Mass gathering medicine, also known as event medicine,crowd medicine or mass gathering health, [1] is a field of medicine that explores the health effects/risks of mass gatherings and the strategies that contribute positively to effective health services delivery during these events. [2] [3] [4] The reason for the development of the field of medicine gives the fact that mass gatherings generate a higher incidence of injury and illness, may be the subject to a catastrophic accident or attack with large numbers of injured or dead persons. [5] [6]
Mass Gathering Medicine is viewed as a niche field of prehospital care in emergency medicine at the University of British Columbia. [7]
Among factors influencing on the demand for the health care at mass gatherings are: [8]
Key purposes of Mass Gathering Medical Services at an event are: [10]
The Department of Global Alert and Response of the World Health Organization supports Member States hosting mass gatherings. [11] As the acknowledgement of growth in the area of Mass Gathering Medicine, there is a need for consistency in the research and evaluation of mass gathering events. [12] This is important because mass gatherings may impact on health services and having a collective understanding of the impact of mass gatherings on health services may mitigate any poor outcomes for patients. [13]
Mass gathering medicine support requires planning in advance. [14]
Medical journal The Lancet held a conference on Mass Gathering Medicine in October 2010 in the Kingdom of Saudi Arabia. [15]
In 2015, This Is Life with Lisa Ling filmed an episode featuring mass-gathering medicine with event medical specialists Dr. Andrew Bazos and Connor Fitzpatrick of CrowdRx, Inc. [16]
The inaugural Mass Gathering Medicine Summit was held in New York City on April 21–22, 2016. [17] The fourth annual Mass Gathering Medical Summit was held in Las Vegas on March 15–16, 2019. [17]
In medicine, triage is a process by which care providers such as medical professionals and those with first aid knowledge determine the order of priority for providing treatment to injured individuals and/or inform the rationing of limited supplies so that they go to those who can most benefit from it. Triage is usually relied upon when there are more injured individuals than available care providers, or when there are more injured individuals than supplies to treat them.
Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.
Advanced cardiac life support, advanced cardiovascular life support (ACLS) refers to a set of clinical guidelines for the urgent and emergent treatment of life-threatening cardiovascular conditions that will cause or have caused cardiac arrest, using advanced medical procedures, medications, and techniques. ACLS expands on Basic Life Support (BLS) by adding recommendations on additional medication and advanced procedure use to the CPR guidelines that are fundamental and efficacious in BLS. ACLS is practiced by advanced medical providers including physicians, some nurses and paramedics; these providers are usually required to hold certifications in ACLS care.
Peter Safar was an Austrian anesthesiologist of Czech descent. He is credited with pioneering cardiopulmonary resuscitation (CPR).
International emergency medicine is a subspecialty of emergency medicine that focuses not only on the global practice of emergency medicine but also on efforts to promote the growth of emergency care as a branch of medicine throughout the world. The term international emergency medicine generally refers to the transfer of skills and knowledge—including knowledge of ambulance operations and other aspects of prehospital care—from developed emergency medical systems (EMSs) to those systems which are less developed. However, this definition has been criticized as oxymoronic, given the international nature of medicine and the number of physicians working internationally. From this point of view, international emergency medicine is better described as the training required for and the reality of practicing the specialty outside of one's native country.
The chief complaint, formally known as CC in the medical field, or termed presenting complaint (PC) in Europe and Canada, forms the second step of medical history taking. It is sometimes also referred to as reason for encounter (RFE), presenting problem, problem on admission or reason for presenting. The chief complaint is a concise statement describing the symptom, problem, condition, diagnosis, physician-recommended return, or other reason for a medical encounter. In some instances, the nature of a patient's chief complaint may determine if services are covered by health insurance.
The Cincinnati Prehospital Stroke Scale is a system used to diagnose a potential stroke in a prehospital setting. It tests three signs for abnormal findings which may indicate that the patient is having a stroke. If any one of the three tests shows abnormal findings, the patient may be having a stroke and should be transported to a hospital as soon as possible. The CPSS was derived from the National Institutes of Health Stroke Scale developed in 1997 at the University of Cincinnati Medical Center for prehospital use.
