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Impact of Patients Presenting with Alcohol and/or Drug Intoxication on In-Event Health Care Services at Mass-Gathering Events: An Integrative Literature Review

Published online by Cambridge University Press:  13 September 2018

Makayla Bullock
Affiliation:
Flinders University, Sturt Road, Bedford Park, South Australia, Australia
Jamie Ranse
Affiliation:
Department of Emergency Medicine, Gold Coast Health, Southport, Queensland, Australia Menzies Health Institute Queensland, Griffith University, Queensland, Australia
Alison Hutton*
Affiliation:
Flinders University, Sturt Road, Bedford Park, South Australia, Australia University of Newcastle, University Dr, Callaghan, New South Wales, Australia
*
Correspondence: Professor Alison Hutton, PhD University of New castle University Dr. Callaghan, New South Wales, Australia E-mail: [email protected]

Abstract

Background

There is a growing body of literature relating to mass-gathering events. A common thread amongst this literature, particularly the literature relating to music festivals, is the incidence of patients presenting with substance and/or alcohol intoxication. However, the impact of alcohol and/or drugs on the provision of in-event health care services has not been explored in detail.

Aim

The goal of this review was to develop an understanding of the impact of alcohol and/or drugs on in-event health care services at mass-gathering events.

Method

This paper used integrative review as a methodology. The articles included in this literature review were sourced by searching databases inclusive of Medline (Ovid; US National Library of Medicine, National Institutes of Health; Bethesda, Maryland USA), Scopus (Elsevier; Amsterdam, Netherlands), PsycINFO (Ovid; American Psychological Association; Washington DC, USA), and Pub Med (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA). Identified manuscripts that met the inclusion criteria were thematically analyzed.

Results

In total, 12 manuscripts met the inclusion criteria for this review. A thematic analysis of these manuscripts identified three main themes: (i) predictive factors, (ii) patient presentation rates, and (iii) levels of care.

Conclusion:

Substance use and/or intoxication can place a strain on in-event medical services at mass-gathering events. Of the various types of mass-gathering events, music festivals appear to be the most affected by substance use and intoxication.

BullockM, RanseJ, HuttonA.Impact of Patients Presenting with Alcohol and/or Drug Intoxication on In-Event Health Care Services at Mass-Gathering Events: An Integrative Literature Review. Prehosp Disaster Med. 2018;33(5):539–542.

Type
Comprehensive Review
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

References

1. World Health Organization. Public Health for Mass Gatherings: Key Considerations. Geneva, Switzerland: World Health Organization; 2015.Google Scholar
2. Ranse, J, Hutton, A, Keene, T, et al. Health service impact from mass gatherings: a systematic literature review. Prehosp Disaster Med. 2017;32(1):71-77.Google Scholar
3. Steffen, R, Bouchama, A, Johansson, A, et al. Non-communicable health risks during mass gatherings. The Lancet Infectious Diseases. 2012;12(2):142.Google Scholar
4. Milsten, AM, Maguire, BJ, Bissell, RA, Seaman, KG. Mass-gathering medical care: a review of the literature. Prehosp Disaster Med. 2002;17(3):151-162.Google Scholar
5. 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
6. Institute of Alcohol Studies. Alcohol’s Impact on Emergency Services. http://www.ias.org.uk/uploads/Alcohols_impact_on_emergency_services_full_report.pdf. Accessed March 2, 2018.Google Scholar
7. Torraco, R. Writing integrative literature reviews: guidelines and examples. Human Resource Development Review. 2005;4(3):356-367.Google Scholar
8. Russell, CL. An overview of the integrative research review. Progress in Transplantation. 2005;15(1):8-13.Google Scholar
9. Ranse, J, Arbon, P. Graduate nurses’ lived experience of in-hospital resuscitation: a hermeneutic phenomenological approach. Australian Critical Care. 2008;21(1):38-47.Google Scholar
10. Liberati, A, Altman, DG, Tetzlaff, J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. Ann Intern Med. 2009;151(4):W65-W94.Google Scholar
11. 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
12. 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
13. Hutton, A, Savage, C, Ranse, J, Finnell, D, Kub, J. The use of Haddon’s Matrix to plan for injury and illness prevention at outdoor music festivals. Prehosp Disaster Med. 2015;30(2):175-183.Google Scholar
14. 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
15. Nable, JV, Margolis, AM, Lawne, BJ, et al. Comparison of prediction models for use of medical resources at urban auto-racing events. Prehosp Disaster Med. 2014;29(6):608-613.Google Scholar
16. Woodall, J, Watt, K, Walker, D, et al. Planning volunteer responses to low-volume mass gatherings: do event characteristics predict patient workload? Prehosp Disaster Med. 2010;25(5):442-448.Google Scholar
17. Krul, J, Sanou, B, Swart, EL, Girbes, AR. Medical care at mass gatherings: emergency medical services at large-scale rave events. Prehosp Disaster Med. 2012;27(1):71-74.Google Scholar
18. Burton, JO, Corry, SJ, Lewis, G, Priestman, WS. Differences in medical care usage between two mass-gathering sporting events. Prehosp Disaster Med. 2012;27(5):458-462.Google Scholar
19. Dutch, MJ, Austin, KB. Hospital in the field: prehospital management of GHB intoxication by medical assistance teams. Prehosp Disaster Med. 2012;27(5)463-467.Google Scholar
20. 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
21. 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