Jaslow D, Drake M, Lewis J
Temple University School of Medicine, Division of Emergency Medicine, Philadelphia, Pennsylvania 19140, USA.
Prehosp Emerg Care. 1999 Oct-Dec;3(4):316-20. doi: 10.1080/10903129908958961.
Organized mass gathering medical care (MGMC) has existed in the United States for 30 years, but there is little evidence to support any standard of care or uniformity in its delivery.
To determine whether MGMC regulations exist within state EMS legislation and to describe the characteristics of any such regulations.
The authors conducted a cross-sectional survey of U.S. state EMS directors in fall 1998 to determine the prevalence of formal legislation governing MGMC. The lead author received copies of legislation from every state EMS office that indicated such legislation existed.
Responses were obtained from all 50 state EMS offices and that of the District of Columbia (n = 51). Only six (12%) states provide regulatory guidance for MGMC. These regulations reside within departments of health in all six states and within the divisions of EMS in three of these six. Only one state requires physician oversight of a medical action plan and minimum staffing by EMS personnel, respectively. No state addresses early defibrillation capability or EMS scope of practice. There is no agreement on the definition of either a mass gathering or minimum resource deployment. Public health and hygiene practices at mass gatherings also lack uniformity.
Few states regulate MGMC. Existing regulations are poorly developed and lack both standardized terminology and content.
有组织的大型活动医疗保障（MGMC）在美国已经存在30年了，但几乎没有证据支持其任何医疗标准或服务的一致性。
确定州紧急医疗服务（EMS）立法中是否存在MGMC相关规定，并描述此类规定的特征。
作者于1998年秋季对美国各州的EMS主管进行了横断面调查，以确定管理MGMC的正式立法的普及率。第一作者从每个表明存在此类立法的州EMS办公室收到了立法副本。
收到了来自所有50个州的EMS办公室以及哥伦比亚特区（n = 51）的回复。只有六个（12%）州为MGMC提供监管指导。所有六个州的这些规定都属于卫生部门，其中三个州的规定属于EMS部门。只有一个州分别要求医生对医疗行动计划进行监督以及EMS人员的最低配备。没有一个州涉及早期除颤能力或EMS的执业范围。对于大型活动或最低资源配置的定义没有达成共识。大型活动中的公共卫生和卫生习惯也缺乏一致性。
很少有州对MGMC进行监管。现有规定制定不完善，缺乏标准化的术语和内容。
