Attentive Medical Care
Creators: name: Hopkins, E R
Publisher: name: Zenodo
Year: 2015
Subjects: Festival
First responder
Pre-hospital care
Wilderness medicine

description: Abstract:

Festivals have taken the UK by storm. With over 500 events this summer you might begin to feel hard pressed to find a field which hasn’t been graced by tents. Within the crowds lurk medical ailments, ill prepared campers and increased risk taking behaviours. Illegal and “legal” drugs are rife in festival environments, and their dynamic market place means that their effects can be unpredictable and ultimately fatal. Helathcare provision at festivals is therefore vital. Festival medical services is a charitable organisation that specialises in events. They provide medical cover for many festivals in the UK, including the big names such as Glastonbury and Reading. In return, the money given by festivals is donated to helathcare charities in developing countries.

It is the job of the First Responders to patrol the site, and provide initial care on scene. Radio calls to unconscious patients bounce around on headsets, providing a rough location through grid references. In the dark, with demanding terrain, and throngs of people, the reality of finding patients transpires as a challenge. Liaison with event stewards and security staff becomes essential for safe arrival on scene. Initial assessment of a patient’s condition; especially in patients that are time critical requires a clear head and an ability to recall previous experience and training. The correct action using simple but effective adjuncts and followed by effective communication to medical control allows the correct dispatch of transport and ultimately the engagement of healthcare professionals with more developed skills sets. 

So what happens in the field? This poster creates a summary of the role of a First Responder at festivals, including an outline of the essential kit carried. An example case presentation of an unresponsive patient will be used to exemplify the pathway from pre-hospital to definitive care.

References:

1. Halliwell, D., et al., <em>The revision of the primary survey: a 2011 review.</em> Journal of Paramedic Practice, 2011. <strong>3</strong>(7): p. 366-374.

2. Iedema, R., et al., <em>Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'.</em> BMJ Qual Saf, 2012. <strong>21</strong>(8): p. 627-33.

3.  Parry, D., <em>FREC L3 course, Festival Medical services </em>E. Hopkins, Editor. 2015: Shepton Mallet.

4. Wardrope, J., C. Laird, and P. Driscoll, <em>The ABC of community emergency care: 1 Introduction, series summary, the system of care.</em> Emergency Medicine Journal, 2004. <strong>21</strong>(1): p. 89-94.

5. Wardrope, J. and R. Mackenzie, <em>The ABC of community emergency care: 2 The system of assessment and care of the primary survey positive patient.</em> Emergency Medicine Journal, 2004. <strong>21</strong>(2): p. 216-225.
description: {"references": ["1.\tHalliwell, D., et al., The revision of the primary survey: a 2011 review. Journal of Paramedic Practice, 2011. 3(7): p. 366-374.", "2.\tIedema, R., et al., Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf, 2012. 21(8): p. 627-33.", "3.\tParry, D., FREC L3 course, Festival Medical services E. Hopkins, Editor. 2015: Shepton Mallet.", "4.\tWardrope, J., C. Laird, and P. Driscoll, The ABC of community emergency care: 1 Introduction, series summary, the system of care. Emergency Medicine Journal, 2004. 21(1): p. 89-94.", "5.\tWardrope, J. and R. Mackenzie, The ABC of community emergency care: 2 The system of assessment and care of the primary survey positive patient. Emergency Medicine Journal, 2004. 21(2): p. 216-225."]}