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Mass gathering medicine: a practical means of enhancing disaster preparedness in Canada

Published online by Cambridge University Press:  11 May 2015

Adam Lund ,
Samuel J. Gutman  and
Sheila A. Turris
Adam Lund*
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, BC
Samuel J. Gutman
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, BC
Sheila A. Turris
Affiliation:
School of Nursing, University of British Columbia, Vancouver, BC
*
118 Parkside Drive, Port Moody, BC V3H 4W8; [email protected]

Abstract:

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Background:

We explore the health care literature and draw on two decades of experience in the provision of medical care at mass gatherings and special events to illustrate the complementary aspects of mass gathering medical support and disaster medicine. Most communities have occasions during which large numbers of people assemble in public or private spaces for the purpose of celebrating or participating in musical, sporting, cultural, religious, political, and other events. Collectively, these events are referred to as mass gatherings. The planning, preparation, and delivery of health-related services at mass gatherings are understood to be within the discipline of emergency medicine. As well, we note that owing to international events in recent years, there has been a heightened awareness of and interest in disaster medicine and the level of community preparedness for disasters. We propose that a synergy exists between mass gathering medicine and disaster medicine.

Method:

Literature review and comparative analysis.

Results:

Many aspects of the provision of medical support for mass gathering events overlap with the skill set and expertise required to plan and implement a successful medical response to a natural disaster, terrorist incident, or other form of disaster.

Conclusions:

There are several practical opportunities to link the two fields in a proactive manner. These opportunities should be pursued as a way to improve the level of disaster preparedness at the municipal, provincial, and national levels.

Keywords

crowdsdisaster medicineemergency medical servicesmass gatheringprehospital care
Type
EMS
Information
Canadian Journal of Emergency Medicine , Volume 13 , Issue 4 , July 2011 , pp. 231 - 236
Copyright
Copyright © Canadian Association of Emergency Physicians 2011

