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The Gillette Stadium Experience: A Retrospective Review of Mass Gathering Events From 2010 to 2015

Published online by Cambridge University Press:  19 March 2018

Scott A. Goldberg
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts
Jeremy Maggin
Affiliation:
Harvard Medical School, Boston, Massachusetts Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
Michael S. Molloy
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts Ireland East Hospital Group, Wexford General Hospital, Wexford, Ireland
Olesya Baker
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
Ritu Sarin
Affiliation:
Harvard Medical School, Boston, Massachusetts Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
Michael Kelleher
Affiliation:
Foxborough Fire Department, Foxborough, Massachusetts
Kevin Mont
Affiliation:
Fallon Ambulance Service, Quincy, Massachusetts
Adedeji Fajana
Affiliation:
Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, Massachusetts
Eric Goralnick
Affiliation:
Department of Emergency Medicine, Brigham and Women’s Hospital, Boston, Massachusetts Harvard Medical School, Boston, Massachusetts Harvard TH Chan School of Public Health, Boston, Massachusetts
Corresponding

Abstract

Objective

Mass gathering events can substantially impact public safety. Analyzing patient presentation and transport rates at various mass gathering events can help inform staffing models and improve preparedness.

Methods

A retrospective review of all patients seeking medical attention across a variety of event types at a single venue with a capacity of 68,756 from January 2010 through September 2015.

Results

We examined 232 events with a total of 8,260,349 attendees generating 8157 medical contacts. Rates were 10 presentations and 1.6 transports per 10,000 attendees with a non-significant trend towards increased rates in postseason National Football League games. Concerts had significantly higher rates of presentation and transport than all other event types. Presenting concern varied significantly by event type and gender, and transport rate increased predictably with age. For cold weather events, transport rates increased at colder temperatures. Overall, on-site physicians did not impact rates.

Conclusions

At a single venue hosting a variety of events across a 6-year period, we demonstrated significant variations in presentation and transport rates. Weather, gender, event type, and age all play important roles. Our analysis, while representative only of our specific venue, may be useful in developing response plans and staffing models for similar mass gathering venues. (Disaster Med Public Health Preparedness. 2018;12:752-758).

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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References

