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Mass-gathering EMS and hospital surge planning

Integrating emergency medical services and hospital surge capacity for mass-gathering preparedness: a structured narrative review
Frontiers in Medicine · 2026-09-28 · Added 15 October 2026

Structured narrative review of EMS and hospital surge integration for mass gatherings found median presentation rates around 6.2 per 1,000 attendees and transport rates of 0.35 per 1,000, but hospital effects too heterogeneous for firm conclusions.

Study type
Systematic review
Design
Structured narrative review (2010–September 2026)
Participants
Synthesis of prior reviews (41- and 22-study event analyses); no new cohort
Main finding
Median 6.2 patient presentations and 0.35 transports per 1,000 attendees; event-associated ED changes ranged from 7.5–37% decreases to an 83% increase in specific settings
Caveat
Narrative synthesis with inconsistent denominators — no pooled effect estimates
Bottom line
Context only

Why it matters in Australia (Medium relevance). Mass-gathering planning is a real part of Australian ambulance work, but the evidence base spans very different event and health-system models.

Learning goal

Understand how prehospital planning and hospital surge capacity interact during mass-gathering events in Australia.

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