Mass Gatherings

By !!!

Dr. SUTHEE INTHARACHAT MD. EP.

Definition

! Events attended by a sufficient number of people to strain the planning and response resources of the host community, state/province, nation, or region where it is being held

Definition

• Planned event!

• A specified number of persons (least > 1,000 )!

• At a specific location, for a specific purpose!

• Requires Multi-Agency coordination

Components of medical action plan

Physician medical oversight• Indirect medical oversight : Protocols

• Direct medical oversight

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Command and controlIncident

Command

Planning section Operation section Logistic sectionFinance/

Administration section

Information Officer Liaison officer

Safety officer

What ICS is Designed To Do

› Meet the needs of incidents of any kind or size.

› Allow personnel from a variety of agencies and organizations to meld rapidly into a common management structure.

› Provide logistical and administrative support to operational staff.

› Be cost effective by avoiding duplication of efforts.

ICS Organization

Incident Command

Planning section Operation section Logistic sectionFinance/

Administration section

Information Officer Liaison officer

Safety officer

Reconnaissance (Exploration)

• Risk ?!

• Planning ?

Negotiations• Team work approach !

• Communication and agreements

Human resources!(Level of care/Training)

• BLS/ACLS!

• ATLS!

• PHTLS!

• BDLS/ADLS

Treatment facility and Equipment

Treatment facility and Equipment

Treatment facility and Equipment

Public health

Documentation

• Access to care : public!

• Communications : Not linked!

• Liability (Responsibility) : Members!

• Continuous quality improvement

Internal Risk

• Most common!

• Alcohol or drugs!

• Water in hot weather!

• Protest or meetings of political

External Risk

• most important!

• Dignitary (National or International)!

• Terrorists!

• EMS : Dedicated to dignitary and readiness for MCI

Terrorism

Security Service

Advance Preparation

• Level of security

• Special preparation depend on events

Dignitary Medical Care

• Physicians and staff of nurse

• Hospital (Level ?)

Security Zone

• 3 zone !

• Cold zone (Public)!

• Warm zone (ID)!

• Hot zone (Highest level)

Plans

• High risk mass gatherings = Hight level of security!

• Planning books : information!

• Preparation

Chronology• Event lists!

• Building and location

Personnel

Hospitals

• Local hospital !

• Emergency Department!

• Busy !

• Space for preparation

Joint Information Center

Venues (Staging area)

Communications

• Correct and easy communication!

• Section lists phone numbers!

• Fixed facilities ?

Mutual Aid

• EMS planning : other EMS (private or volunteer)!

• Retain communication!

• ICS

Medical

• Medical aids!

• BLS and ALS transport!

• Full equipments!

• On site medical care team

Media Sites• Specific Room or Area!

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Protestors• Certain area!

• Medical service : prevent verbal and physical!

• SCBA or gas masks or PPE

Maps/Building Plans• IN and OUT

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Onsite Transport

Food and Water

On-site Wreckers

Dispatch and Communication

• Dispatch centers for fire and EMS : Extra dispatcher!

• Separate dedicated channels

Helicopter Landing Site

Victim Assistance Center

• Psychological supports!

• Food and refreshments

Signage

Dead Bodies

Learning points• Overcrowding and crowd control!

• Event access points!

• Fire safety measures!

• Medical preparedness!

• Emergency response

Overcrowding and Crowd Control

Event access points

• Prolonged response time!

• Access point : Entrance and Exit

Fire safety measures

Medical preparedness

Hospital preparedness deficiencies

Medical preparedness

Emergency response • Poor communication

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