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Measuring the Masses: A Proposed Template for Post-Event Medical Reporting (Paper 4)

Published online by Cambridge University Press:  19 February 2021

Sheila Turris ,
Haddon Rabb Open the ORCID record for Haddon Rabb [Opens in a new window] ,
Elizabeth Chasmar ,
Matthew Brendan Munn ,
Christopher W. Callaghan ,
Alison Hutton Open the ORCID record for Alison Hutton [Opens in a new window] ,
Jamie Ranse  and
Adam Lund
Sheila Turris*
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Haddon Rabb
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Elizabeth Chasmar
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Matthew Brendan Munn
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Christopher W. Callaghan
Affiliation:
Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada
Alison Hutton
Affiliation:
University of Newcastle, Newcastle, Australia
Jamie Ranse
Affiliation:
Department of Emergency Medicine, Gold Coast Health, Southport, Queensland, Australia Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, Australia
Adam Lund
Affiliation:
Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada Mass Gathering Medicine Interest Group, Department of Emergency Medicine, University of British Columbia, Canada School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
*
Correspondence: Sheila Turris, RN, BHSc, MSN, PhD, Mass Gathering Medicine Interest Group, University of British Columbia, Vancouver, British Columbia, Canada, E-mail: Sheila.turris@ubc.ca
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Abstract

Background:

Standardizing and systematizing the reporting of health outcomes from mass gatherings (MGs) will improve the quality of data being reported. Setting minimum standards for case reporting is an important strategy for improving data quality. This paper is one of a series of papers focused on understanding the current state, and shaping the future state, of post-event case reporting.

Methods:

Multiple data sources were used in creating a lean, yet comprehensive list of essential reporting fields, including a: (1) literature synthesis drawn from analysis of 54 post-event case reports; (2) comparison of existing data models for MGs; (3) qualitative analysis of gaps in current case reports; and (4) set of data domains developed based on the preceding sources.

Findings:

Existing literature fails to consistently report variables that may be essential for not only describing the health outcomes of a given event, but also for explaining those outcomes. In the context of current and future state reporting, 25 essential variables were identified. The essential variables were organized according to four domains, including: (i) Event Domain; (ii) Hazard and Risk Domain; (iii) Capacity Domain; and (iv) Clinical Domain.

Discussion:

The authors propose a first-generation template for post-event medical reporting. This template standardizes the reporting of 25 essential variables. An accompanying data dictionary provides background and standardization for each of the essential variables. Of note, this template is lean and will develop over time, with input from the international MG community. In the future, additional groups of variables may be helpful as “overlays,” depending on the event category and type.

Conclusions:

This paper presents a template for post-event medical reporting. It is hoped that consistent reporting of essential variables will improve both data collection and the ability to make comparisons between events so that the science underpinning MG health can continue to advance.

Keywords

case reportingdata modelingmass gatheringmass-gathering healthmass-gathering medicine
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 2 , April 2021 , pp. 218 - 226
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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References

