Specialty Training Registar East Midlands Workforce Deanery, UK.
Prehosp Disaster Med. 2010 May-Jun;25(3):223-6. doi: 10.1017/s1049023x00008074.
Limited data exist on the standard of care provided for children at mass gatherings and special events (MGSE). Some studies provide valuable insight into the proportion of pediatric patients that can be expected at various types of MGSEs, but an accurate breakdown of the range of pediatric conditions treated at major events has yet to be produced. Such data are essential for the preparation of MGSEs so that the health and safety of children at such events can be adequately safeguarded. The aim of this study is to examine the care requirements for children at a large, outdoor music festival in the United Kingdom.
A retrospective review of all patient report forms (PRFs) from a large, outdoor music festival held in Leeds (UK) in 2003. Data were extracted from the PRFs using a standardized proforma and analyzed using an Excel computer program.
Pediatric cases contributed approximately 15% to the overall workload at the event. Children presented with a range of conditions that varied from those seen in the adult population. Children were more likely than adults to present for medical attention following crush injuries (OR = 2.536; 95% CI = 1.537-4.187); after a collapse/syncopal episode (OR = 2.687; 95% CI = 1.442-5.007); or complaining of nausea (OR = 3.484; 95% CI = 2.089-5.813). Alcohol/drugs were less likely to be involved in the precipitating cause for medical attention in children compared to adults (OR = 0.477; 95% CI = 0.250-0.912). No critical care incidents involving children were encountered during the event.
Mass gatherings and special events in the UK, such as outdoor music festivals, can involve a large number of children who access medical care for a different range of conditions compared to adults. The care of children at large, outdoor music events should not be overlooked. Event planning in the UK should include measures to ensure that appropriately trained and equipped medical teams are used at music festivals to safeguard the welfare of children who may attend. Further research into this exciting area is required.
目前针对儿童在大型集会和特殊活动（MGSE）中所接受的医疗护理标准，仅有少量数据。一些研究深入分析了各种类型的 MGSE 活动中可预期的儿科患者比例，但对于大型活动中治疗的儿科疾病范围，尚未形成准确的分类。此类数据对于 MGSE 的准备工作至关重要，因为只有这样，才能充分保障此类活动中儿童的健康和安全。本研究旨在检查英国大型户外音乐节中儿童的护理需求。
对 2003 年在英国利兹举行的大型户外音乐节所有患者报告表（PRF）进行回顾性分析。使用标准化表格从 PRF 中提取数据，并使用 Excel 计算机程序进行分析。
儿科病例约占活动总工作量的 15%。患儿所患疾病与成人患者不同。与成年人相比，儿童在遭受挤压伤后（比值比[OR] = 2.536；95%置信区间[CI] = 1.537-4.187）、晕厥/晕厥发作后（OR = 2.687；95% CI = 1.442-5.007）或出现恶心症状后（OR = 3.484；95% CI = 2.089-5.813）更有可能寻求医疗帮助。与成年人相比，在儿童中，酒精/药物不太可能成为导致医疗关注的诱发因素（OR = 0.477；95% CI = 0.250-0.912）。在活动期间，未发生涉及儿童的重症监护事件。
英国的大型集会和特殊活动（如户外音乐节）会吸引大量儿童参加，他们因与成人不同的疾病而寻求医疗护理。大型户外音乐节上的儿童护理不容忽视。英国的活动策划应包括采取措施，确保在音乐节上使用接受过适当培训和装备的医疗团队，以保障可能参加活动的儿童的福利。需要进一步研究这一令人兴奋的领域。
