Public Medical Preparedness at the "Swiss Wrestling and Alpine Games 2013": Descriptive Analysis of 1,533 Patients Treated at the Largest 3-Day Sporting Event in Switzerland.

Hostettler-Blunier, Simone; Müller, Nora-Maria; Haltmeier, Tobias; Hosner, Andreas; Bähler, Heinz; Neff, Frank; Baumberger, Daniel; Exadaktylos, Aristomenis; Schnüriger, Beat (2017). Public Medical Preparedness at the "Swiss Wrestling and Alpine Games 2013": Descriptive Analysis of 1,533 Patients Treated at the Largest 3-Day Sporting Event in Switzerland. Emergency medicine international, 2017, p. 9162095. Hindawi Publishing Corporation 10.1155/2017/9162095

[img]
Preview
Text
EMI2017-9162095.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (1MB) | Preview

Introduction. Medical preparedness at mass gatherings is challenging, as little is known about the optimal planning. Most studies and case reports are based on mass casualty incidents, so the results cannot be extrapolated to mass gatherings. Aim of this study was to evaluate the preclinical medical structure and the frequency of specific injuries and medical emergencies during the event. Methods. Retrospective analysis of a prospectively collected database. Three on-site medical assistance points were set up, completed by mobile teams, and coordinated by an on-site operational management team. Medical staff requirements were calculated using Maurer's formula. Results. A total of 1,533 patients were treated during the three-day event. Overall, the medical usage rate (MUR; patients per 10,000 visitors) was 51.1. A total of 58 patients (3.8%) required a hospital transfer. In 1,063 cases (69.3%) a diagnosis was documented. Of these, 503 patients (47.3%) suffered from hymenoptera stings; the two most common non-trauma-related diagnoses were alcohol/drug intoxication (4.1%) and gastrointestinal diseases (4.0%). Conclusion. Overall, the on-site medical care worked well. However, a high frequency of hymenoptera stings occurred, resulting in a shortage of antihistamine medication. Moreover, more than half of the patients were managed at the second largest medical assistance point. Prospective and critical evaluation of medical care at mass gatherings is crucial in order to optimize on-site medical preparedness at future events.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Orthopaedic Surgery
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine

UniBE Contributor:

Müller, Nora-Maria; Haltmeier, Tobias; Exadaktylos, Aristomenis and Schnüriger, Beat

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2090-2840

Publisher:

Hindawi Publishing Corporation

Language:

English

Submitter:

Lilian Karin Smith-Wirth

Date Deposited:

22 Jan 2018 09:19

Last Modified:

28 Jan 2018 02:19

Publisher DOI:

10.1155/2017/9162095

PubMed ID:

28265471

BORIS DOI:

10.7892/boris.109051

URI:

https://boris.unibe.ch/id/eprint/109051

Actions (login required)

Edit item Edit item
Provide Feedback