1. Current challenges in event EMS

Mass gatherings strain local EMS and can slow response for nearby residents. Venue density, road closures, and higher call volume add friction. These conditions increase operational risk and delay time to care.

PMID 15571196

2. Overuse of ambulance and municipal EMS

A large share of event encounters are low acuity and manageable on site. Unnecessary transports reduce ambulance availability for true emergencies and shift costs to patients and systems.

PMID 10179212, PMID 17591185

3. Operational constraints at venues

Event medicine runs with minimal infrastructure. Teams are dispersed. Connectivity is intermittent. Dispatch tools must be simple, robust, and ready for radio-first operations.

PMID 17591185

4. Benefits of volunteer EMS models

Volunteer teams provide triage and non-transport care on site. This reduces unnecessary transports, supports surge capacity, and lowers costs for patients while preserving ambulance readiness.

PMID 37983354

5. Non-transport care at scale

Large venues can resolve many cases in a field clinic with clear escalation rules. This helps reduce emergency department crowding and ensures transport only when medically necessary.

PMID 10179212, PMID 17591185

6. Value of a focused open-source tool

A lightweight CAD for within-venue operations improves coordination and documentation. It supports faster team posting, clearer status tracking, and smoother handoffs to municipal EMS while enabling quality improvement through data summaries.