Aitsi-Selmi, A, Murray, V, Heymann, D, et al. Reducing risks to health and wellbeing at mass gatherings: the role of the Sendai framework for disaster risk reduction. Int J Infect Dis. 2016;47:101–104.CrossRefGoogle ScholarPubMed
Joseph, JK, Babu, N, Dev, KA, Pradeepkumar, AP. Identification of potential health risks in mass gatherings: a study from Sabarimala pilgrimage, Kerala, India. Int J Disaster Risk Reduct. 2016;17:95–99.CrossRefGoogle Scholar
Schwartz, B, Nafziger, S, Milsten, A, Luk, J, Yancey, A. Mass gathering medical care: resource document for the national association of ems physicians position statement. Prehosp Emerg Care. 2015;19(4):559–568.Google ScholarPubMed
Yezli, S, Alotaibi, B. Mass gatherings and mass gatherings health. Saudi Med J. 2016;37(7):729–730.CrossRefGoogle ScholarPubMed
Ranse, J, Hutton, A, Keene, T, et al. Health service impact from mass gatherings: a systematic literature review. Prehosp Disaster Med. 2017;32(1):71–77.CrossRefGoogle ScholarPubMed
Bradt, DA, Aitken, P. Advent of the confide guidelines for disaster medicine reporting. Prehosp Disaster Med. 2011;26(S1):s16.CrossRefGoogle Scholar
Hotwani, J, Rambhia, D, Mehta, M. Evaluation of completeness of adverse drug reaction case reports published in biomedical journals: a preliminary analysis. J Med Res. 2018;4(2):98–101.CrossRefGoogle Scholar
Kulling, P, Birnbaum, M, Murray, V, Rockenschaub, G. Guidelines for reports on health crises and critical health events. Prehosp Disaster Med. 2010;25(4):377–383.CrossRefGoogle ScholarPubMed
Maas, AIR, Harrison-Felix, CL, Menon, D, et al. Standardizing data collection in traumatic brain injury. J Neurotrauma. 2011;28(2):177–187.CrossRefGoogle ScholarPubMed
Murad, MH, Sultan, S, Haffar, S, Bazerbachi, F. Methodological quality and synthesis of case series and case reports. BMJ Evidence-Based Med. 2018;23(2):60–63.CrossRefGoogle ScholarPubMed
Ortega-Loubon, C, Correa-Marquez, R. Writing a case report: a work of art. Int J Med Students. 2014;2(3):90–91.CrossRefGoogle Scholar
Rison, RA, Kidd, MR, Koch, CA. The CARE (CAse REport) guidelines and the standardization of case reports. J Med Case Rep. 2013;7(1):261.CrossRefGoogle ScholarPubMed
Wardle, J, Roseen, E. Integrative medicine case reports: a clinicians’ guide to publication. Adv Integr Med. 2014;1(3):144–147.CrossRefGoogle Scholar
Arbon, P. The development of conceptual models for mass-gathering health. Prehosp Disaster Med. 2004;19(3):208–212.CrossRefGoogle ScholarPubMed
Clifton, N, O’Sullivan, D, Pickernell, D. Capacity building and the contribution of public festivals: evaluating “Cardiff 2005.” Event Manag. 2012;16(1):77–91.CrossRefGoogle Scholar
Fattah, S, Rehn, M, Wisborg, T. Field reports: yes, they will add to the prehospital and disaster knowledge base. Prehosp Disaster Med. 2016;31(4):461.CrossRefGoogle ScholarPubMed
Guy, A, Prager, R, Turris, S, Lund, A. Improving data quality in mass-gatherings health research. Prehosp Disaster Med. 2017;32(3):329–332.CrossRefGoogle ScholarPubMed
Schwellnus, M, Kipps, C, Roberts, WO, et al. Medical encounters (including injury and illness) at mass community-based endurance sports events: an international consensus statement on definitions and methods of data recording and reporting. Br J Sports Med. 2019;53(17):1048–1055.CrossRefGoogle ScholarPubMed
AlAssaf, WI. EMS Coverage of a female-only event with 10,000 attendees: preparation and implementation in one week. Prehosp Disaster Med. 2017;32(6):694–698.CrossRefGoogle ScholarPubMed
Anikeeva, O, Arbon, P, Zeitz, K, et al. Patient presentation trends at 15 mass-gathering events in South Australia. Prehosp Disaster Med. 2018;33(4):368–374.CrossRefGoogle ScholarPubMed
Bortolin, M, Ulla, M, Bono, A, Ferreri, E, Tomatis, M, Sgambetterra, S. Holy shroud exhibition 2010: health services during a 40-day mass-gathering event. Prehosp Disaster Med. 2013;28(3):239–244.CrossRefGoogle ScholarPubMed
