Sanders A B, Criss E, Steckl P, Meislin H W, Raife J, Allen D
Ann Emerg Med. 1986 May;15(5):515-9. doi: 10.1016/s0196-0644(86)80984-2.
Emergency medical care at public gatherings is haphazard at best and dangerous at worst. The Arizona chapter of the American College of Emergency Physicians, through the Chapter Grant Program, studied the level of medical care provided at public gatherings in order to develop guidelines for emergency medical care at mass gatherings. The study consisted of a survey of medical care at 15 facilities providing events for the public. The results of these surveys showed a wide variation of medical care provided at mass events. Of the 490 medical encounters reviewed, 52.2% were within the realm of care of paramedics, but not basic emergency medical technicians. The most common injuries/illnesses were lacerations, sprains, headaches, and syncope. Problems noted included poor documentation and record keeping of medical encounters, a tendency for prehospital care personnel to make medical evaluations without transport or medical control, and variability of care provided. Based on this survey and a literature review, guidelines for medical care at mass gatherings in Arizona were determined using an objective-oriented approach. It is our position that event organizers have the responsibility of ensuring the availability of emergency medical services for spectators and participants. We recommend that state chapters or National ACEP evaluate the role of emergency medical care at mass gatherings.
公共集会中的紧急医疗护理充其量是随意的，最坏的情况下是危险的。美国急诊医师学会亚利桑那分会通过分会资助项目，研究了公共集会中提供的医疗护理水平，以便制定大规模集会中紧急医疗护理的指导方针。该研究包括对15个为公众举办活动的场所的医疗护理情况进行调查。这些调查结果显示，大规模活动中提供的医疗护理差异很大。在审查的490次医疗接触中，52.2%属于护理人员的护理范围，但不属于基础急救医疗技术员的护理范围。最常见的伤病是撕裂伤、扭伤、头痛和昏厥。发现的问题包括医疗接触的记录和保存不佳、院前护理人员在没有转运或医疗控制的情况下进行医疗评估的倾向以及所提供护理的差异。基于这项调查和文献综述，采用以目标为导向的方法确定了亚利桑那州大规模集会医疗护理的指导方针。我们的立场是，活动组织者有责任确保为观众和参与者提供紧急医疗服务。我们建议各州分会或美国急诊医师学会全国组织评估大规模集会中紧急医疗护理的作用。
