EM SAQs · Mass gathering and event medicine
Mass gathering medicine — planning and heat surge SAQ
Fellowship SAQ on event risk assessment, casualty prediction metrics, medical plan elements and heat-illness surge.
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Target exams
ACEMFRCEMABEM
Prompt
You are medical lead for a 40,000-person outdoor summer festival. Forecast maximum 38°C with high humidity. Alcohol will be sold.
Stem
- List the key elements of the pre-event medical risk assessment. (5 marks)
- Explain patient presentation rate (PPR) and transport-to-hospital rate (TTHR) and how they inform staffing. (5 marks)
- Outline the on-site response plan for a heat-illness surge including heat stroke. (6 marks)
- State triggers to escalate from event medical response to a major incident. (4 marks)
References5ShowHide
- [1]Arbon P, Bridgewater FHG, Smith C. Mass gathering medicine: a predictive model for patient presentation and transport rates. Prehospital and Disaster Medicine, 2001.PMID 11875799
- [2]Arbon P. Mass-gathering medicine: a review of the evidence and future directions for research. Prehospital and Disaster Medicine, 2007.PMID 17591185
- [3]Arbon P, Bottema M, Zeitz K, et al. Nonlinear Modelling for Predicting Patient Presentation Rates for Mass Gatherings. Prehospital and Disaster Medicine, 2018.PMID 29962363
- [4]Nocera A Australian major incident nomenclature: it may be a 'disaster' but in an 'emergency' it is just a mess ANZ J Surg, 2001.PMID 11277146
- [5]Douma MJ, et al. First aid cooling techniques for heat stroke and exertional hyperthermia: A systematic review and meta-analysis. Resuscitation, 2020.PMID 31981710