health considerations at major events (mass gatherings)
DESCRIPTION
Ranse J. (2011). Health considerations at major events (mass gatherings); presented to students of the University of Canberra – Undergraduate Sports Studies in the unit: Sport as entertainment, Canberra, ACT, 28th September.TRANSCRIPT
HEALTH CONSIDERATIONS AT MAJOR EVENTS (MASS GATHERINGS)
Jamie RanseAssistant Professor
University of Canberra
www.jamieranse.com
twitter.com/jamieranse
youtube.com/jamieranse
linkedin.com/in/jamieranse
• Definition
• Conceptual model
• Workload characteristics
• Workload prediction
• Event design
• Event managers
• Case studies
overview
definition
Class Subclass Persons Resources Example
Mass gathering
Small 200 – 1,500 Local area Local fair
Medium 1,500 – 10,000 Local area Local sports game
Large 10,000 – 100,000 Local +/- State Concert
Major mass gathering 100,000 – 250,000 State +/- Interstate Music festivalAgricultural show
Super mass gathering 250,000 – 500,000 State and Interstate Motor sports event
Extreme mass gathering
500,000 – 1,000,00National +/- international
Religious festival
Mega mass gathering 1,000,000+National and International
Olympics
conceptual model
workload characteristics
• Other extreme events
• Can we predict workload?
temperature
bounded or not
ETOH / drug availability
humidity
participant numbers
day / nightindoors / outdoors
crowd behaviour
• What factors influence workload / presentations?
level of onsite care
age of participants
duration
geography
workload characteristics and conceptual model
workload prediction
• Why predict workload?• What to predict?
– Patient presentation rate (PPR)
0.14 to 90/1,000 (majority 0.5 and 2.6/1,000)– Transport to hospital rate (TTHR)
0.01 to 0.55/1,000– Referral to hospital rate
5% - 10% of PPR
• How?– Predictive models– Historical prediction
workload prediction
Royal Adelaide show: 1996 - 2001
event design
• Crowd mood– Music festivals
– Spaces
• Patient access
event managers
• Health service– What level of service do you need?
– Health risk assessment
• Event managers– Overall risk management
– Patient information: confidentiality v duty of care
event managers
implications
• Pre-ambulance (PPR)
• Pre-hospital (TTHR)
implications
• Pre-ambulance (PPR)
• Pre-hospital (TTHR)
• Emergency Department
(RTHR)
implications
• Pre-ambulance
• Pre-hospital
• Emergency Department
• Hospital– surgery
8 years
14777 riders
673 presented to St John Ambulance Australia
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• 0.25% referred to hospital (1 every 1990km ridden)
• 0.06% referred to hospital by ambulance (1 every 36000km)
HEALTH CONSIDERATIONS AT MAJOR EVENTS (MASS GATHERINGS)
Jamie RanseAssistant Professor
University of Canberra
www.jamieranse.com
twitter.com/jamieranse
youtube.com/jamieranse
linkedin.com/in/jamieranse