Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-15T01:27:28.875Z Has data issue: false hasContentIssue false

Medical Care at Mass Gatherings: Considerations for Physician Involvement

Published online by Cambridge University Press:  28 June 2012

Steven J. Parrillo*
Affiliation:
Albert Einstein Medical Center, Philadelphia, Pennsylvania
*
Albert Einstein Medical Center, Department of Emergency Medicine, 5501 Old York Rd., Philadelphia, PA 19141USA

Abstract

Although many authorities define a “mass gathering” as a group exceeding 1,000 persons, several times that number likely are to be present. The event for which the group will gather may be anything from a rock concert to an Olympic competition. Preparations for the event can be minor or major. This article reviews the issues that a physician should consider if he or she chooses to become involved in the delivery of medical care to such populations, as well as the evidence suggesting that a physician should be involved in most such gatherings.

Emergency medical care at public gatherings is haphazard at best and dangerous at worst.

There are surprisingly few data from which to plan the emergency medical needs for public events and no recognized standards or guidelines for providing emergency medical services at mass public gatherings.

Type
Brief Report
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1995

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. Sanders, AB, Criss, E, Steckl, P, et al. : An analysis of medical care at mass gatherings. Ann Emerg Med 1986;15:515519.CrossRefGoogle ScholarPubMed
2. Weaver, WD, Sutherland, K, Wirkus, MJ, Bachman, R: Emergency medical care requirements for large public assemblies and a new strategy for managing cardiac arrest in this setting. Ann Emerg Med 1989;18:155160.CrossRefGoogle Scholar
3. Chused, TM, Cohn, CK, Schneider, E, et al. : Medical care during the 1969 antiwar demonstrations in Washington, D.C. Arch Intern Med 1971;127:6770.CrossRefGoogle Scholar
4. Baker, WM, Simone, BM, Niemann, JT, et al. : Special event medical care: The 1984 Los Angeles summer Olympics experience. Ann Emerg Med 1986;15:185190.CrossRefGoogle ScholarPubMed
5. Fulde, G, Forster, SL, Preisz, P: Open air rock concert: An organized disaster. Med J Aust 1992;157:820822.CrossRefGoogle Scholar
6. Pons, PT, Holland, B, Alfrey, E, et al. : An advanced emergency care system at NFL games. Ann Emerg Med 1980;9:203206.CrossRefGoogle Scholar
7. Thompson, JM, Savoia, G, Powell, G, et al. : Level of medical care required for mass gatherings: The XV Winter Olympic Games in Calgary, Canada. Ann Emerg Med 1991;20:385390.CrossRefGoogle ScholarPubMed
8. Bowdish, GE, Cordell, WH, Bock, HC, Vukov, LF: Using regression analysis to predict patient volume at the Indianapolis 500 Mile Race. Ann Emerg Med 1992;21:12001203.CrossRefGoogle ScholarPubMed
9. Bock, HC, Cordell, WH, Hawk, AC: Demographics of emergency medical care at the Indianapolis 500 Mile Race. Ann Emerg Med 1992;21:12041207.CrossRefGoogle ScholarPubMed
10. Spaite, DW, Criss, EA, Valenzuela, TD, et al. : A new model for providing prehospital medical care in large stadiums. Ann Emerg Med 1988;17:825828.CrossRefGoogle ScholarPubMed
11. Gunter, MJ, Ricci, EM, Silverman, M, et al. : Physician involvement: A critical factor in the development of community emergency medical services. Emergency Medical Services 1979; May/June:4862.Google Scholar
12. Waeckerle, J: Disaster planning and response. N Engl J Med 1991;324:815821.Google ScholarPubMed
13. Franaszek, J: Medical care at mass gatherings. Ann Emerg Med 1986;15:600601. Editorial.CrossRefGoogle ScholarPubMed
14. DeLorenzo, RA, Gray, BC, Bennett, PC, et al. : Effect of crowd size on patient volume at a large, multipurpose indoor stadium. J Emerg Med 1989;7:379384.CrossRefGoogle Scholar
15. Whipkey, RR, Paris, PM, Stewart, RD: Emergency care for mass gatherings: Proper planning to improve outcome. Postgrad Med 1984;76:4552.CrossRefGoogle ScholarPubMed
16. Rivara, FP, Wall, HP, Worley, P, et al. : Pediatric nurse triage. American Journal of Diseases of Children 1986;140:205210.CrossRefGoogle ScholarPubMed