Episode Videos

Episode Audio

Show Notes

Episode Summary

In this episode, the team discusses the intricacies of event medicine, focusing on setup, logistics, and pre-planning required for various events, ranging from small community gatherings to large-scale events like the Republican National Convention (RNC) in Cleveland. They emphasize the importance of proper planning to avoid poor performance and share insights from their experiences.

Key Topics Covered

1. Introduction

   • Introduction of regular crew and special guest Laura Frost.

   • Overview of the episode's focus on event medicine.

2. Importance of Pre-Planning

   • The necessity of spending time on planning, especially for large events.

   • Example of the RNC and the significant planning involved.

   • Discussion on the Canfield Fair, the second largest fair in Ohio, and its logistics.

3. Event Medicine in Different Settings

   • Examples of various events requiring medical planning: air shows, marathons, parades, and concerts.

   • Specific challenges related to different types of events.

4. Access and Mobility Issues

   • Strategies to manage access for emergency vehicles during events.

   • The impact of blocked roads and large crowds on emergency response.

   • Solutions like staging ambulances outside crowded zones and using ATVs for patient transport.

5. Communication and Coordination

   • The importance of effective communication channels, including the use of radio systems and the challenges with simplex talk-around channels.

   • Coordination with local hospitals and other emergency services.

   • Example of how communication is managed during the Cleveland Marathon.

6. Facility Setup and Environmental Considerations

   • Setting up field hospitals and ensuring they are equipped with necessary supplies.

   • Managing environmental challenges such as heat and cold.

   • Importance of having a cooling or heating plan depending on the time of year.

7. Security and Safety

   • Ensuring the safety of medical staff and securing medical facilities and equipment during large, potentially unruly events.

   • Planning for worst-case scenarios like active shooters or mass casualty incidents.

8. Supplies and Equipment Management

   • Planning for the availability and replenishment of medical supplies and equipment.

   • The role of backup plans for resupply during extended events.

   • Importance of having a gopher or runner for logistical support.

9. Limited Diagnostics and Treatment

   • Challenges of providing care with limited diagnostics and equipment in field settings.

   • Decision-making processes for transporting patients to hospitals.

10. Credentialing and Regulatory Compliance

    • Ensuring all staff are properly credentialed and cleared for access, especially in high-security events.

    • Managing pharmaceuticals and adhering to regulatory requirements for drug storage and administration.

11. Daily Briefings and After-Action Reviews

    • Conducting daily briefings to align on the day's plan and address any issues.

    • Importance of after-action reviews to learn from each event and improve future planning.

Memorable Quotes

• Scott Wildenheim: "Proper planning can save you a lot of headaches down the line, whether you're planning for a small community event or a large-scale convention."

• Dr. John Hill: "In a resource-limited environment, every decision counts. Having the right tools and the ability to make quick decisions can make all the difference."

• Laura Frost: "Communication is key. Knowing who to call and having established relationships can help you navigate through any crisis."

From The Episode