title: An analysis of use of crowd medical services at an English football league club.
abstract: OBJECTIVE
  Although crowd medical services in English league football are common, there is little data examining the use of such services. The aim of this study was to provide detailed data by examining the usage of the Crowd Medical Service at a First Division Football Club (Millwall FC) over six Football League seasons. This usage has implications in terms of resources, provision of level of service and training needs of staff.
  
  
  METHODS
  A prospective data collection form was designed and used to capture all episodes of care over the length of six football league seasons, each approximately 9 months in duration which resulted in a census of activity. This included episodes that did not normally require detailed documentation for statutory purposes, such as informal advice.
  
  
  RESULTS
  There were 445 episodes of care recorded over 146 home games. Over six years presentation was consistent. This gives a mean of 3.14 episodes per game (2.7-4.1). There is little research in this area and so it is difficult to compare uptake with other clubs. The episodes of care were broadly grouped into medical (67.0%) or injury (33.0%). Most of those presenting did so with non-emergent (pre-existing) medical problems or minor injuries. Staff (for example Stewards) made up 44% of consultations. One hundred and eight people had a primary and secondary reason for presenting. Such episodes are more time consuming and in turn have an impact on resources. Some stated they had presented because of ease of access to the service, they found access to their General Practitioner (GP) difficult or were not registered with a GP at all.
  
  
  CONCLUSIONS
  The principal focus of a crowd medical service is to manage a major incident and medically emergent spectators. The majority of presentations were minor injuries and pre-existing medical conditions. In addition staff make up a significant proportion of the users. Some re-focussing of guidance is therefore necessary if these results are typical of English League Football. In turn this reflects a need for more education in the management of minor injuries and chronic disease management and recognition in training and service provision.
authors.affiliation: Millwall FC, The Den, Zampa Road, London, UK. alison.leary@uclh.nhs.uk
authors.forename: Alison
authors.initials: A
authors.lastname: Leary
authors.forename: Peter
authors.initials: P
authors.lastname: Greenwood
authors.forename: Barry
authors.initials: B
authors.lastname: Hedley
authors.forename: Jim
authors.initials: J
authors.lastname: Agnew
authors.forename: Desmond
authors.initials: D
authors.lastname: Thompson
authors.forename: Geoffrey
authors.initials: G
authors.lastname: Punshon
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D004632:Emergency Medical Services / Q000706:statistics & numerical data*; D004739:England; D006801:Humans; D007223:Infant; D007318:Inservice Training; D008875:Middle Aged; D020380:Needs Assessment; D011446:Prospective Studies; D012916:Soccer; D000078329:Workforce; D014947:Wounds and Injuries / Q000628:therapy