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Understanding and identifying
potential risks for participants at
         music festivals


                             Ally Hutton
                            Jamie Ranse
                             Paul Arbon
Aim
• To understand the nature of patient
  presentations at outdoor music festivals around
  Australia
  – Develop health promotion
  strategies
  – Effective planning of on
  site services.
Background
• Music festivals (MF)
  produce a higher rate of
  injury than other types of
  Mass Gatherings
• Australian MF bounded,
  and have on-site care
  facilities
• Past; single events are
  written up – difficult to
  generalise to other events
Method
• De-identified OB12s from NSW, SA,
  VIC and QLD
• Entered into a Database
        Presentation                                              Individual
                                                                                                Reason   Description
                       Casualty            Time     Duration of                                 for
Code    Date           No       Time In    Out      Treatment     Birthday     Age       Gender Event
QLDPL   25/09/2010 1            20:10:00   20:23:00 0:13:00       2/04/1974    36        2               Ill in stomach, had not eaten, Dehydration?
QLDPL   25/09/2010 2            20:05:00   20:20:00 0:15:00       3/12/1986    23        1               Not eaten, sweaty, blurred vision
QLDPL   25/09/2010 3            15:25:00   15:37:00 0:12:00       23/09/1991   19        1               Old injury -index finger
QLDPL   25/09/2010 4            15:55:00   15:57:00 0:02:00       23/09/1991   19        1               Old injury - index finger
                                                                                                         Abrasion on knee. Been drinking.
QLDPL   25/09/2010 5            17:03:00   17:16:00 0:13:00       23/02/1989   21        1               Treated with saline, gauze & micro tape
QLDPL   25/09/2010 6            15:38:00   15:39:00 0:01:00       Unknown      Unknown   2               Headache. Requested Paracetamol
                                                                                                         Difficulty balancing. Spinning head.
QLDPL   25/09/2010 7            14:10:00   16:15:00 2:05:00       2/01/1990    20        1               Suspected intoxication
                                                                                                         3 vodka Red Bulls. Felt unwell.
QLDPL   25/09/2010 8            17:03:00   17:16:00 0:13:00       3/05/1986    24        1               Possible food poisoning. Rest & reassurance
Coding
(1) Arbon, Bridgewater & Smith
–   Cardiac (non arrest)
–   Cardiac
–   Respiratory (Nonasthma)
–   Asthma
–   Heat Related Illness
–   Laceration
–   Fracture
–   Drug and Alcohol Related
–   Minor Injury
–   Minor Problem
–   Other
Coding – (2) Data Dictionary
•   Injury
•   Illness
•   Environmental
•   Mental Health
Data - Gender




1181
Presentations across 3 states




                     1198
Data Dictionary



       1575
1128      617
                21
DD Injuries - %
DD- Illness - %
DD – Environmental - %
DD – Outcomes - %
Across events
• Park Life (QLD & VIC)
• Future Music (QLD &
  VIC)
• BDO (SA & VIC)
Park Life
                    Park Life Data Dictionary: Raw Data                                                                                      Park Life Data Dictionary: Overall
                                                                                                                                               19.42%                21.58%
                    80.00
Number of Patient




                    60.00
  Presentations




                    40.00
                                                                                                                                                                                   Injury
                    20.00                                                                                              QLDPL
                     0.00                                                                                                                                                          Illness
                                                                                                                       VICPL
                                                                                                                                                                                   Environmental
                                y




                                                                                                              lth
                                                                                                 l
                                                     s




                                                                                              ta
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                                                   es
                               ju




                                                                                                            ea
                                                                                           en
                                      Illn
                            In




                                                                                                          lH                                                                       Mental Health
                                                                                     nm




                                                                                                        ta
                                                                                    ir o




                                                                                                      en
                                                                                     v




                                                                                                     M
                                                                                  En




                                             Type of Patient Presentation
                                                                                                                                                        58.99%




                                                                                           Park Life Data Dictionary: Overall
                                      Percentage of Patient