References

REFERENCES

1.Arbon, P. Mass-gathering medicine: a review of the evidence and future directions for research. Prehosp Disaster Med 2007; 22:131–5.CrossRefGoogle ScholarPubMed
2.Milsten, AM, Maguire, BJ, Billell, RA, et al. Mass-gathering medical care: a review of the literature. Prehosp Disaster Med 2002;17:151–62.CrossRefGoogle ScholarPubMed
3.Hodgetts, TJ, Cooke, MW. The largest mass gathering. BMJ 1999;318:957–8.CrossRefGoogle ScholarPubMed
4.Arbon, P, Bridgewater, FHG, Smith, C. Mass gathering medicine: a predictive model for patient presentation and transport rates. Prehosp Disaster Med 2001;16:109–16.CrossRefGoogle ScholarPubMed
5.Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med 2004;19:208–12.Google Scholar
6.Tintinalli, JE, Kelen, GD, Stapczynski, JS. Emergency medicine: a comprehensive study guide. McGraw-Hill Professional; 2004.Google Scholar
7.Enock, KE, Jocobs, J. The Olympic and Paralympic Games 2012: literature review of the logistical planning and operational challenges for public health. Public Health 2008;122:1299–38, doi:10.1016/j.puhe.2008.04.016.Google Scholar
8.Delaney, JS, Drummond, R. Mass casualties and triage at a sporting event. Br J Sports Med 2002;36:85–8, doi:10.1136/ bjsm.36.2.85.CrossRefGoogle Scholar
9.Hewitt, S, Jarrett, L, Winter, B. Emergency medicine at a large rock festival. JAccid Emerg Med 1996;13:26–7.Google Scholar
10.Perdomo, RVP, Rivera, CAM, Becerra, AMM, et al. Public health surveillance during the XVII Central American and Caribbean Games-Puerto Rico, November 1993. MMWR Morb Mortal Wkly Rep 1996;45:581–4.Google Scholar
11.Sloan, B, Somerville, G, Olinger, M, et al. Injury incidence during the 2001 World Police and Fire Games. Am JEmerg Med 2004;22:129–30.CrossRefGoogle ScholarPubMed
12.Thierbach, AR, Wolcke, BB, Peipho, T, et al. Medical support for children’s mass gatherings. Prehosp Disaster Med 2003;18:14–9.CrossRefGoogle ScholarPubMed
13.Zeitz, K, Zeitz, C, Kadow-Griffen, C. Injury occurrences at a mass gathering event. JEmerg PrimaryHealthCare 2005;3:1–10.Google Scholar
14.Zeitz, KM, Schneider, DPA, Jarrett, D, et al. Mass gathering events: retrospective analysis of patient presentations over seven years at an agricultural and horticultural show. Prehosp Disaster Med 2002;17:147–50.CrossRefGoogle Scholar
15.Olapade-Olaopa, EO, Alonge, TO, Amanor-Boadu, SD, et al. On-site physicians at a major sporting event in Nigeria. Prehosp Disaster Med 2005;21:40–4.Google Scholar
16.Mormura, N, Katsumi, A, Koido, Y, et al. Analysis of patient load data from the FIFA World Cup Korea/Japan. Prehosp Disaster Med 2004;19:279–84.Google Scholar
17.Arquilla, B, Paladino, L, Reich, C, et al. Using a joint triage model for multi-hospital response to a mass casualty incident in New York City. J Emergencies Trauma Shock 2009;2:114–6, doi:10.4103/0974-2700.50746.CrossRefGoogle ScholarPubMed
18.Teich, JM, Wagner, MM, MacKenzie, CF, et al. The informatics response in disaster, terrorism, and war. JAMIA 2002;9:97–104, doi:10.1197/jamia.M1055.Google Scholar
19.Hsu, EB, Thomas, TL, Bass, EB, et al. Healthcare worker competencies for disaster training. BMC Med Educ 2006; 6(19):1–9.CrossRefGoogle ScholarPubMed
20.Hochstein, C, Arnesen, S, Goshorn, J, et al. Selected resources for emergency and disaster preparedness and response from the United States National Library of Medicine. Med Ref Serv Q 2008;27(1):1–20.CrossRefGoogle ScholarPubMed
21.Khorram-Manesh, A, Hedelin, A, Ortenwall, P. Regional coordination in medical emergencies and major incidents; plan, execute and teach. Scand J Trauma Resuscitation Emerg Med 2009;17(32):1–6.CrossRefGoogle ScholarPubMed
22.Auf der Heide, E. The importance of evidence-based disaster planning. Ann Emerg Med 2006;47:34–49, doi:10.1016/ j.annemergmed.2005.05.009.CrossRefGoogle ScholarPubMed
23.Birnbaum, ML. Disaster medicine: status, roles, responsibilities, and needs. Prehosp Disaster Med 2002;17:117–8.Google Scholar
24.Cherry, RA, Trainer, M. The current crisis in emergency care and the impact on disaster preparedness. BMC Emerg Med 2008;8(7):1–7.Google Scholar
25.Ziskin, LZ, Harris, DA. State health policy for terrorism preparedness. Am J Public Health 2007;97:1583–8, doi:10.2105/ AJPH.2006.101436.Google Scholar
26.Pfenninger, EG, Domres, BD, Stahl, W, et al. Medical student disaster medicine education: the development of an educational resource. Int J Emerg Med 2010;3:9–20, doi:10.1007/s12245-009-0140-9.CrossRefGoogle ScholarPubMed
27.Koenig, KL, Bey, T, Schultz, CH. International disaster medical sciences fellowship: model curriculum and key consideration for establishment of an innovative international educational program. West J Emerg Med 2009;10: 213–9.Google Scholar
28.Kollek, D.Canada’s ability to respond to a national health crisis hampered by jurisdictional issues, untested emergency plans. CMAJ 2009;180:1193–4.Google Scholar
29.Khan, K, Freifeld, CC, Wang, J, et al. Preparing for infectious disease threats at mass gatherings: the case of the Vancouver 2010 Olympic Winter Games. CMAJ 2010;182:579–83.Google Scholar