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Simulated-Scenario and Peer-Mentorship Curriculum to Train Prehospital Providers in the Practice of Mass Gathering Medicine

Published online by Cambridge University Press:  02 November 2021

Enzo G. Plaitano Open the ORCID record for Enzo G. Plaitano [Opens in a new window] ,
Bianca L. Pate ,
Elana F. Everett ,
Sarah K. Golden ,
Raymond A. Levy  and
Kevin M. Ryan Open the ORCID record for Kevin M. Ryan [Opens in a new window]
Enzo G. Plaitano*
Affiliation:
Boston University Emergency Medical Services, Boston, MA, USA Boston University School of Medicine, Boston, MA, USA
Bianca L. Pate
Affiliation:
UPMC Prehospital Care Program, Pittsburgh, PA, USA
Elana F. Everett
Affiliation:
Boston University Emergency Medical Services, Boston, MA, USA
Sarah K. Golden
Affiliation:
Boston University Emergency Medical Services, Boston, MA, USA Boston University School of Medicine, Boston, MA, USA
Raymond A. Levy
Affiliation:
Boston University Emergency Medical Services, Boston, MA, USA
Kevin M. Ryan
Affiliation:
Boston University Emergency Medical Services, Boston, MA, USA Boston University School of Medicine, Boston, MA, USA
*
Corresponding author: Enzo G. Plaitano, Email: enzop@bu.edu.
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Abstract

Objective:

A mass gathering medicine training program was established for a 7,200-seat arena. The objectives of this study were to describe the program schema and determine its impact in preparing novice emergency medical technicians (EMTs) to manage the difficulties of large-venue emergency medical services (EMS).

Methods:

Optional, anonymous surveys were administered to EMTs. Novice EMTs were assessed pre-/post-program implementation, and both novice and experienced EMTs completed self-reported Likert scales. Data were analyzed with nonparametric methods.

Results:

A total of 43/56 responses (response rate = 76.8%) were received. Only 37.2% of providers felt prepared to work mass gatherings before the training, and 60.5% stated that their previous education did not prepare them for large-venue challenges. After the training program, novice EMTs were significantly associated with increased knowledge of large-venue EMS procedures (P = 0.0170), higher proficiency using extrication equipment (P = 0.0248), increased patient care skills (P = 0.0438), and both increased confidence working events (P = 0.0002) and better teamwork during patient encounters (P = 0.0001). The majority of EMTs reported the program as beneficial.

Conclusion:

Upon hire, EMS providers felt unprepared to work large-venue EMS. The analyses demonstrated that this training program improved select large-venue emergency skills for prehospital providers and may fill a gap in the education system regarding mass gathering medicine.

Keywords

disaster medicineemergency medical servicesemergency preparednessmass gathering medicinepatient simulation
Type
Brief Report
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e59
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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