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Mass-Gathering Medicine: Creation of an Online Event and Patient Registry

Published online by Cambridge University Press:  03 October 2012

Adam Lund ,
Sheila A. Turris ,
Neda Amiri ,
Kerrie Lewis  and
Michael Carson
Adam Lund*
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada
Sheila A. Turris
Affiliation:
School of Nursing, University of British Columbia, University of Victoria, British Columbia, Canada
Neda Amiri
Affiliation:
Department of Internal Medicine, University of British Columbia, Vancouver, British Columbia, Canada
Kerrie Lewis
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Michael Carson
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
*
Correspondence: Adam Lund, BSc, MD, MDE, FRCPC (Emergency) 330E Columbia St. New Westminster, British Columbia V3L 3W8 Canada E-mail adam.lund@ubc.ca
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Abstract

Introduction/Problem

A review of the mass-gathering medicine literature confirms that the research community currently lacks a standardized approach to data collection and reporting in relation to large-scale community events. This lack of consistency, particularly with regard to event characteristics, patient characteristics, acuity determination, and reporting of illness and injury rates makes comparisons between and across events difficult. In addition, a lack of access to good data across events makes planning medical support on-site, for transport, and at receiving hospitals, challenging. This report describes the development of an Internet-hosted, secure registry for event and patient data in relation to mass gatherings.

Methods

Descriptive; development and pilot testing of a Web-based event and patient registry.

Results

Several iterations of the registry have resulted in a cross-event platform for standardized data collection at a variety of events. Registry and reporting field descriptions, successes, and challenges are discussed based on pilot testing and early implementation over two years of event enrollment.

Conclusion

The Mass-Gathering Medicine Event and Patient Registry provides an effective tool for recording and reporting both event and patient-related variables in the context of mass-gathering events. Standardizing data collection will serve researchers and policy makers well. The structure of the database permits numerous queries to be written to generate standardized reports of similar and dissimilar events, which supports hypothesis generation and the development of theoretical foundations in mass-gathering medicine.

LundA, TurrisSA, AmiriN, LewisK, CarsonM. Mass-Gathering Medicine: Creation of an Online Event and Patient Registry. Prehosp Disaster Med. 2012;27(6):1-11.

Keywords

concertsdatabaseemergency medicinefestivalmass gatheringmass participationprehospitalregistrysporting event
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 27 , Issue 6 , December 2012 , pp. 601 - 611
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2012