Glucagon rescue is the emergency injection of glucagon in case of severe diabetic hypoglycemia. It is needed during seizures and/or unconsciousness by an insulin user who is unable at that point to help themselves. Glucagon will facilitate the release of stored glucose back into the bloodstream, raising the blood glucose level.
The Ontario Prehospital Advanced Life Support (OPALS) Studies were a series of multi-center before-and-after clinical trials looking at the impact of prehospital advanced life support services. The studies have not found the addition of advanced life support services to increase survival to hospital discharge for cardiac arrest patients.
Mass gatherings are events attended by a sufficient number of people to strain the planning and response resources of the host community, state/province, nation, or region where it is being held. Definitions of a mass gathering generally include the following:
Richard F. Edlich was a Professor Emeritus of Plastic Surgery, Biomedical Engineering and Emergency Medicine at the University of Virginia Health System. His basic clinical and research interests focused on improving the safety and outcome of wound care in emergency medicine and surgery.
The Broselow Tape, also called the Broselow pediatric emergency tape, is a color-coded length-based tape measure that is used throughout the world for pediatric emergencies. The Broselow Tape relates a child's height as measured by the tape to their weight to provide medical instructions including medication dosages, the size of the equipment that should be used, and the level of energy when using a defibrillator. Particular to children is the need to calculate all these therapies for each child individually. In an emergency, the time required to do this detracts from valuable time needed to evaluate, initiate, and monitor patient treatment. The Broselow Tape is designed for children up to approximately 12 years of age who have a maximum weight of roughly 36 kg (79 lb). The Broselow Tape is recognized in most medical textbooks and publications as a standard for the emergency treatment of children.
The World Association for Disaster and Emergency Medicine (WADEM) is an international organization concerned with disaster medicine. Originally named the Club of Mainz, it was founded on October 2, 1976. It has hosted the World Congress on Disaster and Emergency Medicine every two years since 1979. Additionally, it publishes the peer-reviewed journal Prehospital and Disaster Medicine.
Psychological first aid (PFA) is a technique designed to reduce the occurrence of post-traumatic stress disorder. It was developed by the National Center for Post Traumatic Stress Disorder (NC-PTSD), a section of the United States Department of Veterans Affairs, in 2006. It has been endorsed and used by the International Federation of Red Cross and Red Crescent Societies, Community Emergency Response Team (CERT), the American Psychological Association (APA) and many others. It was developed in a two-day intensive collaboration, involving more than 25 disaster mental health researchers, an online survey of the first cohort that used PFA and repeated reviews of the draft.
The JumpSTART pediatric triage MCI triage tool is a variation of the simple triage and rapid treatment (START) triage system. Both systems are used to sort patients into categories at mass casualty incidents (MCIs). However, JumpSTART was designed specifically for triaging children in disaster settings. Though JumpSTART was developed for use in children from infancy to age 8, where age is not immediately obvious, it is used in any patient who appears to be a child.
Critical emergency medicine (CREM) refers to the acute medical care of patients who have medical emergencies that pose an immediate threat to life, irrespective of location. In particular, the term is used to describe the role of anaesthesiologists in providing such care.
A medical surge occurs when "patient volumes challenge or exceed a hospital's servicing capacity"—often but not always tied to high volume of patients in a hospital's emergency room. Medical surges can occur after a mass casualty incident. In a poll by the American College of Emergency Physicians (ACEP) in May 2018, 93% of doctors said their US emergency rooms were not fully prepared for medical surges. 6% said their emergency departments were fully prepared.
Thomas Dean Kirsch is an American physician, scientist, and writer whose career has focused on disaster preparedness and response. He has been described as “…an expert in disaster research, planning and response, and disaster and wilderness medicine… both nationally and internationally”.
LFR International is an American international nonprofit organization focused on prehospital emergency medical research and emergency medical services development in sub-Saharan Africa. LFR launches sustainable prehospital emergency care programs in resource-limited settings of low-income countries without formal emergency medical services by collaborating with local governments and stakeholders to train lay first responders.
Health Care In Danger is a campaign organized by the International Committee of the Red Cross that highlights violent attacks on patients, healthcare workers, and healthcare facilities in conflict zones.
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