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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
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Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

Jun 12, 2015

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Jamie Ranse

Ranse J, Lenson S, Keene T, Luther M, Burke B, Hutton A. (2014). Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study; paper presented at the 12th International Conference for Emergency Nurses, Perth, Australia, 9th October.
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Page 1: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

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

Page 2: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

• Challenges exist in providing adequate health care at a mass gathering.

• Minimising impact to the health service in the surrounding community or region.

• Onsite care from single events and does not consider the effect on prehospital or hospital services.

Aim

• This research aims to enhance our understanding of the health service requirements of an outdoor music festival.

background

Page 3: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

methods

• Design

• Setting

• Data collection

• Data analysis• Protection of human participants

Page 4: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

results

Page 5: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

results

Page 6: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

results

Page 7: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

results

Page 8: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

results

Page 9: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

results

Page 10: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

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).

Page 11: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

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.

Page 12: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

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.

Page 13: Patient presentations to onsite health providers, ambulance paramedics and hospital emergency departments from a mass gathering: a case study

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