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      Mass-Gathering Medical Care in Electronic Dance Music Festivals

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          Abstract

          Introduction

          Electronic dance music (EDM) festivals represent a unique subset of mass-gathering events with limited guidance through literature or legislation to guide mass-gathering medical care at these events.

          Hypothesis/Problem

          Electronic dance music festivals pose unique challenges with increased patient encounters and heightened patient acuity under-estimated by current validated casualty predication models.

          Methods

          This was a retrospective review of three separate EDM festivals with analysis of patient encounters and patient transport rates. Data obtained were inserted into the predictive Arbon and Hartman models to determine estimated patient presentation rate and patient transport rates.

          Results

          The Arbon model under-predicted the number of patient encounters and the number of patient transports for all three festivals, while the Hartman model under-predicted the number of patient encounters at one festival and over-predicted the number of encounters at the other two festivals. The Hartman model over-predicted patient transport rates for two of the three festivals.

          Conclusion

          Electronic dance music festivals often involve distinct challenges and current predictive models are inaccurate for planning these events. The formation of a cohesive incident action plan will assist in addressing these challenges and lead to the collection of more uniform data metrics.

          FitzGibbonKM, NableJV, AydB, LawnerBJ, ComerAC, LichensteinR, LevyMJ, SeamanKG, BusseyI. Mass-gathering medical care in electronic dance music festivals. Prehosp Disaster Med. 2017;32(5):563–567.

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            To investigate the patterns of drug use among a sample of people in the rave scene in Perth, Western Australia and test the hypothesis that those who were less experienced in their drug use had less drug-related knowledge. Respondents were recruited through flyers in cafes, clothing and music stores and through snowballing. They were paid $20 for a 1 1/2 hour interview which comprised both qualitative and quantitative components. Respondents were interviewed in cafes or restaurants, private dwellings, agencies or other public spaces. Eighty-three people who had been to a rave in the prior 6 months. Their mean age was 18.9 years (range 13-48) and 53% were male. Brief history of drug use, HIV risk behaviour, knowledge of drug-related harm and side effects experienced from drugs. The group was unremarkable apart from their drug use. Ninety per cent of respondents had ever used LSD, 76% had used ecstasy and 69% had used amphetamines. Before, during or after the last rave attended 52% used cannabis and 35% had used each of amphetamines and LSD. Those who were less experienced in their drug use had less knowledge about drugs. Many respondents began using 'dance drugs' while they were still at school. Those with less drug-using experience may have less drug-related knowledge and may be at greater risk of harm. Strategies should be implemented which involve people in the scene, promoters, health workers and the authorities to reduce drug-related harm associated with raves and other dance events.
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                Author and article information

                Journal
                Prehospital and Disaster Medicine
                Prehosp. Disaster med.
                Cambridge University Press (CUP)
                1049-023X
                1945-1938
                October 2017
                June 19 2017
                October 2017
                : 32
                : 5
                : 563-567
                Article
                10.1017/S1049023X1700663X
                34214367-a36c-403c-b102-2554ef596102
                © 2017

                https://www.cambridge.org/core/terms

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