Research Group on Emergency and Disaster Medicine, Vrije Universiteit Brussel, 1050 Brussels, Belgium.
Het Vlaamse Kruis, 2630 Antwerp, Belgium.
Int J Environ Res Public Health. 2023 Feb 11;20(4):3207. doi: 10.3390/ijerph20043207.
Electronic dance music festivals (EDMF) can cause a significant disruption in the standard operational capacity of emergency medical services (EMS) and hospitals. We determined whether or not the presence of in-event health services (IEHS) can reduce the impact of Europe's largest EDMF on the host community EMS and local emergency departments (EDs).
We conducted a pre-post analysis of the impact of Europe's largest EDMF in July 2019, in Boom, Belgium, on the host community EMS and local EDs. Statistical analysis included descriptive statistics, independent -tests, and χ analysis.
Of 400,000 attendees, 12,451 presented to IEHS. Most patients only required in-event first aid, but 120 patients had a potentially life-threatening condition. One hundred fifty-two patients needed to be transported by IEHS to nearby hospitals, resulting in a transport-to-hospital rate of 0.38/1000 attendees. Eighteen patients remained admitted to the hospital for >24 h; one died after arrival in the ED. IEHS limited the overall impact of the MGE on regular EMS and nearby hospitals. No predictive model proved optimal when proposing the optimal number and level of IEHS members.
This study shows that IEHS at this event limited ambulance usage and mitigated the event's impact on regular emergency medical and health services.
电子舞曲音乐节（EDMF）可能会对紧急医疗服务（EMS）和医院的标准运营能力造成重大干扰。我们旨在确定现场医疗服务（IEHS）的存在是否能够减轻欧洲最大的 EDMF 对主办社区 EMS 和当地急诊部（ED）的影响。
我们对 2019 年 7 月在比利时 Boom 举行的欧洲最大的 EDMF 对主办社区 EMS 和当地 ED 的影响进行了前后分析。统计分析包括描述性统计、独立检验和卡方检验。
在 400,000 名与会者中，有 12,451 人前往 IEHS。大多数患者仅需要现场急救，但有 120 名患者存在潜在的危及生命的状况。152 名患者需要由 IEHS 送往附近医院，因此转运至医院的比例为 0.38/1000 名参与者。18 名患者仍在医院住院>24 小时；一名患者在到达 ED 后死亡。IEHS 限制了 MGE 对常规 EMS 和附近医院的整体影响。在提出 IEHS 成员的最佳数量和级别时，没有任何预测模型被证明是最优的。
本研究表明，该活动中的 IEHS 限制了救护车的使用，并减轻了该活动对常规紧急医疗和健康服务的影响。