Bouslough, DB, Lemusu, S, Avegalio, F. Utilizing a unified health command structure for mass gathering preparedness and response: lessons learned from the 2008 pacific arts festival. Prehosp Disaster Med. 2011;26(S1):S149–S150.CrossRefGoogle Scholar
Burton, JO, Corry, SJ, Lewis, G, Priestman, WS. Differences in medical care usage between two mass-gathering sporting events. Prehosp Disaster Med. 2012;27(5):458–462.CrossRefGoogle ScholarPubMed
Calle, P, Sundahl, N, Maudens, K, et al. Medical emergencies related to ethanol and illicit drugs at an annual, nocturnal, indoor, electronic dance music event. Prehosp Disaster Med. 2018;33(1):71–76.CrossRefGoogle ScholarPubMed
Ceyhan, MA, Demir, GG, Güler, GB. Evaluation of health care services provided in political public meetings in turkey: a forgotten detail in politics. Prehosp Disaster Med. 2018;33(6):607–613.CrossRefGoogle ScholarPubMed
Crabtree, N, Mo, S, Ong, L, et al. Retrospective analysis of patient presentations at the Sydney (Australia) royal easter show from 2012 to 2014. Prehosp Disaster Med. 2017;32(2):187–194.CrossRefGoogle ScholarPubMed
Divine, JG, Daggy, MW, Dixon, EE, LeBlanc, DP, Okragly, RA, Hasselfeld, KA. Case series of exertional heat stroke in runners during early spring. Curr Sports Med Rep. 2018;17(5):151–158.CrossRefGoogle ScholarPubMed
Dutch, MJ, Austin, KB. Hospital in the field: prehospital management of GHB intoxication by medical assistance teams. Prehosp Disaster Med. 2012;27(5):463–467.CrossRefGoogle ScholarPubMed
Fizzell, J, Armstrong, PK, Adamson, S, et al. Preparing for and responding to public health issues at a major mass gathering: what happened at world youth day 2008? Prehosp Disaster Med. 2009;24(S1):S36.Google Scholar
Friedman, MS, Plocki, A, Likourezos, A, et al. A prospective analysis of patients presenting for medical attention at a large electronic dance music festival. Prehosp Disaster Med. 2017;32(1):78–82.CrossRefGoogle Scholar
Goyal, AV, Constantinou, V, Fokas, J, Van Duesen Phillips, S, Chan, J, Chiampas, GT. Prehospital care at a mass endurance event: the Chicago marathon experience. Prehosp Disaster Med. 2017;32(S1):S172.CrossRefGoogle Scholar
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
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):33–40.CrossRefGoogle ScholarPubMed
Hardcastle, TC, Samlal, S, Naidoo, R, et al. A redundant resource: a pre-planned casualty clearing station for a FIFA 2010 stadium in Durban. Prehosp Disaster Med. 2012;27(5):409–415.CrossRefGoogle ScholarPubMed
Ho, WH, Koenig, KL, Quek, LS. Formula one night race in Singapore: a 4-year analysis of a planned mass gathering. Prehosp Disaster Med. 2014;29(5):489–493.CrossRefGoogle ScholarPubMed
Hutton, A, Ranse, J, Verdonk, N, Ullah, S, Arbon, P. Understanding the characteristics of patient presentations of young people at outdoor music festivals. Prehosp Disaster Med. 2014;29(2):160–166.CrossRefGoogle ScholarPubMed
Joslin, J, Mularella, J, Bail, A, Wojcik, S, Cooney, DR. Mandatory rest stops improve athlete safety during event medical coverage for ultramarathons. Prehosp Disaster Med. 2016;31(1):43–45.CrossRefGoogle ScholarPubMed
Kaji, A, Sunada, A, Yamada, M, et al. Heat stroke patients of a mass gathering festival in Japan - Kishiwada Danjiri festival. Prehosp Disaster Med. 2017;32(S1):S139.CrossRefGoogle Scholar
Kemp, AE. Mass-gathering events: the role of advanced nurse practitioners in reducing referrals to local health care agencies. Prehosp Disaster Med. 2016;31(1):58–63.CrossRefGoogle ScholarPubMed
Koçak, H, Çalışkan, C, Sönmezler, MŞ, Eliuz, K, Küçükdurmaz, F. Analysis of medical responses in mass gatherings: the commemoration ceremonies for the 100th anniversary of the battle of Gallipoli. Prehosp Disaster Med. 2018;33(3):288–292.CrossRefGoogle ScholarPubMed
