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Mass-Gathering Medical Care in Electronic Dance Music Festivals

  • Kathleen M. FitzGibbon (a1), Jose V. Nable (a2), Benjamin Ayd (a3), Benjamin J. Lawner (a4), Angela C. Comer (a5), Richard Lichenstein (a6), Matthew J. Levy (a7), Kevin G. Seaman (a8) and Ian Bussey (a9)...



Electronic dance music (EDM) festivals represent a unique subset of mass-gathering events with limited guidance through literature or legislation to guide mass-gathering medical care at these events.


Electronic dance music festivals pose unique challenges with increased patient encounters and heightened patient acuity under-estimated by current validated casualty predication models.


This was a retrospective review of three separate EDM festivals with analysis of patient encounters and patient transport rates. Data obtained were inserted into the predictive Arbon and Hartman models to determine estimated patient presentation rate and patient transport rates.


The Arbon model under-predicted the number of patient encounters and the number of patient transports for all three festivals, while the Hartman model under-predicted the number of patient encounters at one festival and over-predicted the number of encounters at the other two festivals. The Hartman model over-predicted patient transport rates for two of the three festivals.


Electronic dance music festivals often involve distinct challenges and current predictive models are inaccurate for planning these events. The formation of a cohesive incident action plan will assist in addressing these challenges and lead to the collection of more uniform data metrics.

FitzGibbon KM , Nable JV , Ayd B , Lawner BJ , Comer AC , Lichenstein R , Levy MJ , Seaman KG , Bussey I . Mass-Gathering Medical Care in Electronic Dance Music Festivals. Prehosp Disaster Med. 2017;32(5):563567.


Corresponding author

Correspondence: Kathleen M. FitzGibbon, MD Department of Emergency Medicine Christiana Care Health Services 4755 Ogletown-Stanton Road, PO Box 6001 Newark, Delaware 19718 USA E-mail:


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Conflicts of interest: none



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Mass-Gathering Medical Care in Electronic Dance Music Festivals

  • Kathleen M. FitzGibbon (a1), Jose V. Nable (a2), Benjamin Ayd (a3), Benjamin J. Lawner (a4), Angela C. Comer (a5), Richard Lichenstein (a6), Matthew J. Levy (a7), Kevin G. Seaman (a8) and Ian Bussey (a9)...


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