Health Service Impact from Mass Gatherings: A Systematic Literature Review

@article{Ranse2016HealthSI,
  title={Health Service Impact from Mass Gatherings: A Systematic Literature Review},
  author={Jamie Ranse and Alison Hutton and Toby Keene and Shane Lenson and Matt Luther and Nerolie F Bost and Amy N. B. Johnston and Julia Crilly and Matt Cannon and Nicole Jones and Courtney Hayes and Brandon Burke},
  journal={Prehospital and Disaster Medicine},
  year={2016},
  volume={32},
  pages={71 - 77}
}
Abstract Background During a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events… 
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References

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Medical Care at Mass Gatherings: Emergency Medical Services at Large-Scale Rave Events
TLDR
During a five-year field research period at rave dance parties, most presentations on-site for medical evaluation were for mild conditions, and a medical team of six healthcare workers for every 10,000 rave party visitors is recommended.
Minimum Data Set for Mass-Gathering Health Research and Evaluation: A Discussion Paper
TLDR
The need for consistency in mass-gathering data collection and biomedical reporting is discussed, and a minimum data set with a data dictionary is proposed in an effort to generate conversation about a possible agreed minimum amount and type of information that should be collected consistently for research and evaluation at mass gatherings.
Mass-Gathering Medical Care: Retrospective Analysis of Patient Presentations over Five Years at a Multi-Day Mass Gathering
Introduction: There is a scarcity of analytical data regarding mass-gathering medical care. The purpose of this study was to identify and evaluate the range and nature of illness and injury for
Mass-gathering medicine: a descriptive analysis of a range of mass-gathering event types.
Ambulance Need at Mass Gatherings
TLDR
Local baseline data is a recommended starting point when setting policy for public health needs at mass gatherings, suggesting that the community baseline sets an appropriate standard for requiring standby ambulances atmass gatherings in San Francisco.
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TLDR
Marathons should allocate medical resources in favor of the halfway point and the final first-aid station, and resources and medical staff should be moved from the earlier tents to further augment the later first- aid stations before the majority of racers reach the middle- and later-distance stations.
Suffolk Show 2011: Prehospital Medical Coverage in a Mass-gathering Event
TLDR
An understanding of the event characteristics, demographics, and nature of medical contacts will provide organizers, medical officers, and local emergency services with information about the level of coverage and resources required and can further help advance knowledge of mass-gathering medicine across the various types of events.
Mass-Gathering Medicine: A Review of the Evidence and Future Directions for Research
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  • Medicine
    Prehospital and Disaster Medicine
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TLDR
A review of mass-gathering medicine literature demonstrates the progressive development of knowledge and understanding of the health effects of mass gatherings and the strategies that appear to contribute positively to effective health services delivery during these events.
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TLDR
Most injuries/illnesses encountered at the Baltimore Marathon in 2002–2005 were minor, although some were serious enough to require transport to a hospital, and the year with the highest average race-day temperature had the highest observed injury rates and the highest number of hospital transports.
Medical Support for the 2009 World Police and Fire Games: A Descriptive Analysis of a Large-Scale Participation Event and its Impact
TLDR
The 2009 WPFG was a mass-gathering sporting event that presented specific challenges in relation to medical support, and despite relatively high patient presentation rates, the widely spread geography of the event, and a reduced ability to depend on 9-1-1 emergency medical services, there was minimal impact on local emergency services.
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