Evaluating the influential factors in  mass gathering casualty presentation characteristics  World Youth Day, Sydney, Aust...
Overview <ul><li>Background </li></ul><ul><li>Aims </li></ul><ul><li>Method </li></ul><ul><li>Results </li></ul><ul><li>Di...
Background <ul><li>Mass gatherings defined (World Youth Day) </li></ul><ul><li>Mass gatherings and emergency departments <...
Background <ul><li>Mass gatherings defined  </li></ul><ul><li>Mass gatherings and emergency departments </li></ul><ul><li>...
Background <ul><li>Mass gathering health </li></ul><ul><ul><li>Tiered response </li></ul></ul><ul><ul><li>Understanding he...
Background <ul><li>Mass gathering health: typical presentations </li></ul><ul><ul><li>Respiratory illnesses, minor injurie...
Background <ul><li>Key features </li></ul><ul><ul><li>Weather  </li></ul></ul><ul><ul><li>Type / duration  </li></ul></ul>...
Aim <ul><li>Data base of patient presentations </li></ul><ul><li>Comparison across event profiles </li></ul>
Method <ul><li>Prospective data collection </li></ul><ul><ul><li>Casualty database (21 sites over 5 days) </li></ul></ul><...
Method <ul><li>Data Analysis </li></ul><ul><ul><li>Missing age excluded (2890    2607) </li></ul></ul><ul><ul><li>Frequen...
Results <ul><li>Demographics </li></ul>
Discussion <ul><li>Discussion </li></ul>
Conclusion <ul><li>Conclusion </li></ul>
Evaluating the influential factors in  mass gathering casualty presentation characteristics  World Youth Day, Sydney, Aust...
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Evaluating the influential factors in mass gathering casualty presentation characteristics – World Youth Day, Sydney, Australia, 2008

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Paper presented at the 7th International Conference for Emergency Nurses, Gold Coast, Australia, 8th October 2009.

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Evaluating the influential factors in mass gathering casualty presentation characteristics – World Youth Day, Sydney, Australia, 2008

  1. 1. Evaluating the influential factors in mass gathering casualty presentation characteristics World Youth Day, Sydney, Australia 2008 Mr Jamie Ranse : Clinical Manager, Emergency Department – Calvary Health Care ACT Chief Nursing Officer, St John Ambulance Australia Prof Paul Arbon : Dean, School of Nursing & Midwifery, Flinders University Dr Mayumi Kako : Research Assistant, School of Nursing & Midwifery, Flinders University
  2. 2. Overview <ul><li>Background </li></ul><ul><li>Aims </li></ul><ul><li>Method </li></ul><ul><li>Results </li></ul><ul><li>Discussion </li></ul><ul><li>Conclusion </li></ul>
  3. 3. Background <ul><li>Mass gatherings defined (World Youth Day) </li></ul><ul><li>Mass gatherings and emergency departments </li></ul><ul><li>Patient prediction (model v historical) </li></ul>
  4. 4. Background <ul><li>Mass gatherings defined </li></ul><ul><li>Mass gatherings and emergency departments </li></ul><ul><li>Patient prediction (model v historical) </li></ul><ul><li>Mass gathering health </li></ul><ul><ul><li>Tiered response </li></ul></ul><ul><ul><li>Understanding health protection </li></ul></ul><ul><ul><li>Strategies to prevent potential impact of injury / illness </li></ul></ul>
  5. 5. Background <ul><li>Mass gathering health </li></ul><ul><ul><li>Tiered response </li></ul></ul><ul><ul><li>Understanding health protection </li></ul></ul><ul><ul><li>Strategies to prevent potential impact of injury / illness </li></ul></ul><ul><li>Inter-relationship between three domains: </li></ul><ul><ul><li>Biomedical </li></ul></ul><ul><ul><li>Environmental </li></ul></ul><ul><ul><li>Psychosocial </li></ul></ul><ul><li>Patient presentation rate </li></ul><ul><li>Transport to hospital rate </li></ul>
  6. 6. Background <ul><li>Mass gathering health: typical presentations </li></ul><ul><ul><li>Respiratory illnesses, minor injuries, heat related injuries and minor problems make up 80% </li></ul></ul><ul><ul><li>Asthma (3%) is the most common serious problem </li></ul></ul><ul><ul><li>Cardiac arrests occur infrequently (1:500,000) </li></ul></ul>
  7. 7. Background <ul><li>Key features </li></ul><ul><ul><li>Weather </li></ul></ul><ul><ul><li>Type / duration </li></ul></ul><ul><ul><li>Outdoor / indoor </li></ul></ul><ul><ul><li>Terrain </li></ul></ul><ul><ul><li>Alcohol/drugs </li></ul></ul><ul><ul><li>Crowd </li></ul></ul><ul><ul><li>Other? </li></ul></ul>
  8. 8. Aim <ul><li>Data base of patient presentations </li></ul><ul><li>Comparison across event profiles </li></ul>
  9. 9. Method <ul><li>Prospective data collection </li></ul><ul><ul><li>Casualty database (21 sites over 5 days) </li></ul></ul><ul><ul><li>Minimum data set </li></ul></ul><ul><ul><li>BOM </li></ul></ul><ul><li>Data Analysis </li></ul><ul><ul><li>Missing age excluded (2890  2607) </li></ul></ul><ul><ul><li>Frequency: for nominal data summary </li></ul></ul><ul><ul><li>Descriptive: for interval data summarise </li></ul></ul><ul><ul><li>Logistic regression: factors identified as contributing to non-injury and injury </li></ul></ul><ul><ul><li>Chi-square test: bounded v unbounded </li></ul></ul>
  10. 10. Method <ul><li>Data Analysis </li></ul><ul><ul><li>Missing age excluded (2890  2607) </li></ul></ul><ul><ul><li>Frequency: for nominal data summary </li></ul></ul><ul><ul><li>Descriptive: for interval data summarise </li></ul></ul><ul><ul><li>Logistic regression: factors identified as contributing to non-injury and injury </li></ul></ul><ul><ul><li>Chi-square test: bounded v unbounded </li></ul></ul>
  11. 11. Results <ul><li>Demographics </li></ul>
  12. 12. Discussion <ul><li>Discussion </li></ul>
  13. 13. Conclusion <ul><li>Conclusion </li></ul>
  14. 14. Evaluating the influential factors in mass gathering casualty presentation characteristics World Youth Day, Sydney, Australia 2008 Mr Jamie Ranse : Clinical Manager, Emergency Department – Calvary Health Care ACT Chief Nursing Officer, St John Ambulance Australia Prof Paul Arbon : Dean, School of Nursing & Midwifery, Flinders University Dr Mayumi Kako : Research Assistant, School of Nursing & Midwifery, Flinders University

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