Krul, J, Girbes, ARJJ. Experience of health-related problems during house parties in the Netherlands: nine years of experience and three million visitors. Prehosp Disaster Med. 2009;24(2):133–139.CrossRefGoogle ScholarPubMed
Krul, J, Sanou, B, Swart, EL, Girbes, ARJJ. Medical care at mass gatherings: emergency medical services at large-scale rave events. Prehosp Disaster Med. 2012;27(1):71–74.CrossRefGoogle ScholarPubMed
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
Lund, A, Turris, SA, McDonald, R, Lewis, K. On-site management of medical encounters during obstacle adventure course participation. Curr Sports Med Rep. 2015;14(3):182–190.CrossRefGoogle ScholarPubMed
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
Luther, M, Gardiner, F, Lenson, S, et al. An effective risk minimization strategy applied to an outdoor music festival: a multi-agency approach. Prehosp Disaster Med. 2018;33(2):220–224.CrossRefGoogle Scholar
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
Meites, E, Brown, JF. Ambulance need at mass gatherings. Prehosp Disaster Med. 2010;25(6):511–514.CrossRefGoogle ScholarPubMed
Milsten, AM, Tennyson, J, Weisberg, S. Retrospective analysis of mosh-pit-related injuries. Prehosp Disaster Med. 2017;32(6):636–641.CrossRefGoogle ScholarPubMed
Molloy, MS, Brady, F, Maleady, K. Impact of a single large mass gathering music event, from a series of such events, on a receiving hospitals emergency department (ed). Prehosp Disaster Med. 2017;28(S1):S112.Google Scholar
Munn, MB, Laraya, JF, Lund, A, Turris, S. Altered mental status at music festivals: a case study examining clinical concepts and controversies. Prehosp Disaster Med. 2017;32(S1):S131–S132.CrossRefGoogle Scholar
Munn, MB, Sparrow, N, Bertagnolli, C. Mobile response by medical first responders at a music festival. Prehosp Disaster Med. 2017;32(S1):S136–S137.CrossRefGoogle Scholar
Munn, MB, Lund, A, Golby, R, Turris, SA. Observed benefits to on-site medical services during an annual 5-day electronic dance music event with harm reduction services. Prehosp Disaster Med. 2016;31(2):228–234.CrossRefGoogle ScholarPubMed
Nable, JV, Margolis, AM, Lawner, BJ, et al. Comparison of prediction models for use of medical resources at urban auto-racing events. Prehosp Disaster Med. 2014;29(6):608–613.CrossRefGoogle ScholarPubMed
Nacca, K, Scott, J, Grant, W. Diagnosis according to time of arrival at “the great New York state fair.” Prehosp Disaster Med. 2014;29(1):47–49.CrossRefGoogle Scholar
Pakravan, AH, West, RJ, Hodgkinson, DW. Suffolk show 2011: prehospital medical coverage in a mass-gathering event. Prehosp Disaster Med. 2013;28(5):529–532.CrossRefGoogle Scholar
Prager, R, Sedgwick, C, Lund, A, et al. Prospective evaluation of point-of-care ultrasound at a remote, multi-day music festival. Prehosp Disaster Med. 2018;33(5):484–489.CrossRefGoogle Scholar
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
Sanyal, S, Madan, A. Public health safety for traditional mass gatherings in India: a 10-year analysis. Prehosp Disaster Med. 2011;26(S1):S148.CrossRefGoogle Scholar
Scholliers, A, Gogaert, S, Vande Veegaete, A, Gillebeert, J, Vandekerckhove, P. The most prevalent injuries at different types of mass gathering events: an analysis of more than 150,000 patient encounters. Prehosp Disaster Med. 2017;32(S1):S136.CrossRefGoogle Scholar
Scholliers, A, Gogaert, S, Vande Veegaete, A, Gillebeert, J, Vandekerckhove, P. What skills does a physician need at mass gatherings? An analysis of more than 16,000 patient encounters that required medical attention. Prehosp Disaster Med. 2017;32(S1):S135–S136.Google Scholar
Turris, S, Rabb, H, Munn, MB, et al. Measuring the masses: mass-gathering medical case reporting, current state, and recommendations (part 1). Prehosp Disaster Med. 2021. In press.CrossRefGoogle Scholar
