PMID- 32127058
OWN - NLM
STAT- MEDLINE
DCOM- 20210202
LR  - 20210202
IS  - 1945-1938 (Electronic)
IS  - 1049-023X (Linking)
VI  - 35
IP  - 3
DP  - 2020 Jun
TI  - Moshpit Medicine: The Experience of an Australian Event Resuscitation Team.
PG  - 293-297
LID - 10.1017/S1049023X20000266 [doi]
AB  - The authors reviewed case reports of patients presenting to an advanced medical 
      assessment and resuscitation service at 15 music events over 22 days from June 
      2018 through March 2019 around Australia. Event size ranged from 4,000 to 57,500 
      participants. Events observed had a mean patient presentation rate (PPR) of 0.83% 
      (SD = 0.59%) and mean transport to hospital rate (TTHR) of 1.89 (SD = 0.92) per 
      10,000. Two-hundred and twenty-one cases were reviewed and tabulated for 
      descriptive analysis.Lower rates of traumatic injuries were seen compared to 
      other case reports, and minor procedures represented a minor but important part 
      of the team's workload. Methylenedioxymethamphetamine (MDMA) use was reported by 
      33.0% of patients on the day of presentation; almost one-half of these reported a 
      co-ingestion. Patients presenting after using MDMA were more likely to have an 
      elevated temperature. Eight percent of patients presented with temperature above 
      38 degrees C. Patients with an initial temperature above 38 degrees C were more likely to require 
      hospitalization. On-site electrocardiograph (ECG), blood gas, ultrasound, and 
      urinalysis were found to be useful in decision support. In total, 29.8% of 
      patients required sedation during their encounter; 2.7% required rapid sequence 
      induction at the event. Mean observation time was 44 minutes, with longer 
      observation required in MDMA and hallucinogen-related presentations.
FAU - Wing, Sean
AU  - Wing S
AUID- ORCID: 0000-0002-0185-0694
AD  - Queensland Ambulance, Brisbane, Queensland, Australia.
AD  - Medical Response Australia, Yatala, Queensland, Australia.
FAU - Johnson, Robert
AU  - Johnson R
AD  - Medical Response Australia, Yatala, Queensland, Australia.
FAU - Fowler, Leigh
AU  - Fowler L
AD  - Queensland Ambulance, Brisbane, Queensland, Australia.
AD  - Medical Response Australia, Yatala, Queensland, Australia.
LA  - eng
PT  - Journal Article
DEP - 20200304
PL  - United States
TA  - Prehosp Disaster Med
JT  - Prehospital and disaster medicine
JID - 8918173
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Australia/epidemiology
MH  - Child
MH  - Child, Preschool
MH  - *Crowding
MH  - Drug Overdose/*epidemiology/therapy
MH  - Emergency Medical Services
MH  - Female
MH  - Humans
MH  - Infant
MH  - Male
MH  - Middle Aged
MH  - *Music
MH  - Transportation of Patients
MH  - Wounds and Injuries/*epidemiology/therapy
MH  - Young Adult
OTO - NOTNLM
OT  - event medicine
OT  - mass gathering
OT  - music festival
OT  - prehospital
EDAT- 2020/03/05 06:00
MHDA- 2021/02/03 06:00
CRDT- 2020/03/05 06:00
PHST- 2020/03/05 06:00 [pubmed]
PHST- 2021/02/03 06:00 [medline]
PHST- 2020/03/05 06:00 [entrez]
AID - S1049023X20000266 [pii]
AID - 10.1017/S1049023X20000266 [doi]
PST - ppublish
SO  - Prehosp Disaster Med. 2020 Jun;35(3):293-297. doi: 10.1017/S1049023X20000266. 
      Epub 2020 Mar 4.