Throughout my career, I've often had to wear many hats during an event - production director, customer service agent, even site custodian when the situation required it. Thankfully, one role I've rarely found myself in is having to act as my event's medical response technician. I'm not the least bit upset about this - aside from the fact that I like to avoid stranger's bodily fluids whenever possible, medical response is one of those rare specialties that not everyone can (nor should) step in to. Given the type of projects I commonly work on, I rarely consider conducting an event without a trained medical response team on-site. Yet I've been to many similar events where the medical response plan amounts to a cell phone, an intern, and a box of Band-Aids. Macgyver may approve, but the producer (and father) in me simply shudders at the ramifications.
Unless you're working in the outer fringes of event production (rock concerts, large festivals, extreme-sporting events), having an on-site medical response team may be one of those items you simply haven't considered necessary. After all, it's commonly thought that if something goes wrong, it's both easier and cheaper to simply call 911. And for 90% of your events, that's probably true. However, it only takes one major injury and botched, untimely response to ruin your event, damage your reputation, and open yourself up to lawsuits. This goes for all types of events - outdoor weddings, religious festivals, even company meetings. If your event carries the potential for injury (beyond simple first aid), you should seriously consider having a medical team on-site for the duration of your event.
In most cases, the potential benefits far outweigh the costs. Not only will an on-site team be able to respond to medical calls quickly, they'll likely be able to treat many minor injuries without having to call for "outside" medical assistance (believe me, nothing raises a red flag with city officials quite like a report from emergency services detailing dozens of response calls to your event). Additionally, you may be able to reduce your insurance obligations and lessen your potential liability by having an in-house medical team. Perhaps most importantly, having an on-site medical team shows that you care about the well-being of your guests, and will solidify good will from your clients and operating jurisdiction.
So how does one determine if they should have a medical team on-site for their event? Consider the following factors:
The size of your event - The largest factor in determining your medical response needs is the anticipated attendance of your event. Generally speaking, if you are expecting more than 1000 attendees, you should arrange to have an medical team on-site, regardless of the event type. The larger your event is, the more medical staff you should have available. Although the recommended MINIMUM number of response staff is 2 per 10,000 guests, I would advise doubling this number to 4 (two response teams). Likewise, that 1000-person figure should be used as a reference point only - based upon other considerations, you may have well below that number of guests in attendance and still require an on-site response team.
The type of event - After event attendance, the type of event you're producing should be considered. More specifically, the activities that will be taking place during the event. If you're producing a typical sit-down corporate meeting, then you won't need an on-site medical team in most cases. However, if you're putting together an outdoor music festival, you almost always will. This is a matter of sheer mechanics - the more people are moving around, the more likely they are to be injured.
Length of event - The hours during which the event will take place and the overall duration of the event are very important. Given the environmental conditions and chance of fatigue, an all day event is more likely to necessitate an on-site team than on lasing a few hours.
Demographics - the demographics of your audience will also play a roll in determining your event's medical needs. A younger, more active crowd will usually necessitate several on-site response teams, while an older, more reserved audience of the same size may not require none at all. This is not always the case, however. Think back to the corporate meeting we discussed earlier - if you were expecting hundreds of older guests at a shareholders meeting, having a medical team on-site would be a sensible decision.
Environmental Characteristics - How large is your event site? Is are activities taking place inside or outside? On pavement, or on grass? Out in the open, or under tents? Are there buildings nearby? Trees? Access to water and facilities? All aspects of your event's environment should be identified and analyzed to determine their impact on your guest's health. If the event conditions present a potential hazard (i.e uneven turf), or does not mitigate a potential hazard (for example, access to shade in the event of extreme heat), then you should have an on-site medical team throughout your event. If the layout of your event makes getting to certain areas difficult, you may want to consider several teams scattered throughout the event site.
Event location - Where is your event site in relation to the nearest major roadway? Hospital or other care facility? How long would it take an ambulance to respond if one is needed? If the answer to any of these questions is "Too far", "Too long" or "I don't know", then consider having a medical team on-site. The decision could be a lifesaving one.
Jurisdictional requirements - Sometimes, the decision to have an on-site medical team is made for you by the jurisdiction your event takes place in. Does your special events licence specify your medical requirements? If not, don't simply assume you're in the clear - place a friendly call to your local police chief and inquire. It'll save you numerous headaches later on.
You'll notice that there's one consideration I have not included in this list - cost. The reason for this is simple. If after addressing all other considerations you still haven't decided AGAINST having an on-site medical staff, then you need one. Cost should not be used as a deciding factor - doing so is gambling with the welfare of your guests.
Stay tuned for part two of this post, detailing what you should look for in a medical services provider, and more information on how to effectively establish your medical staffing levels.