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Mass-Gathering Medical Care: A Review of the Literature

Published online by Cambridge University Press:  28 June 2012

Andrew M. Milsten ,
Brian J. Maguire ,
Rick A. Bissell  and
Kevin G. Seaman
Andrew M. Milsten*
Affiliation:
Clinical Assistant Professor, University of Maryland, Division of Emergency Medicine, Department of Surgery Baltimore, Marlyand
Brian J. Maguire
Affiliation:
Associate Director of Graduate Program Department of Emergency Health ServicesUniversity of Maryland, Baltimore County Baltimore, Marlyand
Rick A. Bissell
Affiliation:
Associate Professor, University of Maryland, Baltimore County, Department of Emergency Health Services Baltimore, Marlyand
Kevin G. Seaman
Affiliation:
Co-Director, EMS Fellowship Program Assistant Professor, University of Maryland, Division of Emergency Medicine, Department of Surgery, Baltimore, Marlyand
*
Division of Emergency Medicine, Department of Surgery, 419 West Redwood Street, Suite 280, Baltimore, Maryland 21201–1734 USA, E-mail: amilstej@aol.com
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Abstract

Mass-gatherings events provide a difficult setting for which to plan an appropriate emergency medical response. Many of the variables that affect the level and types of medical needs, have not been fully researched. This review examines these variables.

Methods:

An extensive review was conducted using the computerized databases Medline and Healthstar from 1977 through May 2002. Articles selected contained information pertaining to mass-gathering variables. These articles were read, abstracted, analyzed, and compiled.

Results:

Multiple variables are present during a mass gathering, and they interact in complex and dynamic ways. The interaction of these variables contributes to the number of patients treated at an event (medical usage rate) as well as the observed injury patterns. Important variables include weather, event type, event duration, age, crowd mood and density, attendance, and alcohol and drug use.

Conclusions:

Developing an understanding of the variables associated with mass gatherings should be the first step for event planners. After these variables are considered, a thorough needs analysis can be performed and resource allocation can be based on objective data.

Keywords

baseballcase mixconcertscrowd surfingevent planningfootballmass gatheringsmosh pitsOlympicssporting eventsrock concerts
Type
Comprehensive Review
Information
Prehospital and Disaster Medicine , Volume 17 , Issue 3 , September 2002 , pp. 151 - 162
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2002

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