PMID- 27978861
OWN - NLM
STAT- MEDLINE
DCOM- 20170626
LR  - 20170626
IS  - 1945-1938 (Electronic)
IS  - 1049-023X (Linking)
VI  - 32
IP  - 1
DP  - 2017 Feb
TI  - A Prospective Analysis of Patients Presenting for Medical Attention at a Large 
      Electronic Dance Music Festival.
PG  - 78-82
LID - 10.1017/S1049023X16001187 [doi]
AB  - Mass-Gathering Medicine studies have identified variables that predict greater 
      patient presentation rates (PPRs) and transport to hospital rates (TTHRs). This 
      is a descriptive report of patients who presented for medical attention at an 
      annual electronic dance music festival (EDMF). At this large, single EDMF in New 
      York City (NYC; New York, USA), the frequency of patient presentation, the range 
      of presentations, and interventions performed were identified. This descriptive 
      report examined consecutive patients who presented to the medical tent of a 
      summertime EDMF held at an outdoor venue with an active, mobile, bounded crowd. 
      Alcohol was available for sale. Entry was restricted to persons 18 years and 
      older. The festival occurred on three consecutive days with a total cumulative 
      attendance of 58,000. Medical staffing included two Emergency Medicine 
      physicians, four registered nurses, and 86 Emergency Medical Services (EMS) 
      providers. Data collected included demographics, past medical history, vital 
      signs, physical exam, drug and alcohol use, interventions performed, and 
      transport decisions. Eighty-four patients were enrolled over 2.5 days. Six were 
      transported and zero died. The ages of the subjects ranged from 17 to 61 years. 
      Forty-three (51%) were male. Thirty-eight (45%) initially presented with abnormal 
      vital signs; four (5%) were hyperthermic. Of these latter patients, 34 (90%) 
      reported ingestions with 3,4-methylenedioxymethamphetamine (MDMA) or other drugs. 
      Eleven (65%) patients were diaphoretic or mydriatic. The most common prehospital 
      interventions were intravenous normal saline (8/84; 10%), ondansetron (6/84; 7%), 
      and midazolam (3/84; 4%). Electronic dance music festivals are a growing trend 
      and a new challenge for Mass-Gathering Medicine as new strategies must be 
      employed to decrease TTHR and mortality. Addressing common and expected medical 
      emergencies at mass-gathering events through awareness, preparation, and early, 
      focused medical interventions may decrease PPR, TTHR, and overall mortality. 
      Friedman MS , Plocki A , Likourezos A , Pushkar I , Bazos AN , Fromm C , Friedman 
      BW . A prospective analysis of patients presenting for medical attention at a 
      large electronic dance music festival. Prehosp Disaster Med. 2017; 32(1):78-82.
FAU - Friedman, Matt S
AU  - Friedman MS
AD  - 1Department of Emergency Medicine,Maimonides Medical Center,Brooklyn,New YorkUSA.
FAU - Plocki, Alex
AU  - Plocki A
AD  - 1Department of Emergency Medicine,Maimonides Medical Center,Brooklyn,New YorkUSA.
FAU - Likourezos, Antonios
AU  - Likourezos A
AD  - 1Department of Emergency Medicine,Maimonides Medical Center,Brooklyn,New YorkUSA.
FAU - Pushkar, Illya
AU  - Pushkar I
AD  - 1Department of Emergency Medicine,Maimonides Medical Center,Brooklyn,New YorkUSA.
FAU - Bazos, Andrew N
AU  - Bazos AN
AD  - 2Department of Orthopedic Surgery,New York University Langone Medical Center,New 
      York,New YorkUSA.
FAU - Fromm, Christian
AU  - Fromm C
AD  - 1Department of Emergency Medicine,Maimonides Medical Center,Brooklyn,New YorkUSA.
FAU - Friedman, Benjamin W
AU  - Friedman BW
AD  - 3Department of Emergency Medicine,Montefiore Medical Center,Bronx,New YorkUSA.
LA  - eng
PT  - Journal Article
DEP - 20161216
PL  - United States
TA  - Prehosp Disaster Med
JT  - Prehospital and disaster medicine
JID - 8918173
MH  - Adolescent
MH  - Adult
MH  - *Crowding
MH  - *Dancing
MH  - Emergency Medical Services/*statistics & numerical data
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Music
MH  - New York City/epidemiology
MH  - *Patient Acceptance of Health Care
MH  - Prospective Studies
MH  - Transportation of Patients/statistics & numerical data
MH  - Wounds and Injuries/*epidemiology/therapy
MH  - Young Adult
OTO - NOTNLM
OT  - DOHMH Department of Health and Mental Hygiene
OT  - ED emergency department
OT  - EDMF electronic dance music festival
OT  - EMS Emergency Medical Services
OT  - IAP incident action plan
OT  - MDMA 3
OT  - NYC New York City
OT  - PMA para-methoxyamphetamine
OT  - PPR patient presentation rate
OT  - TTHR transport to hospital rate
OT  - 4-methylenedioxymethamphetamine
OT  - EMS
OT  - mass gatherings
OT  - toxicology
EDAT- 2016/12/17 06:00
MHDA- 2017/06/27 06:00
CRDT- 2016/12/17 06:00
PHST- 2016/12/17 06:00 [pubmed]
PHST- 2017/06/27 06:00 [medline]
PHST- 2016/12/17 06:00 [entrez]
AID - S1049023X16001187 [pii]
AID - 10.1017/S1049023X16001187 [doi]
PST - ppublish
SO  - Prehosp Disaster Med. 2017 Feb;32(1):78-82. doi: 10.1017/S1049023X16001187. Epub 
      2016 Dec 16.