Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-19T12:29:28.204Z Has data issue: false hasContentIssue false
  • English
  • Français

The Gillette Stadium Experience: A Retrospective Review of Mass Gathering Events From 2010 to 2015

Published online by Cambridge University Press:  19 March 2018

Scott A. Goldberg Open the ORCID record for Scott A. Goldberg [Opens in a new window] ,
Jeremy Maggin ,
Michael S. Molloy ,
Olesya Baker ,
Ritu Sarin ,
Michael Kelleher ,
Kevin Mont ,
Adedeji Fajana  and
Eric Goralnick
Scott A. Goldberg*
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts
Jeremy Maggin
Affiliation:
Harvard Medical School, Boston, Massachusetts Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
Michael S. Molloy
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts Ireland East Hospital Group, Wexford General Hospital, Wexford, Ireland
Olesya Baker
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
Ritu Sarin
Affiliation:
Harvard Medical School, Boston, Massachusetts Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
Michael Kelleher
Affiliation:
Foxborough Fire Department, Foxborough, Massachusetts
Kevin Mont
Affiliation:
Fallon Ambulance Service, Quincy, Massachusetts
Adedeji Fajana
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
Eric Goralnick
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts Harvard TH Chan School of Public Health, Boston, Massachusetts
*
Correspondence and reprint requests to Scott Goldberg, MD, MPH, Department of Emergency Medicine, Brigham and Women’s Hospital, 75 Francis St, Neville House, Boston, MA 02115 (e-mail: [email protected]).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Mass gathering events can substantially impact public safety. Analyzing patient presentation and transport rates at various mass gathering events can help inform staffing models and improve preparedness.

Methods

A retrospective review of all patients seeking medical attention across a variety of event types at a single venue with a capacity of 68,756 from January 2010 through September 2015.

Results

We examined 232 events with a total of 8,260,349 attendees generating 8157 medical contacts. Rates were 10 presentations and 1.6 transports per 10,000 attendees with a non-significant trend towards increased rates in postseason National Football League games. Concerts had significantly higher rates of presentation and transport than all other event types. Presenting concern varied significantly by event type and gender, and transport rate increased predictably with age. For cold weather events, transport rates increased at colder temperatures. Overall, on-site physicians did not impact rates.

Conclusions

At a single venue hosting a variety of events across a 6-year period, we demonstrated significant variations in presentation and transport rates. Weather, gender, event type, and age all play important roles. Our analysis, while representative only of our specific venue, may be useful in developing response plans and staffing models for similar mass gathering venues. (Disaster Med Public Health Preparedness. 2018;12:752-758).

