Pocono Raceway Mass Event Planning Presented by: Michael Wargo Director, Medical Operations Lehigh Valley Health Network Division of E.M.S. Pocono International Raceway Established in 1968 by Dr. Joseph Mattioli First race was on a ¾ mile track (no-longer exists) First 500 mile race was in 1971 with the Indy Racing League (IRL) First 500 mile NASCAR race was held in 1974 New York as the #1 TV market Philadelphia as the #4 TV market Pocono is in the Magic Triangle - New York, Philadelphia and Pocono Raceway are all 90 miles away from each other Pocono is within 200 miles of 60 million people and when you consider that the average NASCAR SPRINT Cup fan travels 300 miles, we are in the highest population density of any other SPRINT Cup track 1
Pocono Raceway Demographics 2.5 Mile raceway 150,000 available seat 100,000 available infield spectators 6 square miles of property 2 NASCAR events annually Physical Layout Medical Model of Care Track Service TEAM approach Focus relies heavily on the LOCAL Providers and Resources NASCAR Nurse Liaison coordination Education and Training 2
On-Track Medical Director The Evolution of Medical Care in NASCAR Track Services TEAM approach An organized scientific research & development team and center An organized medical oversight group and Nurse Liaison team Annual track services training, didactic and practical Annual safety summit PA 500 2009 436 total patient encounters 231 assessed and treated by a physician 46 transports to a higher level of care, 11 by air medical services 35 by ground EMS 46 % trauma related injuries 3
Event Medicine Racetrack Medical Services NOT A SUBSTITUE FOR HOSPITAL EMERGENCY DEPARTMENT Provide cursory medical care for convenience and illness / injury prevention Advanced Medical Care to temporize until arrival at definitive medical care Medical Resources On Site Track Services TEAM FIRE/Rescue EMS Care Center Staff & Resources Air Medical Service NASCAR Officials Medical Resources 5 on-track ALS units 2 PIT/ GARAGE ALS response units 1 on-track physician response unit 1 on-track EMS Command Unit - Chase Truck 1 Primary Care Center 1 Air Medical Helicopter 1 Dedicated ALS Transport Unit Medical Model of Care Medical Pit Crew Multidimensional Approach: 1. Chaplin 2. Communication 3. EMT s/technical Partners 4. Paramedics 5. Registered Nurse 6. Pre-Hospital Registered Nurses 7. Physician s Assistants 8. EM Residents PGY 3-4 9. Emergency Attending Physician s 10. Trauma Attending 11. Flight Crew: 1. Pilot 2. Nurse 3. Paramedic NASCAR Resources 3 Medical Director Physicians 5 Nurse Liaisons 3 Series: Cup, Nationwide & Truck 2 Countries Primary Contact to NASCAR Historian & Record Keepers Safety Experts 4
NASCAR: Medical Model of Care On-Site Resources Primary medical care center Medical management critical care capable Trauma management critical care capable 2 additional care centers 1 Critical care capable 1 Basic First Aid 18 Ambulances 11 ALS 6 BLS 1 Air Medical 5 Quick Response Vehicles 1 Physician Response Vehicle 2 ALS PIT Gators 1 ALS & 1 BLS Grandstand Response Gators 88 Licenses/Certified medical providers Off-Site Resources 3 Local Acute Care Hospitals Geisinger W.V. Pocono Medical Center Lehighton ht Hospital 4 Trauma Centers Lehigh Valley Health Network St. Luke s Hospital Geisinger W.V. Geisinger Danville Hyperbaric Center University of PA Phila. Eastern EMS Region Medical Pit Crews Resuscitation Teams 1. Trauma Resuscitation Participant Care vs. Spectator Care 2. Medical Resuscitation Participant Care vs. Spectator Care Training the Pit (Medical) Crews Practice Makes Perfect Individual commitment to a group effort - that is what makes a team work, a company work, a society work, a civilization work. -Vince Lombardi- 5
Lehigh Valley Health Network MedEvac Air Medical Transport out of Pocono Challenges faced: Event Medicine Practice Hospital ER Care vs. Field ER Care Integration of Para-medicine into Emergency Nursing and Medicine Realization of limited facilities, equipment and supplies on-site. Community Response vs. Track Response Design of high performance vehicles vs. commercial vehicles Grandstand Medical Response Teams 6
Challenges Hospital ER Care vs. Field ER Care Immediately available resources Depth of resourcesrces Fixed facilities Controlled environment Security HELP is just around the corner Integration of Para-medicine into Emergency Nursing and Medicine Pre-Hospital focused care Event medical care Resource limitations Innovation: Thinking outside the ER box Adaptability Broad performance of skills 7