Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-24T18:00:30.501Z Has data issue: false hasContentIssue false

Development of a Mass-Gathering Medical Resource Matrix for a Developing World Scenario

Published online by Cambridge University Press:  28 June 2012

Wayne P. Smith*
Affiliation:
Division of Emergency Medicine, University of Cape Town & Stellenbosch University, Cape Town, South Africa
Vernon Wessels
Affiliation:
Emergency Medical Services, Gauteng Department of Health Johannesburg, South Africa
Diane Naicker
Affiliation:
National Department of Health, Pretoria, South Africa
Elizabeth Leuenberger
Affiliation:
National Department of Health, Pretoria, South Africa
Peter Fuhri
Affiliation:
National Department of Health, Pretoria, South Africa
Lee A. Wallis
Affiliation:
Division of Emergency Medicine, University of Cape Town & Stellenbosch University, Cape Town, South Africa
*
Private Bag X24, Bellville, 7535, Cape Town, South Africa E-mail: [email protected]

Abstract

Mass gatherings have a higher patient presentation rate than is found within the general population. Despite this fact, many mass gatherings are occurring without suitable medical coverage. South Africa has had no standard approach or model to determine the number of medical personnel needed to deploy to an event. The awarding of the FIFA (Federation International de Football Association) 2010 World Cup to South Africa has provided the impetus for the development of such a model. The model presented in this paper is based on existing recommendations that originate from the United Kingdom.

This paper outlines the modifications that have been made to this model to ensure that adequate medical resources still are provided, albeit in a developing country where medical resources may not be as plentiful.

Type
Original Research
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Arbon, P: Mass-gathering medicine: a review of the evidence and future directions for research. Prehosp Disaster Med 2007;22(2):131135.CrossRefGoogle ScholarPubMed
2.Franaszek, J: Medical care at mass gatherings. Ann Emerg Med 1986;15(5):600601.CrossRefGoogle ScholarPubMed
3.Madzimbamuto, FD: A hospital response to a soccer stadium stampede in Zimbabwe. Emerg Med J 2003;20(6):556559.CrossRefGoogle ScholarPubMed
4.Bowley, DM, Rein, P, Scholtz, HJ, Boffard, KD: The Ellis Park Stadium tragedy. Eur J Trauma 2004;30(1):5155.CrossRefGoogle Scholar
5.Milsten, AM, Maguire, BJ, Bissell, RA, Seaman, KG: Mass-gathering medical care: A review of the literature. Prehosp Disaster Med 2002;17(3):151162.CrossRefGoogle ScholarPubMed
6.Health and Safety Executive: A Guide to Health, Safety and Welfare at Music and Similar Events (HSG). 2 ed. Norwich: Guidance Booklets, 1999.Google Scholar
7.Grange, JT, Green, SM, Downs, W: Concert medicine: Spectrum of medical problems encountered at 405 major concerts. Acad Emerg Med 1999;6(3):202207.CrossRefGoogle ScholarPubMed
8.Brunko, M: Emergency physicians and special events. J Emerg Med 1989;7(4):405406.CrossRefGoogle ScholarPubMed
9.Yazawa, K, Kamijo, Y, Sakai, R, et al: Medical care for a mass gathering: The Suwa Onbashira Festival. Prehosp Disaster Med 2007;22(5):431435.CrossRefGoogle ScholarPubMed
10.Zeitz, KM, Bolton, S, Dippry, R, et al: Measuring emergency services workloads at mass gathering events. AJEM 2007;22(3):2330.Google Scholar
11.Federman, JH, Giordano, LM. How to cope with a visit from the Pope. Prehosp Disaster Med 1997;12(2):8691.CrossRefGoogle ScholarPubMed
12.Milsten, AM, Seaman, KG, Liu, P, et al: Variables influencing medical usage rates, injury patterns, and levels of care for mass gatherings. Prehosp Disaster Med 2003; 18(4):334346.CrossRefGoogle ScholarPubMed
13.Zeitz, KM, Schneider, DP, Jarrett, D, Zeitz, CJ: Mass gathering events: Retrospective analysis of patient presentations over seven years at an agricutural and horticultural show. Prehosp Disaster Med 2002;17(3):147150.CrossRefGoogle Scholar
14.Zeitz, CJ, Zeitz, KM, Ward, G, Inglis, A: The acquisition and maintenance of defibrillation skills by lay first responders. Resuscitation 2003;56(1):7782.CrossRefGoogle ScholarPubMed
15.Weaver, WD, Sutherland, WD, Wirkus, MJ, et al: Emergency medical care requirements for large public assemblies and a new strategy for managing cardiac arrest in this setting. Ann Emerg Med 1989;18(2):155160.CrossRefGoogle Scholar
16.Leonard, RB: Medical support for mass gatherings. Emerg Med Clin North Am 1996;14(2):383397.CrossRefGoogle ScholarPubMed
17.Green, GB, Burnham, G: Health care at mass gatherings. JAMA 1998;279(18):14851486.CrossRefGoogle ScholarPubMed
18.Hartman, N, Williamson, A, Sojka, B, et al: Predicting resource use at mass gatherings using a simplified stratification scoring model. Am J Emerg Med 2009; 27(3):337343.CrossRefGoogle ScholarPubMed