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Mass-Gathering Medical Care Provided by a Collegiate-Based First Response Service at an Annual College Music Festival and Campus-Wide Celebration

Published online by Cambridge University Press:  26 December 2018

Nicholas M.G. Friedman Open the ORCID record for Nicholas M.G. Friedman [Opens in a new window] ,
Emily K. O’Connor ,
Timothy Munro  and
David Goroff
Nicholas M.G. Friedman*
Affiliation:
Skidmore College Emergency Medical Services, Skidmore College, Saratoga Springs, New YorkUSA
Emily K. O’Connor
Affiliation:
Skidmore College Emergency Medical Services, Skidmore College, Saratoga Springs, New YorkUSA
Timothy Munro
Affiliation:
Department of Campus Safety, Skidmore College, Saratoga Springs, New YorkUSA
David Goroff
Affiliation:
Skidmore College Emergency Medical Services, Skidmore College, Saratoga Springs, New YorkUSA New Castle County EMS, New Castle, DelawareUSA
*
Correspondence: Nicholas MG Friedman, BA, EMT 117 N 15th Street Philadelphia, Pennsylvania 19102 USA E-mail: [email protected]
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Abstract

Background

There is insufficient research on medical care at mass-gathering events (MGEs) on college and university campuses. Fun Day is an annual celebratory day held at Skidmore College (Saratoga Springs, New York USA), a small liberal arts college in the Northeastern United States. Fun Day is focused around an outdoor music festival; students also congregate and celebrate throughout the surrounding campus. To improve care and alleviate strain on local resources, a model was developed for the provision of emergency care by a collegiate-based, volunteer first-response service – Skidmore College Emergency Medical Services (EMS) – in coordination with a contracted, private ambulance service.

Study/Objective

The aims of this study were to: (1) analyze medical usage rates and case mixes at Fun Day over a four-year period, and to (2) describe the collegiate-based first response model for MGEs.

Methods

Data were collected retrospectively from event staff, college administrators, and Skidmore College EMS on event-related variables, patient encounters, and medical operations at Fun Day over a four-year period (2014-2017).

Results

Annual attendance at the music festival was estimated at 2,000 individuals. Over four years, 54 patients received emergency medical care on campus on Fun Day, and 18 (33.3%) were transported to the emergency department. On-site contracted ambulances transported 77.8% of patients who were transported to the emergency department; mutual aid was requested for the other 22.2% of transports. The mean (SD) patient presentation rate (PPR) was 7.0 (SD = 1.0) per 1,000 attendees. The mean (SD) transport-to-hospital rate (TTHR) was 2.0 (SD = 1.0) per 1,000 attendees. Thirty (55.6%) patients presented with intoxication, seven (13.0%) with laceration(s), and five (9.3%) with head trauma as the primary concern. Medical command was established by volunteer undergraduate students. Up to 16 volunteer student first responders (including emergency medical technicians [EMTs]) were stationed on campus, in addition to two contracted ambulances at the Basic Life Support (BLS) and Advanced Life Support (ALS) levels. Operational strategies included: mobile first response crews, redundant communication systems, preventative education, and harm reduction.

Conclusion

High medical usage rates were observed, primarily due to alcohol/illicit substance use and traumatic injuries. The provision of emergency care by a collegiate-based first response service in coordination with a contracted, private ambulance agency serves as an innovative model for mass-gathering medical care on college and university campuses.

FriedmanNMG, O’ConnorEK, MunroT, GoroffD.Mass-Gathering Medical Care Provided by a Collegiate-Based First Response Service at an Annual College Music Festival and Campus-Wide Celebration. Prehosp Disaster Med. 2019;34(1):98–103.

Keywords

alcohol drinkingEmergency Medical Servicesmusicstreet drugsstudents
Type
Case Report
Information
Prehospital and Disaster Medicine , Volume 34 , Issue 1 , February 2019 , pp. 98 - 103
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

