The impact of mass gatherings on ambulance services and hospitals
•Descargar como PPT, PDF•
1 recomendación•772 vistas
Ranse J. (2016). The impact of mass gatherings on ambulance services and hospitals; webinar presentation to members of the Mass Gathering Section of the World Association for Disaster and Emergency Medicine, 14th October.
Recomendados
Recomendados
Más contenido relacionado
La actualidad más candente
La actualidad más candente (20)
Similar a The impact of mass gatherings on ambulance services and hospitals
Similar a The impact of mass gatherings on ambulance services and hospitals (20)
Más de Jamie Ranse
Más de Jamie Ranse (20)
Último
Último (20)
The impact of mass gatherings on ambulance services and hospitals
- 1. Mr Jamie Ranse Chair-elect, Mass Gathering Section World Association Disaster and Emergency Medicine The impact of mass gatherings on ambulance services and hospitals
- 2. • Challenges exist in providing adequate health care at a mass gathering. • Minimizing impact to the health service in the surrounding community or region. Aim • Discus what is known about the impact of mass gatherings on health services from the literature. • Generate discussion about experiences of health service impact from mass gatherings. overview
- 3. Mr Jamie Ranse, A/Prof Alison Hutton, Mr Toby Keene, Mr Shane Lenson, Mr Matt Luther, Dr Amy Johnson, Dr Julia Crilly, Mr Matt Cannon, Ms Nicole Jones, Ms Courtney Hayes, Dr Brandon Burke Health service impact from mass gatherings: A systematic literature review
- 4. Aim •The impact on both ambulance services and hospitals from mass gathering events was the focus of this literature review. background
- 5. • This research used a systematic literature review methodology. • Electronic databases were searched to find articles related to the aim of the review. • Articles focused on mass gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization. method
- 6. method Table 1: Search terms Table 2: Inclusion and exclusion criteria
- 7. results
- 8. results
- 9. results
- 10. results
- 11. results
- 12. results
- 13. • Twenty-four studies were identified. • All case-study-based and retrospective in design. • The majority of studies (n = 23) provided details of in- event first responder services. • Variation in reporting of the number and type of in- event health professional services at mass gatherings. • All articles reported that patients were transported to hospital by the ambulance service. • Nine articles reported on patients presenting to hospital. • However, details pertaining to the impact on ambulance and hospital services were not reported. results
- 14. • There is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. Recommendation • future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. conclusion
- 15. Mr Jamie Ranse, Mr Shane Lenson, Mr Toby Keene, Mr Matt Luther, Dr Brandon Burke, A/Prof Alison Hutton Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study
- 16. • Onsite care from single events • Does not comprehensively consider the effect on prehospital or hospital services. Aim • This research aims to enhance our understanding of the health service requirements of, and from, an outdoor music festival. background
- 17. methods • Design • Setting • Data collection • Data analysis • Protection of human participants
- 18. results
- 19. results
- 20. results
- 21. results
- 22. results
- 23. results
- 24. results Onsite first aid care •The most frequent illness was headaches (n=94), injury was superficial lacerations (n=13), environmental was substance and/or alcohol intoxication (n=12). Onsite health professional care •The most frequent illness was headaches (n=3), injury was fractures (n=2), environmental was substance and/or alcohol intoxication (n=12).
- 25. results Ambulance transport •The most frequent injury was fractures (n=2), environmental was substance and/or alcohol intoxication (n=4). •One patient required prehospital endotracheal intubation. •Three patients required airway adjuncts. Hospital services •One patient required an ORIF. •One patient required intubation and ventilator support in the Intensive Care Unit.
- 26. discussion • Insight into the health service usage from one event. • Presentation to the onsite health professionals resulted in a longer length of stay in the onsite medical facility. • Possible hospital / ambulance avoidance of 15 patients. • Multi-site research should be undertaken to explore the health service usage from a variety of mass gatherings.
- 27. Mr Jamie Ranse Chair-elect, Mass Gathering Section World Association Disaster and Emergency Medicine The impact of mass gatherings on ambulance services and hospitals
Notas del editor
- This type of study design would provide information regarding the impact on health services from a mass gathering, to more accurately inform future health planning for mass gatherings across the health care continuum.
- Design Retrospective review of patient report forms from onsite health services at outdoor music festival. Setting One outdoor music festival in 2012 in the Australian Capital Territory with approximately 20,000 participants. The festival had one first aid post and a health team staffed by doctors, nurses and paramedics. Data collection Data was obtained and linked between onsite care providers (St John Ambulance Australia), prehospital (ACT Ambulance Service) and hospitals (Canberra Hospital and Calvary Health Care ACT). A pre-existing and used minimum data set1 was used to code patient characteristics from this event. Data analysis Descriptive statistics such as frequency distributions and means of central tendency.