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Understanding patient presentations among young people at mass gatherings

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Ranse J. (2014). Understanding patient presentations among young people at mass gatherings; presentation to Paramedics Australasia, Paramedics Australasia Student Association and St John Ambulance …

Ranse J. (2014). Understanding patient presentations among young people at mass gatherings; presentation to Paramedics Australasia, Paramedics Australasia Student Association and St John Ambulance (ACT), Canberra, ACT, 29th April.

Published in: Health & Medicine

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  • 1. understanding patient presentations among young people at mass gatherings Jamie Ranse www.jamieranse.com twitter.com/jamieranse youtube.com/jamieranse linkedin.com/in/jamieranse
  • 2. • Definition • Conceptual model • What do we know? • Reporting of data • Impact on health services • Outdoor music festivals • Considerations overview
  • 3. definition Class Subclass Persons Resources Example Mass gathering Small 200 – 1,500 Local area Local fair Medium 1,500 – 10,000 Local area Local sports game Large 10,000 – 100,000 Local +/- State Concert Major mass gathering 100,000 – 250,000 State +/- Interstate Music festival Agricultural show Super mass gathering 250,000 – 500,000 State and Interstate Motor sports event Extreme mass gathering 500,000 – 1,000,00 National +/- international Religious festival Mega mass gathering 1,000,000+ National and International Olympics
  • 4. conceptual model
  • 5. • Literature focus on: – Single cases – Descriptive – PPR – TTHR • Reporting of data what do we know?
  • 6. implications • Pre-ambulance (PPR) • Pre-hospital (TTHR)
  • 7. implications • Pre-ambulance (PPR) • Pre-hospital (TTHR) • Emergency Department (RTHR) • Hospital – ICU – Surgery
  • 8. • Multiple versus primary presenting problem • Diagnosis • International language reporting of data
  • 9. reporting of data
  • 10. reporting of data
  • 11. Population and setting •~400,000 population •2 public emergency departments Setting •~20,000 participants (bounded / ticketed) •One first aid post •Medical assistance team •Onsite Ambulance impact on health services: one event
  • 12. Findings •197 patients to onsite care •Additional 2 direct to ambulance and hospital Onsite care •34 reviewed by HCP •22 with Medical Assistance Team – 2 with police – 5 local ambulance service • 7 to local emergency departments (1 to ICU) – 15 returned to event impact on health services: one event
  • 13. • Understand the characteristics of young people who had presented as patients to on-site health care at OMFs in four Australian states, and the relative proportion and type of injury and illness presentations at these events in Australia. outdoor music festivals
  • 14. outdoor music festivals
  • 15. outdoor music festivals
  • 16. outdoor music festivals
  • 17. outdoor music festivals
  • 18. considerations Pre, During, Post International Nation state Host community Event population Patient population
  • 19. • Health legacy – Health expectations – Changing ‘event’ site • Event legacy – Environmental considerations
  • 20. understanding patient presentations among young people at mass gatherings Jamie Ranse www.jamieranse.com twitter.com/jamieranse youtube.com/jamieranse linkedin.com/in/jamieranse