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. Milsten, AM, Maguire, BJ, Bissell, RA, et al. Mass gathering medical care: a review of the literature. Prehosp Disaster Med. 2002;17(3):151-162.Google Scholar
3. Wolbrom, DH, Rahman, A, Hilton, MT. A survey of 200 National Collegiate Emergency Medical Service organizations. Prehosp Disaster Med. 2017;32(suppl 1):S169-S170.Google Scholar
4. Friedman, NMG, Dingler, BJ, Nable, JV, Koenig, GJ. Research and scholarship in Collegiate Emergency Medical Services: current state and opportunities for progress. J Coll Emerg Med Serv. 2018;1(1):5-12.Google Scholar
5. National Oceanic and Atmospheric Administration. Climate Data Online (CDO). National Oceanic and Atmospheric Administration web site. http://www.ncdc.noaa.gov/cdo-web/. Accessed March 26, 2018.Google Scholar
6. Ross, D, Schullek, J, Homan, M. EMS triage and transport of intoxicated individuals to a detoxification facility instead of an emergency department. Ann Emerg Med. 2013;61(2):175-184.Google Scholar
7. FitzGibbon, KM, Nable, JV, Ayd, B, et al. Mass-gathering medical care in electronic dance music festivals. Prehosp Disaster Med. 2017;32(5):1-5.Google Scholar
8. Friedman, MS, Plocki, A, Likourezos, A, et al. A prospective analysis of patients presenting for medical attention at a large electronic dance music festival. Prehosp Disaster Med. 2017;32(1):78-82.Google Scholar
9. 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
10. Milsten, AM, Seaman, KG, Liu, P, Bissell, RA. Variables influencing medical usage rates, injury patterns, and levels of care for mass gatherings. Prehosp Disaster Med. 2003;18(4):334-346.Google Scholar
11. Munn, MB, Lund, A, Golby, R, Turris, SA. Observed benefits to on-site medical services during an annual 5-day electronic dance music event with harm reduction services. Prehosp Disaster Med. 2016;31(2):228-234.Google Scholar
12. Westrol, MS, Koneru, S, McIntyre, N, Caruso, AT, Arshad, FH, Merlin, MA. Music genre as a predictor of resource utilization at outdoor music concerts. Prehosp Disaster Med. 2017;32(3):1-8.Google Scholar
13. 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
14. Hartman, N, Williamson, A, Sojka, B, et al. Predicting resource use at mass gatherings using a simplified stratification scoring model. Am J Emerg Med. 2009;27(3):337-343.Google Scholar
15. 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
16. Ordway, EC, Sarna, N, DeGeorge, LM, Baird, AM, Reid, MJ, Nable, JV. EMS resource utilization at college campus mass gathering events. J Coll Emerg Med Serv. 2018;1(2):24-30.Google Scholar
17. Zeitz, K, Bolton, S, Dippy, R, et al. Measuring emergency services workloads at mass gathering events. Aust J Emerg Manage. 2007;22(3):23-30.Google Scholar
18. Hutton, A, Ranse, J, Verdonk, N, Ullah, S, Arbon, P. Understanding the characteristics of patient presentations of young people at outdoor music festivals. Prehosp Disaster Med. 2014;29(2):160-166.Google Scholar
19. Kaplan, MS, Huguet, N, McFarland, BH, et al. Use of alcohol before suicide in the United States. Ann Epidemiol. 2014;24(8):588-592.Google Scholar
20. Rehm, J, Room, R, Graham, K, Monteiro, M, Gmel, G, Sempos, C. The relationship of average volume of alcohol consumption and patterns of drinking to burden of disease–an overview. Addiction. 2003;98(9):1209-1228.Google Scholar
21. Taylor, B, Irving, HM, Kanteres, F, et al. The more you drink, the harder you fall: a systematic review and meta-analysis of how acute alcohol consumption and injury or collision risk increase together. Drug Alcohol Depend. 2010;110(1-2):108-116.Google Scholar
22. Rosen, JB, Olson, MH, Kelly, M. Collegiate-based emergency medical service: impact on alcohol-related emergency department transports at a small liberal arts college. J Am Coll Health. 2012;60(3):263-265.Google Scholar
23. Luchette, KR, Isik, OG, Rybasack-Smith, H, Asselin, N, Martin, TJ. Optimizing collegiate EMS resources during major events. J Coll Emerg Med Serv. 2018;1(Suppl 1):S39.Google Scholar
24. 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
25. Martin-Gill, C, Brady, WJ, Barlotta, K, et al. Hospital-based healthcare provider (nurse and physician) integration into an emergency medical services–managed mass-gathering event. Am J Emerg Med. 2007;25(1):15-22.Google Scholar
26. Luther, M, Gardiner, F, Lenson, S, et al. An effective risk minimization strategy applied to an outdoor music festival: a multi- agency approach. Prehosp Disaster Med. 2018;33(2):220-224.Google Scholar
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