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Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events
BACKGROUND: Mass gathering (MG) events may cause delayed emergency responses via various mechanisms and strain the resources of local emergency services. Therefore, preparedness, including adequate pre-planning and sufficient resourcing during MG events, is vital. The aim of this retrospective regis...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898448/ https://www.ncbi.nlm.nih.gov/pubmed/35248139 http://dx.doi.org/10.1186/s13049-022-01003-7 |
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author | Koski, Anssi Pappinen, Jukka Kouvonen, Anne Nordquist, Hilla |
author_facet | Koski, Anssi Pappinen, Jukka Kouvonen, Anne Nordquist, Hilla |
author_sort | Koski, Anssi |
collection | PubMed |
description | BACKGROUND: Mass gathering (MG) events may cause delayed emergency responses via various mechanisms and strain the resources of local emergency services. Therefore, preparedness, including adequate pre-planning and sufficient resourcing during MG events, is vital. The aim of this retrospective register study was to investigate the impact of MG events on the workload of rescue and emergency medical service (EMS) personnel during events to enable more precise and sufficient deployment of these authorities’ operative resources. METHODS: The data from Finland covered of 25,124 EMS and rescue service missions during a three-year period (2015–2017), including data from nine MG events and reference material for the same weekdays two weeks before and after the event. The data were analysed through statistical and geospatial analyses. RESULTS: Our findings showed that missions increased in most events included in this study. Analysis of the missions’ reasons showed that the categories of violence, traffic accidents and other accidents and injuries increased during events, with violence-related missions showing the highest relative risk (RR 1.87, 95% CI 1.43–2.44). In the four-grade (A–D) urgency grading, the analysis showed an increase in category C missions and a decrease in non-urgent category D missions. The analysis indicated an increase in missions during the evening and night-time. The geospatial analysis revealed dense hotspots of missions in the vicinity of the event area. CONCLUSION: The workload for EMS and rescue service personnel increases during MG events. Most of the increase is allocated to EMS staff, peaking in evening and night hours. The geospatial analysis showed hotspots of missions on the outskirts of the actual event area during events; thus, the workload can also increase for those authority resources that are not directly allocated to the event. Detailed information regarding workloads is valuable for the authorities that are responsible for resource planning and preparedness for MG events. Replicating the study internationally would improve the methodology for the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13049-022-01003-7. |
format | Online Article Text |
id | pubmed-8898448 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-88984482022-03-17 Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events Koski, Anssi Pappinen, Jukka Kouvonen, Anne Nordquist, Hilla Scand J Trauma Resusc Emerg Med Original Research BACKGROUND: Mass gathering (MG) events may cause delayed emergency responses via various mechanisms and strain the resources of local emergency services. Therefore, preparedness, including adequate pre-planning and sufficient resourcing during MG events, is vital. The aim of this retrospective register study was to investigate the impact of MG events on the workload of rescue and emergency medical service (EMS) personnel during events to enable more precise and sufficient deployment of these authorities’ operative resources. METHODS: The data from Finland covered of 25,124 EMS and rescue service missions during a three-year period (2015–2017), including data from nine MG events and reference material for the same weekdays two weeks before and after the event. The data were analysed through statistical and geospatial analyses. RESULTS: Our findings showed that missions increased in most events included in this study. Analysis of the missions’ reasons showed that the categories of violence, traffic accidents and other accidents and injuries increased during events, with violence-related missions showing the highest relative risk (RR 1.87, 95% CI 1.43–2.44). In the four-grade (A–D) urgency grading, the analysis showed an increase in category C missions and a decrease in non-urgent category D missions. The analysis indicated an increase in missions during the evening and night-time. The geospatial analysis revealed dense hotspots of missions in the vicinity of the event area. CONCLUSION: The workload for EMS and rescue service personnel increases during MG events. Most of the increase is allocated to EMS staff, peaking in evening and night hours. The geospatial analysis showed hotspots of missions on the outskirts of the actual event area during events; thus, the workload can also increase for those authority resources that are not directly allocated to the event. Detailed information regarding workloads is valuable for the authorities that are responsible for resource planning and preparedness for MG events. Replicating the study internationally would improve the methodology for the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13049-022-01003-7. BioMed Central 2022-03-05 /pmc/articles/PMC8898448/ /pubmed/35248139 http://dx.doi.org/10.1186/s13049-022-01003-7 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Original Research Koski, Anssi Pappinen, Jukka Kouvonen, Anne Nordquist, Hilla Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events |
title | Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events |
title_full | Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events |
title_fullStr | Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events |
title_full_unstemmed | Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events |
title_short | Preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events |
title_sort | preparedness for mass gatherings: rescue and emergency medical services’ workloads during mass gathering events |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8898448/ https://www.ncbi.nlm.nih.gov/pubmed/35248139 http://dx.doi.org/10.1186/s13049-022-01003-7 |
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