Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-14T17:25:21.775Z Has data issue: false hasContentIssue false
  • English
  • Français

Holy Shroud Exhibition 2010: Health Services During a 40-Day Mass-Gathering Event

Published online by Cambridge University Press:  21 March 2013

Michelangelo Bortolin ,
Marco Ulla ,
Alessia Bono ,
Enrico Ferreri ,
Mariano Tomatis  and
Sergio Sgambetterra
Michelangelo Bortolin*
Affiliation:
118 Torino Emergency Medical Service, Grugliasco, Italy
Marco Ulla
Affiliation:
San Giovanni Battista Hospital, Torino, Italy
Alessia Bono
Affiliation:
San Giovanni Battista Hospital, Torino, Italy
Enrico Ferreri
Affiliation:
San Giovanni Battista Hospital, Torino, Italy
Mariano Tomatis
Affiliation:
San Giovanni Battista Hospital, Torino, Italy
Sergio Sgambetterra
Affiliation:
President Health Service & Consulting srl, Torino, Italy
*
Correspondence: Michelangelo Bortolin, MD 118 Torino Emergency Medical Services Via sabaudia 164 Grugliasco 10095 Torino, Italy E-mail [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction

Mass-gathering events require varying types and amounts of medical resources to deal with patient presentations as well as careful planning for environmental health management. The Holy Shroud Exhibition was hosted in Torino, Italy, between April and May 2010. The venue was a unique mass-gathering event which lasted several weeks. It was held in a limited area in the center of the city and it was attended by a large and heterogeneous population. A dedicated Health Care Service was created for the event.

Methods

This study is a retrospective analysis of clinical presentations of patients who were managed by the Medical Services during the event. The main study outcomes included Patient Presentation Rate (PPR), type of injuries and illnesses, and the Transport to Hospital Rate (TTHR).

Results

The PPR and TTHR were both low (0.27 and 0.039 respectively). The majority of patients presented with low severity codes and no sudden cardiac death (SCD) or cardiac arrest occurred. Cardiac and trauma emergencies were most frequent categories of presentation. A number of pediatric patients (19.37%) were treated by the event Medical Service. Approximately two million persons participated in the 40-day event.

Conclusion

The experience for this 40-day event supported having an on-site, organized, dedicated Medical Service that decreased overcrowding of the local Emergency Medical System and hospitals. It is recommended that, for such events, there be recruitment of emergency physicians with experience in mass-gathering events, recruitment of pediatricians, and training for professionals during the planning process.

BortolinM, UllaM, BonoA, FerreriE, TomatisM, SgambetterraS. Holy Shroud Exhibition 2010: Health Services During a 40-Day Mass-Gathering Event. Prehosp Disaster Med. 2013;28(3):1-6.

Keywords

disaster preparednessevent medicinemass-casualty eventmass-casualty incidentmass gatheringprehospital
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 28 , Issue 3 , June 2013 , pp. 239 - 244
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2013 

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.Kennedy, EK. Mass gatherings. In: Ciottone GR, Disaster Medicine, 3rd ed.Philadelphia, PA, USA: Mosby Elsevier; 2006:912-917.CrossRefGoogle Scholar
2. Holy Shroud Official Site. http://www.sindone.org/the_holy_shroud__english_/the_shroud/00024133_What_it_is.html. Accessed November 29, 2012.Google Scholar
3.Mistovich, JJ, et al., eds Prehospital Emergency Care, 6th ed.Upper Saddle River, NJ, USA: Prentice Hall; 1999:866.Google Scholar
4.Milsten, AM, Maguire, BJ, Bissell, RA, Seaman, KG. Mass-gathering medical care: a review of the literature. Prehosp Disaster Med. 2002;17(3):151-162.CrossRefGoogle ScholarPubMed
5.Spaite, D, Criss, E, Valenzuela, T, et al. A new model for providing prehospital medical care in large stadiums. Ann Emerg Med. 1988;17(8):825-828.CrossRefGoogle ScholarPubMed
6.Wassertheil, J, Keane, G, Fisher, N, Leditschke, JF. Cardiac arrest outcomes at the Melbourne Cricket Ground and shrine of remembrance using a tiered response strategy-a forerunner to public access defibrillation. Resuscitation. 2000;44(2):97-104.CrossRefGoogle ScholarPubMed
7.Hartman, N, Williamson, A, Sojka, B, et al. Predicting resource use at mass gatherings using a simplified stratification scoring model American. J Emerg Med. 2009;27(3):337-343.Google Scholar
8.Yazawa, K, Kamijo, Y, Sakai, R, Ohashi, M, Owa, M. Medical care for a mass gathering: The Suwa Onbashira Festival. Prehosp Disaster Med. 2007;22(5):431-435.CrossRefGoogle ScholarPubMed
9.Grange, JT, Baumann, GW, Vaezazizi, R. On-site physicians reduce ambulance transports at mass gatherings. Prehosp Emerg Care. 2003;7(3):322-326.CrossRefGoogle ScholarPubMed
10.Boyle, MF, De Lorenzo, RA, Garnison, R. Physician integration into mass gathering medical care. Prehosp Disaster Med. 1993;8(2):165-168.CrossRefGoogle ScholarPubMed
11.Thierbach, AR, Wolcke, BB, Piepho, T, Maybauer, M, Huth, R. Medical support for children's mass gatherings. Prehosp Disaster Med. 2003;18(1):14-19.CrossRefGoogle ScholarPubMed