Health Service Impact from Mass Gatherings: A Systematic Literature Review

  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},
  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… 
The Impact of Mass Gatherings on Emergency Department Patient Presentations with Communicable Diseases Related to Syndromic Indicators: An Integrative Review
Only limited research exists on the impact of MGEs on ED presentations with communicable diseases and related SIs, so recommendations for future MGE studies include assessing differences in ED Presentation with Communicable diseases regarding demographics, clinical characteristics, and outcomes before, during, and after the event.
Health Care Provision During a Sporting Mass Gathering: A Structure and Process Description of On-Site Care Delivery
This in-event model of emergency care delivery, established in an out-of-hospital location, enabled the delivery of acute health care that could be clearly described and defined.
Frequency and location of mass gathering events in relation to emergency departments: a descriptive study
It is demonstrated that events occur frequently with varying vicinity to nearest EDs, with the majority of events occurring near territory care centres.
Impact of Patients Presenting with Alcohol and/or Drug Intoxication on In-Event Health Care Services at Mass-Gathering Events: An Integrative Literature Review
Abstract Background There is a growing body of literature relating to mass-gathering events. A common thread amongst this literature, particularly the literature relating to music festivals, is the
Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events
The workload for EMS and rescue service personnel increases during MG events, most of the increase is allocated to EMS staff, peaking in evening and night hours, and geospatial analysis revealed dense hotspots of missions in the vicinity of the event area.
Use of Predictive Modeling to Plan for Special Event Medical Care During Mass Gathering Events
The MGM predictive model overestimated BLS requirements and inconsistently predicted ILS and ALS requirements, which may be improved by using research-based outcomes.
Mass Gathering Medicine in Soccer Leagues: A Review and Creation of the SALEM Tool
This review explores the potential risks imposed by mass gathering (MG) football events, with particular emphasis on tools and methodologies to manage the risks of football MG events.
Measuring the Masses: A Proposed Template for Post-Event Medical Reporting (Paper 4)
It is hoped that consistent reporting of essential variables will improve both data collection and the ability to make comparisons between events so that the science underpinning MG health can continue to advance.
Risk and protective factors for mental health at a youth mass gathering
Mass gatherings may have a net benefit for attendee mental health, especially for those attendees who are subjectively committed to the event, however, a vulnerable subgroup of attendees requires targeted mental health support.


Medical Care at Mass Gatherings: Emergency Medical Services at Large-Scale Rave Events
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
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
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.
Injury Patterns and Levels of Care at a Marathon
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
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
  • P. Arbon
  • Medicine
    Prehospital and Disaster Medicine
  • 2007
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.
Hospital-Based Event Medical Support for the Baltimore Marathon, 2002−2005
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
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.