Keywords

emergency medicineemergency medical servicesemergency preparednessmass gathering medicine
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 6 , December 2018 , pp. 752 - 758
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Arbon, P. Mass-gathering medicine: a review of the evidence and future directions for research. Prehosp Disaster Med. 2007;22(2):131-135.Google Scholar
2. Ciottone, GR. Disaster Medicine, 2nd ed. Philadelphia, PA: Elsevier; 2016.Google Scholar
3. Grange, JT, Baumann, GW, Vaezazizi, R. On-site physicians reduce ambulance transports at mass gatherings. Prehosp Emerg Care. 2003;7(3):322-326.Google Scholar
4. Lund, A, Turris, SA. Mass-gathering medicine: risks and patient presentations at a 2-day electronic dance music event. Prehosp Disaster Med. 2015;30(3):271-278.Google Scholar
5. Britten, S, Whiteley, MS, Fox, PF, Goodwin, MI, Horrocks, M. Medical treatment at Glastonbury Festival. BMJ. 1993;307(6910):1009-1010.Google Scholar
6. Duffin, C. Glastonbury: mud, sweat and tears. Emerg Nurse. 2007;15(4):10-15.Google Scholar
7. Feldman, MJ, Lukins, JL, Verbeek, RP, MacDonald, RD, Burgess, RJ, Schwartz, B. Half-a-million strong: the emergency medical services response to a single-day, mass-gathering event. Prehosp Disaster Med. 2004;19(4):287-296.Google Scholar
8. Nguyen, RB, Milsten, AM, Cushman, JT. Injury patterns and levels of care at a marathon. Prehosp Disaster Med. 2008;23(6):519-525.Google Scholar
9. Nix, CM, Khan, IJ, Hoban, M, Little, G, Keye, G, O’Connor, HJ. Oxegen 2004: the impact of a major music festival on the workload of a local hospital. Ir Med J. 2006;99(6):167-169.Google Scholar
10. Ryan, JM, Noone, E, Plunkett, PK. Review of a mobile accident and emergency unit at a rock concert. Ir Med J. 1994;87(5):148-149.Google Scholar
11. Sabra, JP, Cabañas, JG, Bedolla, J, et al. Medical support at a large-scale motorsports mass-gathering event: the inaugural Formula One United States Grand Prix in Austin, Texas. Prehosp Disaster Med. 2014;29(4):392-398.Google Scholar
12. Ranse, J, Hutton, A. Minimum data set for mass-gatherings health research and evaluation: the beginning of an international dialogue. Author reply. Prehosp Disaster Med. 2013;28(2):193.Google Scholar
13. Lund, A, Turris, SA, Wang, P, Mui, J, Lewis, K, Gutman, SJ. An analysis of patient presentations at a 2-day mass-participation cycling event: the Ride to Conquer Cancer Case Series, 2010-2012. Prehosp Disaster Med. 2014;29(4):429-436.Google Scholar
14. McQueen, CP. Care of children at a large outdoor music festival in the United Kingdom. Prehosp Disaster Med. 2010;25(3):223-226.Google Scholar
15. Grange, JT, Green, SM, Downs, W. Concert medicine: spectrum of medical problems encountered at 405 major concerts. Acad Emerg Med. 1999;6(3):202-207.Google Scholar
16. Grant, WD, Nacca, NE, Prince, LA, Scott, JM. Mass-gathering medical care: retrospective analysis of patient presentations over five years at a multi-day mass gathering. Prehosp Disaster Med. 2010;25(2):183-187.Google Scholar
17. Gutman, SJ, Lund, A, Turris, SA. Medical support for the 2009 World Police and Fire Games: a descriptive analysis of a large-scale participation event and its impact. Prehosp Disaster Med. 2011;26(1):33-39.Google Scholar
18. Locoh-Donou, S, Guofen, Y, Welcher, M, Berry, T, O’Connor, RE, Brady, WJ. Mass-gathering medicine: a descriptive analysis of a range of mass-gathering event types. Am J Emerg Med. 2013;31(5):843-846.Google Scholar
19. Alquthami, AH, Pines, JM. A systematic review of noncommunicable health issues in mass gatherings. Prehosp Dis Med. 2014;29(2):167-175.Google Scholar
20. Milsten, AM, Seaman, KG, Liu, P, Bissell, RA, Maguire, BJ. Variables influencing medical usage rates, injury patterns, and levels of care for mass gatherings. Prehosp Disaster Med. 2003;18(4):334-346.Google Scholar
21. Arbon, P, Bridgewater, FH, Smith, C. Mass gathering medicine: a predictive model for patient presentation and transport rates. Prehosp Disaster Med. 2001;16(3):150-158.Google Scholar
22. Perron, AD, Brady, WJ, Custalow, CB, Johnson, DM. Association of heat index and patient volume at a mass gathering event. Prehosp Emerg Care. 2005;9(1):49-52.Google Scholar
23. Michael, JA, Barbera, JA. Mass gathering medical care: a twenty-five year review. Prehosp Disaster Med. 1997;12(4):305-312.Google Scholar
24. Schwartz, BG, McDonald, SA, Kloner, RA. Super Bowl outcome’s association with cardiovascular death. Clin Res Cardiol. 2013;102(11):807-811.Google Scholar
25. Kloner, RA, McDonald, S, Leeka, J, Poole, WK. Comparison of total and cardiovascular death rates in the same city during a losing versus winning super bowl championship. Am J Cardiol. 2009;103(12):1647-1650.Google Scholar
26. Wilbert-Lampen, U, Leistner, D, Greven, S, et al. Cardiovascular events during World Cup soccer. N Engl J Med. 2008;358(5):475-483.Google Scholar
27. Brunekreef, B, Hoek, G. No association between major football games and cardiovascular mortality. Epidemiology. 2002;13(4):491-492.Google Scholar
28. Marques-Vidal, P, Paccaud, F. Watching football matches and the risk of acute myocardial infarction. Int J Epidemiol. 2011;40(3):838-839.Google Scholar
29. Erickson, TB, Aks, SE, Koenigsberg, M, Bunney, EB, Schurgin, B, Levy, P. Drug use patterns at major rock concert events. Ann Emerg Med. 1996;28(1):22-26.Google Scholar
30. Frezza, M, di Padova, C, Pozzato, G, Terpin, M, Baraona, E, Lieber, CS. High blood alcohol levels in women. The role of decreased gastric alcohol dehydrogenase activity and first-pass metabolism. N Engl J Med. 1990;322(2):95-99.Google Scholar
31. Locoh-Donou, S, Yan, G, Berry, T, et al. Mass gathering medicine: event factors predicting patient presentation rates. Intern Emerg Med. 2016;11(5):745-752.Google Scholar
32. Jena, AB, Mann, NC, Wedlund, LN, Olenski, A. Delays in emergency care and mortality during major U.S. Marathons. N Engl J Med. 2017;376(15):1441-1450.Google Scholar