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AI-DRAFTED — PHYSICIAN REVIEW IN PROGRESSThe citation for this entry was checked against Crossref and PubMed, but its summary and interpretation were drafted by an AI model from the published abstract and have not yet been individually read by a physician. Read the linked source before relying on this operationally.
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Investigation of Trauma Cases Presented to the In-Event Health Care Services in Mass Gatherings: A Systematic Review[1]

Ekrem Cebi G, Ertan A, Ege Zilan D, Kocak H, Kinik K, Bek Yagmur O, Caliskan C · 2026 · J Emerg Med

Summary

PRISMA systematic review (PubMed/WoS/Scopus, 2015-2025; 18 studies) of trauma presentations to in-event health services at mass gatherings. Trauma's share of on-site patients ranged 11.7% (Guadalajara Book Fair) to 81.7% (European Youth Olympic Winter Festival). Soft-tissue injuries were most prevalent (13-42.3%), then musculoskeletal (3-35.7%); events with mosh-pit behavior showed distinct clustering of head and facial injuries (65%). Concludes trauma burden is highly heterogeneous, driven by event type and participant behavior, and supplies a practical trauma-preparedness checklist for in-event services.

So what

The trauma-fraction complement to the PPR literature: it quantifies WHAT the patients are, not just how many, across a 7-fold spread by event type — winter youth sport at the top, seated cultural events at the bottom, and a 65% head/facial clustering in mosh-pit events that independently confirms the Janchar acuity-geography finding a quarter century later. The included checklist gives MGMI's planning pages a citable modern trauma-preparedness tool, and the 2015-2025 window makes it the freshest event-trauma synthesis available.

Key findings

  • 18 studies 2015-2025: trauma 11.7-81.7% of in-event presentations by event type
  • Soft tissue (13-42.3%) then musculoskeletal (3-35.7%) dominate
  • Mosh-pit events: 65% head/facial injury clustering - confirms Janchar 2000
  • Winter youth sport highest trauma share; seated cultural events lowest
  • Includes practical trauma-preparedness checklist for in-event services

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