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Moshpit Medicine: The Experience of an Australian Event Resuscitation Team

Published online by Cambridge University Press:  04 March 2020

Sean Wing Open the ORCID record for Sean Wing [Opens in a new window] ,
Robert Johnson  and
Leigh Fowler
Sean Wing*
Affiliation:
Queensland Ambulance, Brisbane, Queensland, Australia Medical Response Australia, Yatala, Queensland, Australia
Robert Johnson
Affiliation:
Medical Response Australia, Yatala, Queensland, Australia
Leigh Fowler
Affiliation:
Queensland Ambulance, Brisbane, Queensland, Australia Medical Response Australia, Yatala, Queensland, Australia
*
Correspondence: Sean Wing, MBBS BHSc (Paramedic) Medical Response Australia PO BOX 6163 YatalaDCQLD 4207Australia E-mail: [email protected]
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Abstract

The authors reviewed case reports of patients presenting to an advanced medical assessment and resuscitation service at 15 music events over 22 days from June 2018 through March 2019 around Australia. Event size ranged from 4,000 to 57,500 participants. Events observed had a mean patient presentation rate (PPR) of 0.83% (SD = 0.59%) and mean transport to hospital rate (TTHR) of 1.89 (SD = 0.92) per 10,000. Two-hundred and twenty-one cases were reviewed and tabulated for descriptive analysis.

Lower rates of traumatic injuries were seen compared to other case reports, and minor procedures represented a minor but important part of the team’s workload. Methylenedioxymethamphetamine (MDMA) use was reported by 33.0% of patients on the day of presentation; almost one-half of these reported a co-ingestion. Patients presenting after using MDMA were more likely to have an elevated temperature. Eight percent of patients presented with temperature above 38°C. Patients with an initial temperature above 38°C were more likely to require hospitalization. On-site electrocardiograph (ECG), blood gas, ultrasound, and urinalysis were found to be useful in decision support. In total, 29.8% of patients required sedation during their encounter; 2.7% required rapid sequence induction at the event. Mean observation time was 44 minutes, with longer observation required in MDMA and hallucinogen-related presentations.

Keywords

event medicinemass gatheringmusic festivalprehospital
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 35 , Issue 3 , June 2020 , pp. 293 - 297
Copyright
© World Association for Disaster and Emergency Medicine 2020

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