understanding patient presentations among young people at mass gatherings

Jamie Ranse

www.jamieranse.com

twitter.com/jamieranse

youtube.com/jamieranse

linkedin.com/in/jamieranse

• Definition

• Conceptual model

• What do we know?

• Reporting of data

• Impact on health services• Outdoor music festivals• Considerations

overview

definition

Class Subclass Persons Resources Example

Mass gathering

Small 200 – 1,500 Local area Local fair

Medium 1,500 – 10,000 Local area Local sports game

Large 10,000 – 100,000 Local +/- State Concert

Major mass gathering 100,000 – 250,000 State +/- Interstate Music festivalAgricultural show

Super mass gathering 250,000 – 500,000 State and Interstate Motor sports event

Extreme mass gathering

500,000 – 1,000,00National +/- international

Religious festival

Mega mass gathering 1,000,000+National and International

Olympics

conceptual model

• Literature focus on:– Single cases

– Descriptive

– PPR

– TTHR

• Reporting of data

what do we know?

implications

• Pre-ambulance (PPR)

• Pre-hospital (TTHR)

implications

• Pre-ambulance (PPR)

• Pre-hospital (TTHR)

• Emergency Department (RTHR)

• Hospital – ICU

– Surgery

• Multiple versus primary presenting problem

• Diagnosis

• International language

reporting of data

reporting of data

reporting of data

Population and setting

•~400,000 population

•2 public emergency departments

Setting

•~20,000 participants (bounded / ticketed)

•One first aid post

•Medical assistance team

•Onsite Ambulance

impact on health services: one event

Findings

•197 patients to onsite care

•Additional 2 direct to ambulance and hospital

Onsite care

•34 reviewed by HCP

•22 with Medical Assistance Team– 2 with police

– 5 local ambulance service• 7 to local emergency departments (1 to ICU)

– 15 returned to event

impact on health services: one event

• Understand the characteristics of young people who had presented as patients to on-site health care at OMFs in four Australian states, and the relative proportion and type of injury and illness presentations at these events in Australia.

outdoor music festivals

outdoor music festivals

outdoor music festivals

outdoor music festivals

outdoor music festivals

considerations

Pre, During, Post

International

Nation state

Host community

Event population

Patient population

• Health legacy– Health expectations

– Changing ‘event’ site

• Event legacy– Environmental

considerations

understanding patient presentations among young people at mass gatherings

Jamie Ranse

www.jamieranse.com

twitter.com/jamieranse

youtube.com/jamieranse

linkedin.com/in/jamieranse