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References

1.De Lorenzo, RA. Mass gathering medicine: a review. Prehosp Disaster Med. 1997;12(1):68-72.CrossRefGoogle ScholarPubMed
2.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.CrossRefGoogle Scholar
3.Hnatow, D, Gordon, DJ. Medical planning for mass gatherings: a retrospective review of the San Antonio Papal Mass. Prehosp Disaster Med. 1991;6(4):443-450.CrossRefGoogle Scholar
4.Olapade-Olaopa, E, Alonge, TO, Amanor-Boadu, SD, Alese, OB, Adeyinka, AL, Ogunbunmi, PA. On-site physicians at a major sporting event in Nigeria. Prehosp Disaster Med. 2006;21(1):40-44.CrossRefGoogle Scholar
5. Turris SA, Lund A. Triage during mass gatherings. Prehosp Disaster Med. In press.Google Scholar
6.Challis, E. Medical services program for the 1988 winter Olympic Games. Can Fam Physician. 1989;35:513-518.Google Scholar
7.Rose, W, Laird, SL, Prescott, JE, Kuhns, GB. Emergency medical services for collegiate football games: a six and one-half year review. Prehosp Disaster Med. 1992;7(2):157-159.CrossRefGoogle Scholar
8.Fulde, GW, Forster, SL, Preisz, P. Open air rock concert: an organised disaster. Med J Aust. 1992;157(11-12):820-822.CrossRefGoogle ScholarPubMed
9.McDonald, CC, Koenigsberg, MD, Ward, S. Medical control of mass gatherings: can paramedics perform without physicians on-site? Prehosp Disaster Med. 1993;8(4):327-331.CrossRefGoogle ScholarPubMed
10.Perdomo, R. Public health surveillance during the XVII Central American and Carribbean Games: Puerto Rico, November 1993. MMWR. 1996;45(27):581-584.Google Scholar
11.Hewitt, S. Emergency medicine at a large rock festival. J Accid Emerg Med. 1996;13(1):26-27.CrossRefGoogle Scholar
12.Zeitz, KM, Schneider, DP, Jarrett, D, Zeitz, CJ. Mass gathering events: retrospective analysis of patient presentations over seven years. Prehosp Disaster Med. 2002;17(3):147-150.CrossRefGoogle ScholarPubMed
13.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.CrossRefGoogle ScholarPubMed
14.Thierbach, AR, Wolcke, BB, Piepho, T, Maybauer, M, Huth, R. Medical support for children's mass gatherings. Prehosp Disaster Med. 2003;18(1):14-19.CrossRefGoogle ScholarPubMed
15.Sloan, B. Injury incidence during the 2001 World Police and Fire Games. Am J Emerg Med. 2004;22(2):129-131.CrossRefGoogle ScholarPubMed
16.Morimura, N, Katsumi, A, Koido, Y, et al. Analysis of patient load data from the 2002 FIFA World Cup Korea/Japan. Prehosp Disaster Med. 2004;19(3):278-284.CrossRefGoogle ScholarPubMed
17.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.CrossRefGoogle ScholarPubMed
18.Johnsson, K, Ortenwall, PA, Kivi, ALH, Ledelin, AHE. Medical support during the European Union Summit in Gothenburg, Sweden, June 2001. Prehosp Disaster Med. 2006;21(4):282-285.CrossRefGoogle ScholarPubMed
19.Yazawa, K, Kamijo, Y, Sakai, R, Ohashi, M, Owa, M. Medical care for a mass gathering: the Suwa Onbashira Festival. Prehosp Disaster Med. 2007;22(5):431-435.CrossRefGoogle ScholarPubMed
20.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.CrossRefGoogle Scholar
21.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.CrossRefGoogle ScholarPubMed
22.Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med. 2004;19(3):208-212.CrossRefGoogle ScholarPubMed
23.Ranse, J, Zeitz, K. Chain of survival at mass gatherings: a case series of resuscitation events. Prehosp Disaster Med. 2010;25(5):457-463.CrossRefGoogle ScholarPubMed
24.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.CrossRefGoogle ScholarPubMed
25.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.CrossRefGoogle Scholar
26.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.CrossRefGoogle ScholarPubMed
27.Shah, W. Mass gathering medical care: to calculate the Medical Usage Rate of Galway Races. Am J Disaster Med. 2010;5(1):61-64.CrossRefGoogle ScholarPubMed
28.Arbon, P. Mass-gathering medicine: A review of the evidence and future directions for research. Prehosp Disaster Med. 2007;22(2):131.CrossRefGoogle ScholarPubMed
29.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.CrossRefGoogle ScholarPubMed
30.Zeitz, KM, Zeitz, C, Arbon, P. Forecasting medical work at mass-gathering events: predictive model versus retrospective review. Prehosp Disaster Med. 2005;20(3):164-168.CrossRefGoogle ScholarPubMed
31.Grange, JT. Planning for large events. Curr Sports Med Rep. 2002;1(3):156-161.CrossRefGoogle ScholarPubMed
32.Martin-Gill, C. Hospital based healthcare provider (nurse and physician) integration into emergency medical services—managed mass gathering event. Am J Emerg Med. 2007;25(1):15-22.CrossRefGoogle ScholarPubMed
33.Zeitz, KM. Practical solutions for injury surveillance at mass gatherings. Prehosp Disaster Med. 2008;23(1):76-81.CrossRefGoogle ScholarPubMed
34.Nguyen, RB, Milsten, AM, Cushman, JT. Injury patterns and levels of care at a marathon. Prehosp Disaster Med. 2008;23(6):519-525.CrossRefGoogle Scholar
35.Navin, DM, Sacco, WJ, McCord, TB. Does START triage work? The answer is clear! Ann Emerg Med. 2010;55(6):579-580; author reply 580-1.CrossRefGoogle ScholarPubMed
36.Bullard, MJ, Unger, B, Spence, J, Grafstein, E, CTAS National Working Group. Revisions to the Canadian Emergency Department Triage and Acuity Scale (CTAS) adult guidelines. CJEM. 2008;10(2):136-151.CrossRefGoogle Scholar
37.Murray, M, Bullard, M, Grafstein, E. Revisions to the Canadian Emergency Department Triage and Acuity Scale Implementation Guidelines. CJEM. 2004;6(6):421-427.CrossRefGoogle Scholar