1. Arbon, P. Mass-gathering medicine: a review of the evidence and future directions for research. Prehosp Disaster Med. 2007;22(2):131-135.CrossRefGoogle ScholarPubMed
2. Ciottone, GR. Disaster Medicine, 2nd ed. Philadelphia, PA: Elsevier; 2016.Google Scholar
3. Grange, JT, Baumann, GW, Vaezazizi, R. On-site physicians reduce ambulance transports at mass gatherings. Prehosp Emerg Care. 2003;7(3):322-326.CrossRefGoogle ScholarPubMed
4. Lund, A, Turris, SA. Mass-gathering medicine: risks and patient presentations at a 2-day electronic dance music event. Prehosp Disaster Med. 2015;30(3):271-278.CrossRefGoogle Scholar
5. Britten, S, Whiteley, MS, Fox, PF, Goodwin, MI, Horrocks, M. Medical treatment at Glastonbury Festival. BMJ. 1993;307(6910):1009-1010.CrossRefGoogle ScholarPubMed
6. Duffin, C. Glastonbury: mud, sweat and tears. Emerg Nurse. 2007;15(4):10-15.Google Scholar
7. 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
8. 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
9. Nix, CM, Khan, IJ, Hoban, M, Little, G, Keye, G, O’Connor, HJ. Oxegen 2004: the impact of a major music festival on the workload of a local hospital. Ir Med J. 2006;99(6):167-169.Google Scholar
10. Ryan, JM, Noone, E, Plunkett, PK. Review of a mobile accident and emergency unit at a rock concert. Ir Med J. 1994;87(5):148-149.Google Scholar
11. Sabra, JP, Cabañas, JG, Bedolla, J, et al. Medical support at a large-scale motorsports mass-gathering event: the inaugural Formula One United States Grand Prix in Austin, Texas. Prehosp Disaster Med. 2014;29(4):392-398.CrossRefGoogle Scholar
12. Ranse, J, Hutton, A. Minimum data set for mass-gatherings health research and evaluation: the beginning of an international dialogue. Author reply. Prehosp Disaster Med. 2013;28(2):193.Google ScholarPubMed
13. Lund, A, Turris, SA, Wang, P, Mui, J, Lewis, K, Gutman, SJ. An analysis of patient presentations at a 2-day mass-participation cycling event: the Ride to Conquer Cancer Case Series, 2010-2012. Prehosp Disaster Med. 2014;29(4):429-436.CrossRefGoogle Scholar
14. McQueen, CP. Care of children at a large outdoor music festival in the United Kingdom. Prehosp Disaster Med. 2010;25(3):223-226.CrossRefGoogle Scholar
15. Grange, JT, Green, SM, Downs, W. Concert medicine: spectrum of medical problems encountered at 405 major concerts. Acad Emerg Med. 1999;6(3):202-207.CrossRefGoogle ScholarPubMed
16. 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
17. 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 ScholarPubMed
18. Locoh-Donou, S, Guofen, Y, Welcher, M, Berry, T, O’Connor, RE, Brady, WJ. Mass-gathering medicine: a descriptive analysis of a range of mass-gathering event types. Am J Emerg Med. 2013;31(5):843-846.CrossRefGoogle ScholarPubMed
19. Alquthami, AH, Pines, JM. A systematic review of noncommunicable health issues in mass gatherings. Prehosp Dis Med. 2014;29(2):167-175.CrossRefGoogle ScholarPubMed
20. 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
21. 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
22. 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
23. Michael, JA, Barbera, JA. Mass gathering medical care: a twenty-five year review. Prehosp Disaster Med. 1997;12(4):305-312.CrossRefGoogle ScholarPubMed
24. Schwartz, BG, McDonald, SA, Kloner, RA. Super Bowl outcome’s association with cardiovascular death. Clin Res Cardiol. 2013;102(11):807-811.CrossRefGoogle ScholarPubMed
25. Kloner, RA, McDonald, S, Leeka, J, Poole, WK. Comparison of total and cardiovascular death rates in the same city during a losing versus winning super bowl championship. Am J Cardiol. 2009;103(12):1647-1650.CrossRefGoogle ScholarPubMed
26. Wilbert-Lampen, U, Leistner, D, Greven, S, et al. Cardiovascular events during World Cup soccer. N Engl J Med. 2008;358(5):475-483.CrossRefGoogle ScholarPubMed
27. Brunekreef, B, Hoek, G. No association between major football games and cardiovascular mortality. Epidemiology. 2002;13(4):491-492.CrossRefGoogle ScholarPubMed
28. Marques-Vidal, P, Paccaud, F. Watching football matches and the risk of acute myocardial infarction. Int J Epidemiol. 2011;40(3):838-839.CrossRefGoogle ScholarPubMed
29. Erickson, TB, Aks, SE, Koenigsberg, M, Bunney, EB, Schurgin, B, Levy, P. Drug use patterns at major rock concert events. Ann Emerg Med. 1996;28(1):22-26.CrossRefGoogle ScholarPubMed
30. Frezza, M, di Padova, C, Pozzato, G, Terpin, M, Baraona, E, Lieber, CS. High blood alcohol levels in women. The role of decreased gastric alcohol dehydrogenase activity and first-pass metabolism. N Engl J Med. 1990;322(2):95-99.CrossRefGoogle ScholarPubMed
31. Locoh-Donou, S, Yan, G, Berry, T, et al. Mass gathering medicine: event factors predicting patient presentation rates. Intern Emerg Med. 2016;11(5):745-752.CrossRefGoogle ScholarPubMed
32. Jena, AB, Mann, NC, Wedlund, LN, Olenski, A. Delays in emergency care and mortality during major U.S. Marathons. N Engl J Med. 2017;376(15):1441-1450.CrossRefGoogle ScholarPubMed

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