作者: Joseph Varon , Robert E Fromm , Katia Chanin , Michael Filbin , Kris Vutpakdi
DOI: 10.1016/J.JEMERMED.2003.03.001
关键词: Emergency medical services 、 Emergency department 、 Observational study 、 Chest pain 、 Epidemiology 、 Surgery 、 Public health 、 Medical emergency 、 Incidence (epidemiology) 、 Population 、 Medicine
摘要: Gatherings of large numbers people at concerts, sporting events, and other occasions lead to an assembled population with a potential for wide variety illnesses injuries. The collection in single location has led some authors recommend the placement resuscitation equipment or medical services close proximity these activities. These recommendations not withstanding, data on frequency critical illness mass gatherings (a group exceeding 1000 persons) are difficult ascertain. Therefore, it was purpose this study describe incidence among populations gatherings. An observational prospective conducted involving patient encounters large, multipurpose, indoor mass-gathering complex Houston, Texas occurring between September 1, 1996 June 30, 1997. Demographic, treatment, disposition diagnostic were analyzed computerized database. Of 3.3 million attendants 253 events during 10-month period, there 2762 (0.08%) encounters. Fifty-two percent women. Mean age 32 +/- 15.6 years. patients, 51.1% patrons remaining patients employees contractors facility. A seen trauma (39.5%), headache (31%), complaints (29.5%) being most frequent. Disposition included 95.3% discharged go back event 2.2% counseled seek attention. One hundred twenty-nine (4.7%) referred Emergency Department (ED); these, 70 transferred abrasions, lacerations, skeletal injuries 13 chest pain. those ED, 50 (38.7%) transported by ambulance only 17.4% admitted telemetry, none ICU. It is concluded that infrequent, as study, very few telemetry Careful consideration cost-benefit should occur when determining allocation resources