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understanding patient presentations among young people at mass gatherings
Jamie Ranse
www.jamieranse.com
twitter.com/jamieranse
youtube.com/jamieranse
linkedin.com/in/jamieranse
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• Definition
• Conceptual model
• What do we know?
• Reporting of data
• Impact on health services• Outdoor music festivals• Considerations
overview
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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
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conceptual model
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• Literature focus on:– Single cases
– Descriptive
– PPR
– TTHR
• Reporting of data
what do we know?
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implications
• Pre-ambulance (PPR)
• Pre-hospital (TTHR)
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implications
• Pre-ambulance (PPR)
• Pre-hospital (TTHR)
• Emergency Department (RTHR)
• Hospital – ICU
– Surgery
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• Multiple versus primary presenting problem
• Diagnosis
• International language
reporting of data
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reporting of data
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reporting of data
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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
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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
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• 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
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outdoor music festivals
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outdoor music festivals
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outdoor music festivals
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outdoor music festivals
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considerations
Pre, During, Post
International
Nation state
Host community
Event population
Patient population
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• Health legacy– Health expectations
– Changing ‘event’ site
• Event legacy– Environmental
considerations
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understanding patient presentations among young people at mass gatherings
Jamie Ranse
www.jamieranse.com
twitter.com/jamieranse
youtube.com/jamieranse
linkedin.com/in/jamieranse