Download - Mass gathering
Mass Gatherings
By !!!
Dr. SUTHEE INTHARACHAT MD. EP.
Definition
! Events attended by a sufficient number of people to strain the planning and response resources of the host community, state/province, nation, or region where it is being held
Definition
• Planned event!
• A specified number of persons (least > 1,000 )!
• At a specific location, for a specific purpose!
• Requires Multi-Agency coordination
Components of medical action plan
Physician medical oversight• Indirect medical oversight : Protocols
• Direct medical oversight
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Command and controlIncident
Command
Planning section Operation section Logistic sectionFinance/
Administration section
Information Officer Liaison officer
Safety officer
What ICS is Designed To Do
› Meet the needs of incidents of any kind or size.
› Allow personnel from a variety of agencies and organizations to meld rapidly into a common management structure.
› Provide logistical and administrative support to operational staff.
› Be cost effective by avoiding duplication of efforts.
ICS Organization
Incident Command
Planning section Operation section Logistic sectionFinance/
Administration section
Information Officer Liaison officer
Safety officer
Reconnaissance (Exploration)
• Risk ?!
• Planning ?
Negotiations• Team work approach !
• Communication and agreements
Human resources!(Level of care/Training)
• BLS/ACLS!
• ATLS!
• PHTLS!
• BDLS/ADLS
Treatment facility and Equipment
Treatment facility and Equipment
Treatment facility and Equipment
Public health
Documentation
• Access to care : public!
• Communications : Not linked!
• Liability (Responsibility) : Members!
• Continuous quality improvement
Internal Risk
• Most common!
• Alcohol or drugs!
• Water in hot weather!
• Protest or meetings of political
External Risk
• most important!
• Dignitary (National or International)!
• Terrorists!
• EMS : Dedicated to dignitary and readiness for MCI
Terrorism
Security Service
Advance Preparation
• Level of security
• Special preparation depend on events
Dignitary Medical Care
• Physicians and staff of nurse
• Hospital (Level ?)
Security Zone
• 3 zone !
• Cold zone (Public)!
• Warm zone (ID)!
• Hot zone (Highest level)
Plans
• High risk mass gatherings = Hight level of security!
• Planning books : information!
• Preparation
Chronology• Event lists!
• Building and location
Personnel
Hospitals
• Local hospital !
• Emergency Department!
• Busy !
• Space for preparation
Joint Information Center
Venues (Staging area)
Communications
• Correct and easy communication!
• Section lists phone numbers!
• Fixed facilities ?
Mutual Aid
• EMS planning : other EMS (private or volunteer)!
• Retain communication!
• ICS
Medical
• Medical aids!
• BLS and ALS transport!
• Full equipments!
• On site medical care team
Media Sites• Specific Room or Area!
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Protestors• Certain area!
• Medical service : prevent verbal and physical!
• SCBA or gas masks or PPE
Maps/Building Plans• IN and OUT
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Onsite Transport
Food and Water
On-site Wreckers
Dispatch and Communication
• Dispatch centers for fire and EMS : Extra dispatcher!
• Separate dedicated channels
Helicopter Landing Site
Victim Assistance Center
• Psychological supports!
• Food and refreshments
Signage
Dead Bodies
Learning points• Overcrowding and crowd control!
• Event access points!
• Fire safety measures!
• Medical preparedness!
• Emergency response
Overcrowding and Crowd Control
Event access points
• Prolonged response time!
• Access point : Entrance and Exit
Fire safety measures
Medical preparedness
Hospital preparedness deficiencies
Medical preparedness
Emergency response • Poor communication
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