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: 1200–1203.CrossRefGoogle ScholarPubMed
32.Nordberg, M: EMS and mass gathering. Emerg Med Serv 1990; 19: 46–61.Google Scholar
33.Parillo, SJ: Medical care at mass gatherings: Considerations for physician involvement. Prehosp Disast Med 1995; 10: 273–275.CrossRefGoogle Scholar