Turris, SA, Camporese, M, Gutman, SJ, Lund, A. Mass-gathering medicine: risks and patient presentations at a 2-day electronic dance music event - year two. Prehosp Disaster Med. 2016;31(6):687–688.CrossRefGoogle Scholar
Turris, SA, Lund, A, Mui, J, Wang, P, Lewis, K, Gutman, SJ. An organized medical response for the Vancouver international marathon (2006–2011). Curr Sports Med Rep. 2014;13(3):147–154.CrossRefGoogle Scholar
Turris, SA, Callaghan, CW, Rabb, H, Munn, MB, Lund, A. On the way out: an analysis of patient transfers from four large-scale North American music festivals over two years. Prehosp Disaster Med. 2019;34(1):72–81.CrossRefGoogle Scholar
Tyner, SE, Hennessy, L, Coombs, LJ, Fizzell, J. Analysis of presentations to on-site medical units during world youth day 2008. Prehosp Disaster Med. 2012;27(6):595–600.CrossRefGoogle ScholarPubMed
Van Dalen, M, Eikendal, T, De Cock, JS, Tan, E, Lischer, F. Evaluation of public health aspects of the 100th “walk of the world” international four-day march Nijmegen. Prehosp Disaster Med. 2017;32(S1):S130.CrossRefGoogle Scholar
Webster, M, Jones, K. Camping, cowboys, and country music: patient and resource management at Canada’s largest multi-day country music festival. Prehosp Disaster Med. 2017;32(S1):S132.CrossRefGoogle Scholar
Wendell, JC, Bitner, MD, Ossmann, EW, Greenwald, IB. Emergency medical response systems in a university athletic program: a descriptive analysis. Prehosp Disaster Med. 2011;26(S1):S149.CrossRefGoogle Scholar
Woodall, J, Watt, K, Walker, D, et al. Planning volunteer responses to low-volume mass gatherings: do event characteristics predict patient workload? Prehosp Disaster Med. 2010;25(5):442–448.CrossRefGoogle ScholarPubMed
Westrol, MS, Koneru, S, McIntyre, N, Caruso, AT, Arshad, FH, Merlin, MA. Music genre as a predictor of resource utilization at outdoor music concerts. Prehosp Disaster Med. 2017;32(3):289–296.CrossRefGoogle ScholarPubMed
Linnarsson, R, Wigertz, O. The data dictionary – a controlled vocabulary for integrating clinical databases and medical knowledge bases. Methods Inf Med. 1989;28(02):78–85.Google ScholarPubMed
Arenson, AD, Bakhireva, LN, Chambers, CD, et al. Implementation of a shared data repository and common data dictionary for fetal alcohol spectrum disorders research. Alcohol. 2010;44(7-8):643–647.CrossRefGoogle ScholarPubMed
McCabe, A, Nic An Fhailí, S, O’Sullivan, R, et al. Development and validation of a data dictionary for a feasibility analysis of emergency department key performance indicators. Int J Med Inform. 2019;126:59–64.CrossRefGoogle ScholarPubMed
Turris, SA, Lund, A, Hutton, A, et al. Mass-gathering health research foundational theory: part 2 - event modeling for mass gatherings. Prehosp Disaster Med. 2014;29(6):655–663.CrossRefGoogle ScholarPubMed
Jaensch, J, Whitehead, D, Ivanka, P, Hutton, A. Exploring young people’s use of alcohol at outdoor music festivals in Australia. J Appl Youth Stud. 2018;2(3):32–42.Google Scholar
Strang, L, Baker, G, Pollard, J, Hofman, J. Violent and Antisocial Behaviours at Football Events and Factors Associated with These Behaviours: A Rapid Evidence Assessment. Santa Monica, California USA: Rand Corporation; 2018.CrossRefGoogle Scholar
Thackway, S, Churches, T, Fizzell, J, Muscatello, D, Armstrong, P. Should cities hosting mass gatherings invest in public health surveillance and planning? Reflections from a decade of mass gatherings in Sydney, Australia. BMC Public Health. 2009;9(1):324.CrossRefGoogle ScholarPubMed
World Health Organization. Definitions of key concepts from the who patient safety curriculum guide. https://www.who.int/patientsafety/education/curriculum/course1a_handout.pdf. Published 2011. Accessed January 13, 2020.Google Scholar
