Impacts on in-event, ambulance and emergency department services from patients presenting from a mass gathering event: A retrospective analysis

Journal article


Ranse, Jamie, Lenson, Shane, Keene, Toby, Luther, Matt, Burke, Brandon, Hutton, Alison, Johnston, Amy NB and Crilly, Julia. (2019) Impacts on in-event, ambulance and emergency department services from patients presenting from a mass gathering event: A retrospective analysis. Emergency Medicine Australasia. 31(3), pp. 423 - 428. https://doi.org/10.1111/1742-6723.13194
AuthorsRanse, Jamie, Lenson, Shane, Keene, Toby, Luther, Matt, Burke, Brandon, Hutton, Alison, Johnston, Amy NB and Crilly, Julia
Abstract

Objective The aim of this study was to describe the in‐event, ambulance and ED impacts of patient presentations from an Australian mass gathering event (MGE) including patient demographics, provision of care, length of stay and discharge disposition. Methods This research was set at one MGE in Australia. The MGE had one first aid post and one in‐event health team staffed by doctors, nurses and paramedics. A retrospective analysis of patient care records from providers of in‐event, ambulance and ED services was undertaken. Data analysis included descriptive and inferential statistics. Results Of the 20 000 MGE participants, 197 (0.99% [95% CI 0.86–1.13], 9.85/1000) presented for in‐event first aid care, with 24/197 (12.2% [95% CI 8.33–17.49], 1.2/1000) referred to in‐event health professionals. Fifteen of the referred patients (62.5% [95% CI 42.71–78.84]) returned to the MGE following administration of intravenous fluids (n = 13) and/or anti‐emetics (n = 11). Seven (29.2% [95% CI 14.92–49.17], 0.35/1000) were referred to ambulance paramedic care, requiring endotracheal intubation (n = 1) and airway adjuncts (n = 3) prior to transportation to ED; these patients had an ED median length of stay of 7 h (5.5–12.5) receiving imaging and ventilator support. Five were discharged from ED, one required an operation and another required intensive care unit admission. Conclusions There was an impact on in‐event, ambulance and ED services from this MGE but the in‐event model of care may have limited ambulance usage and ED visits. The ED length of stay was greater than the national median, perhaps reflecting the appropriateness of transport and nature of care requirements while in the ED.

Keywordsemergency medical services; emergency rooms; hospitals; mass gathering; paramedic; planned event
Year2019
JournalEmergency Medicine Australasia
Journal citation31 (3), pp. 423 - 428
PublisherWiley-Blackwell Publishing Asia
ISSN1742-6731
Digital Object Identifier (DOI)https://doi.org/10.1111/1742-6723.13194
Scopus EID2-s2.0-85056353331
Page range423 - 428
Research GroupSchool of Nursing, Midwifery and Paramedicine
Place of publicationAustralia
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