                                                              Presentations (5)




                                                                                    70.00
                                                                                    60.00
                                                                                    50.00
                                                                                    40.00
                                                                                    30.00
                                                                                    20.00
                                                                                    10.00
                                                                                     0.00
                                                                                                             Inj ury           Il l nes s   Envi ronmenta l      Menta l Heal th
                                                                                                                           Type of Patient Presentation
Future Music
                     Future Music Data Dictionary: Raw                                                                           Future Music Data Dictionary:
                                   Data                                                                                                    Overall
                                                                                                                                           2.58%
                    60
                                                                                                                                26.18%                         Injury
                                                                                                                                                      35.19%
Number of Patient




                    40                                                                                                                                         Illness
  Presentations




                                                                                                        QLDFM
                    20                                                                                                                                         Environmental
                                                                                                        VICFM
                                                                                                                                                               Mental Health
                     0
                         Injury      Illness                      EnvironmentalMental Health
                                  Type of Patient Presentation
                                                                                                                                         36.05%




                                                                                         Future Music Data Dictionary:
                                                                                                   Overall
                                                                   Presentations (%)




                                                                                       40.00
                                        Percentage of




                                                                                       30.00
                                                        Patient




                                                                                       20.00
                                                                                       10.00
                                                                                        0.00
                                                                                               Injury           Ill ness   Envi ronmental Mental Heal th
                                                                                                            Type of Patient Presentation
Big Day Out
                      Big Day Out Data Dictionary: Raw                                                                                     Big Day Out Data Dictionary: Overall
                                    Data                                                                                                          12.57%
                                                                                                                                                             0.53%
                                                                                                                                                                        24.60%
                    300
                                                                                                                                                                                 Injury
Number of Patient




                    200
  Presentations




                    100                                                                                                                                                          Illness
                                                                                                                    SABDO
                      0
                                                                                                                                                                                 Environmental
                                                                                                                    VICBDO
                              y




                                        s




                                                                                                                                                                                 Mental Health
                                                                                                    .. .
                                r




                                      es
                             ju




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                                    Illn




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                          In




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                                                                                             M




                                     Type of Patient Presentation
                                                                                                                                                   62.30%




                                                                                           Big Day Out Data Dictionary: Overall
                                               Percentage of Patient




                                                                                           70.00
                                                                       Presentations (%)




                                                                                           60.00
                                                                                           50.00
                                                                                           40.00
                                                                                           30.00
                                                                                           20.00
                                                                                           10.00
                                                                                            0.00
                                                                                                           Injury            Il lness   Envi ronmental     Mental Heal th
                                                                                                                        Type of Patient Presentation
What does it mean?
• Categories of presentations are general;
  - give us an insight into the various ways
  people are presenting at these events
• What is known anecdotally is confirmed
  through quantitative data
• Gives us a platform for further research
• Data from single events confirmed across the
  4 states
  – Illness and injury the main presentations
  – Followed by drug and alcohol
Understanding and identifying potential risks for participants at music festivals

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Understanding and identifying potential risks for participants at music festivals