Soomaroo, L, Murray, V. Disasters at mass gatherings: lessons from history. PLoS Curr. 2012;4:RRN1301.CrossRefGoogle ScholarPubMed
Soomaroo, L, Murray, V. Weather and environmental hazards at mass gatherings. PLoS Curr. 2012;4:e4fca9ee30afc4.CrossRefGoogle ScholarPubMed
Turris, SA, Lund, A. Mortality at music festivals: academic and grey literature for case finding. Prehosp Disaster Med. 2017;32(1):58–63.CrossRefGoogle ScholarPubMed
IQ Music. Stage fire halts Spanish tomorrow land festival. IQ Music. https://www.iq-mag.net/2017/07/stage-fire-halts-spanish-tomorrowland-festival/#.XhyiJhdKhQI. Published 2017. Accessed January 13, 2020.Google Scholar
Trendell, A. Man dies after jumping into fire of 40ft flaming statue at burning man festival. NME. https://www.nme.com/news/music/man-dies-jumping-flaming-statue-burning-man-festival-2133931. Published 2017. Accessed January 13, 2020.Google Scholar
World Health Organization. Global Mass Gatherings: Implications and Opportunities for Global Health Security. Geneva, Switzerland: WHO; 2011.Google Scholar
Agence France-Presse. Three dead and 250 injured in Iran fire festival. The National. https://www.thenational.ae/world/three-dead-and-250-injured-in-iran-fire-festival-1.157940. Published 2016. Accessed January 13, 2020.Google Scholar
List of air show accidents and incidents in the 21st century. Revolvy. https://www.revolvy.com/page/List-of-air-show-accidents-and-incidents-in-the-21st-century. Published 2019. Accessed January 13, 2020.Google Scholar
Meadows, D, Gill, W. Safety at horse shows. Extension Horses, Inc. https://horses.extension.org/safety-at-horse-shows/. Published 2019. Accessed January 13, 2020.Google Scholar
Sportskeeda. List of f1 driver deaths. Sportskeeda. https://www.sportskeeda.com/f1/f1-deaths. Accessed January 13, 2020.Google Scholar
Tavan, A, Tafti, AD, Nekoie-Moghadam, M, et al. Risks threatening the health of people participating in mass gatherings: a systematic review. J Educ Health Promot. 2019;8:209.Google ScholarPubMed
Yazawa, K, Kamijo, Y, Sakai, R, Ohashi, M, Owa, M. Medical care for a mass gathering: the Suwa Onbashira festival. Prehosp Disaster Med. 2007;22(5):431–435.CrossRefGoogle ScholarPubMed
Nelson, S, Turnbull, J, Bainbridge, L, et al. Optimizing Scope of Practice: New Models of Care for a New Health Care System. Ottawa, Ontario, Canada: Canadian Academy of Health Sciences; 2014.Google Scholar
Colbeck, M, Maria, S. A comparative taxonomy of Australasian paramedic clinical practice guidelines. Australas J Paramed. 2018;15(3).CrossRefGoogle Scholar
British Columbia Emergency Health Services. BCEHS handbook. https://handbook.bcehs.ca/. Published 2018. Accessed February 9, 2020.Google Scholar
Ambulance Service Association. UK Ambulance Service Clinical Practice Guidelines (2006). United Kingdom: ASA; 2006.Google Scholar
Google. Google Maps (Version 5.36). https://www.google.com/maps. Published 2020. Accessed February 9, 2020.Google Scholar
British Columbia Laws. Emergency health services act, rsbc (1996, c. 182). http://www.bclaws.ca/civix/document/id/complete/statreg/96182_01. Published 2020. Accessed February 9, 2020.Google Scholar
Eburn, M, Bendall, J. The provision of ambulance services in Australia: a legal argument for the national registration of paramedics. Australas J Paramed. 2010;8(4).CrossRefGoogle Scholar
Lund, A, Turris, SA, Amiri, N, Lewis, K, Carson, M. Mass-gathering medicine: creation of an online event and patient registry. Prehosp Disaster Med. 2012;27(6):601–611.CrossRefGoogle ScholarPubMed
United Nations Development Program. Risk Knowledge Fundamentals: Guidelines and Lessons for Establishing and Institutionalized Disaster Loss Databases. UN; 2009.Google Scholar
Björk, B-C, Solomon, D. The publishing delay in scholarly peer-reviewed journals. J Informetr. 2013;7(4):914–923.CrossRefGoogle Scholar