Current through Register Vol. 51, No. 19, September 20, 2024
An applicant shall ensure that emergency medical services
will be provided on-site for the duration of an outdoor musical festival,
including from the time of the initial arrival of spectators until the
departure of spectators, as evidenced by:
A. An emergency medical services plan that
includes:
(1) The expected number of
individuals that will attend;
(2)
Details of arrangements and copies of contracts made to satisfy the
requirements of this regulation;
(3) Confirmation that the local
jurisdictional emergency medical services operational program and hospital
emergency department have been notified of the location, date, and expected
number of attendees of the outdoor musical festival;
(4) Approval of the plan by the local
jurisdictional emergency medical services operational program;
(5) Confirmation of a communication system
capable of contacting fire, rescue, police, and 9-1-1 services; and
(6) Procedures for the documentation and
tracking of patient care and transport;
B. A plan providing emergency medical staff
in the following ratios:
(1) Fewer than 5,000
people, a minimum of two first responders who are:
(a) Licensed or certified in Maryland in
accordance with Education Article, §13-516, Annotated Code of
Maryland;
(b) Trained in CPR and
the use of automatic defibrillators; and
(c) Functioning under an emergency medical
services operational program as defined in COMAR
30.02.01.01B;
(2) From 5,000-10,000 people, a
minimum of:
(a) Four first responders who are:
(i) Licensed or certified in Maryland in
accordance with Education Article, §13-516, Annotated Code of
Maryland;
(ii) Trained in CPR and
the use of automatic defibrillators; and
(iii) Functioning under an emergency medical
services operational program as defined in COMAR
30.02.01.01B;
and
(b) Two advanced
life support providers who are:
(i) Licensed
or certified in Maryland in accordance with Education Article, §13-516, Annotated Code of
Maryland; and
(ii) Functioning
under an emergency medical services operational program as defined in COMAR
30.02.01.01B;
and
(3) More
than 10,000 people, a minimum of:
(a) Four
first responders who are:
(i) Licensed or
certified in Maryland in accordance with Education Article, §13-516, Annotated Code of
Maryland;
(ii) Trained in CPR and
the use of automatic defibrillators; and
(iii) Functioning under an emergency medical
services operational program as defined in COMAR
30.02.01.01B;
(b) Two advanced life support
providers who are:
(i) Licensed or certified
in Maryland in accordance with Education Article, §13-516, Annotated Code of
Maryland; and
(ii) Functioning
under an emergency medical services operational program as defined in COMAR
30.02.01.01B;
(c) One physician licensed in the
State; and
(d) One advanced life
support ambulance and crew functioning under an emergency medical services
operational program as defined in COMAR
30.02.01.01B;
C. A plan for a health
assessment and treatment area that is:
(1) An
enclosed area that is environmentally controlled to provide protection against
extremes of heat or cold;
(2)
Equipped with cots and blankets;
(3) Well lighted and ventilated;
and
(4) Maintained in a clean and
sanitary condition;
D. A
plan for equipment necessary to implement Maryland Medical Protocols for
Emergency Medical Services Providers to treat the expected number of injuries
anticipated at the outdoor musical festival, which includes:
(1) First aid supplies;
(2) Defibrillation equipment, including at
least one automated external defibrillator with portable oxygen
device;
(3) Supplies and equipment
necessary for the staff required in §B of this regulation to deliver care
according to Maryland Medical Protocols for Emergency Medical Services
Providers; and
(4) Supplies and
equipment necessary for the staff to maintain precautions against disease
transmission; and
E. A
plan for transportation in the event an individual requires additional care,
which includes:
(1) An agreement of the local
emergency medical services operational program to provide ambulance service;
or
(2) A contract with a Maryland
licensed commercial ambulance service to provide ambulance service.