  • 1. Understanding and identifying potential risks for participants at music festivals Ally Hutton Jamie Ranse Paul Arbon
  • 2. Aim • To understand the nature of patient presentations at outdoor music festivals around Australia – Develop health promotion strategies – Effective planning of on site services.
  • 3. Background • Music festivals (MF) produce a higher rate of injury than other types of Mass Gatherings • Australian MF bounded, and have on-site care facilities • Past; single events are written up – difficult to generalise to other events
  • 4. Method • De-identified OB12s from NSW, SA, VIC and QLD • Entered into a Database Presentation Individual Reason Description Casualty Time Duration of for Code Date No Time In Out Treatment Birthday Age Gender Event QLDPL 25/09/2010 1 20:10:00 20:23:00 0:13:00 2/04/1974 36 2 Ill in stomach, had not eaten, Dehydration? QLDPL 25/09/2010 2 20:05:00 20:20:00 0:15:00 3/12/1986 23 1 Not eaten, sweaty, blurred vision QLDPL 25/09/2010 3 15:25:00 15:37:00 0:12:00 23/09/1991 19 1 Old injury -index finger QLDPL 25/09/2010 4 15:55:00 15:57:00 0:02:00 23/09/1991 19 1 Old injury - index finger Abrasion on knee. Been drinking. QLDPL 25/09/2010 5 17:03:00 17:16:00 0:13:00 23/02/1989 21 1 Treated with saline, gauze & micro tape QLDPL 25/09/2010 6 15:38:00 15:39:00 0:01:00 Unknown Unknown 2 Headache. Requested Paracetamol Difficulty balancing. Spinning head. QLDPL 25/09/2010 7 14:10:00 16:15:00 2:05:00 2/01/1990 20 1 Suspected intoxication 3 vodka Red Bulls. Felt unwell. QLDPL 25/09/2010 8 17:03:00 17:16:00 0:13:00 3/05/1986 24 1 Possible food poisoning. Rest & reassurance
  • 5. Coding (1) Arbon, Bridgewater & Smith – Cardiac (non arrest) – Cardiac – Respiratory (Nonasthma) – Asthma – Heat Related Illness – Laceration – Fracture – Drug and Alcohol Related – Minor Injury – Minor Problem – Other
  • 6. Coding – (2) Data Dictionary • Injury • Illness • Environmental • Mental Health
  • 9. Data Dictionary 1575 1128 617 21
  • 14. Across events • Park Life (QLD & VIC) • Future Music (QLD & VIC) • BDO (SA & VIC)
  • 15. Park Life Park Life Data Dictionary: Raw Data Park Life Data Dictionary: Overall 19.42% 21.58% 80.00 Number of Patient 60.00 Presentations 40.00 Injury 20.00 QLDPL 0.00 Illness VICPL Environmental y lth l s ta r es ju ea en Illn In lH Mental Health nm ta ir o en v M En Type of Patient Presentation 58.99% Park Life Data Dictionary: Overall Percentage of Patient Presentations (5) 70.00 60.00 50.00 40.00 30.00 20.00 10.00 0.00 Inj ury Il l nes s Envi ronmenta l Menta l Heal th Type of Patient Presentation
  • 16. Future Music Future Music Data Dictionary: Raw Future Music Data Dictionary: Data Overall 2.58% 60 26.18% Injury 35.19% Number of Patient 40 Illness Presentations QLDFM 20 Environmental VICFM Mental Health 0 Injury Illness EnvironmentalMental Health Type of Patient Presentation 36.05% Future Music Data Dictionary: Overall Presentations (%) 40.00 Percentage of 30.00 Patient 20.00 10.00 0.00 Injury Ill ness Envi ronmental Mental Heal th Type of Patient Presentation
  • 17. Big Day Out Big Day Out Data Dictionary: Raw Big Day Out Data Dictionary: Overall Data 12.57% 0.53% 24.60% 300 Injury Number of Patient 200 Presentations 100 Illness SABDO 0 Environmental VICBDO y s Mental Health .. . r es ju .. lH Illn n. In ta ir o en v En M Type of Patient Presentation 62.30% Big Day Out Data Dictionary: Overall Percentage of Patient 70.00 Presentations (%) 60.00 50.00 40.00 30.00 20.00 10.00 0.00 Injury Il lness Envi ronmental Mental Heal th Type of Patient Presentation
  • 18. What does it mean? • Categories of presentations are general; - give us an insight into the various ways people are presenting at these events • What is known anecdotally is confirmed through quantitative data • Gives us a platform for further research • Data from single events confirmed across the 4 states – Illness and injury the main presentations – Followed by drug and alcohol

Notas do Editor

  1. Going to have to say what is in each of the DD catgories
  2. DD allows you to drill down to specifics Includes Mental Illness