Evidence map›Paper›PMID 40796818›Full record

Observational studyBMC emergency medicine2025

Providing medical care at mass gathering sporting events: the 2023 Ryder Cup experience.

Cesare Mercalli, Federico Emiliano Ghio, Sara Bonizzato, Barbara Mantellini, Carlo Serini, Paolo Pallavicini, Maria Rosaria Squeo, Andrea Ferretti, Andrew Murray, Luca Carenzo

Abstract readObservational Study
In one paragraph

Observational study in BMC emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Cesare MercalliDepartment of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy.
Federico Emiliano GhioCritical Care Team, I-HELP, Grezzago, Italy.
Sara BonizzatoSport Medicine and Sport Cardiology Unit, MEDITEL, Saronno, Italy.
Barbara MantelliniCritical Care Team, I-HELP, Grezzago, Italy.
Carlo SeriniDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Paolo PallaviciniDepartment of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Maria Rosaria SqueoInstitute of Sport Medicine and Science, National Italian Olympic Committee, Rome, Italy.
Andrea FerrettiInstitute of Sport Medicine and Science, National Italian Olympic Committee, Rome, Italy.
Andrew MurraySport and Exercise, University of Edinburgh, Edinburgh, UK.
Luca CarenzoDepartment of Anesthesia and Intensive Care Medicine, IRCCS Humanitas Research Hospital, Via Manzoni, 56, Rozzano, MI, 20089, Italy. luca.carenzo@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Ryder Cup is a men's golf competition and one of the most high-profile sporting events worldwide, presenting significant challenges for healthcare providers, especially when hosted in non-urban areas. Medical professionals must address sport-related illness and injuries in elite athletes, exacerbations of pre-existing conditions in spectators, and occupational health issues among staff and volunteers. Proper healthcare planning and infrastructure are crucial to reduce the burden on local hospitals and ensure timely care for everyone involved. Aim of the study is to describe the medical plan and assess its effectiveness, along with patient care records to report the epidemiology of illnesses and injuries at the 2023 Ryder Cup.

methodsThe Medical Emergency Services at the 2023 Ryder Cup required careful planning including communication, infrastructures, a field hospital and multiple first aid stations. On-field resources such as patrol crews and transport vehicles ensured rapid response. A multidisciplinary team - including specialized physicians, nurses, and technicians - provided medical care. This retrospective observational study evaluates the medical plan and electronic patient care records.

resultsDuring the six-day event, medical teams treated 513 patients, with a Patient Presentation Rate of 16.5 per 10,000 attendees. Among them, 43% required care at the Main Hospital, while mobile first aid teams (37%) and fixed first aid stations (21%) managed the remaining cases. At the Main Hospital, the most common reasons for assessment included trauma (35%), cardiovascular symptoms (14%), and heat-related illnesses (11%). Minor cases were treated with wound care, cryotherapy, and basic medical assessments.Diagnostic procedures were performed as needed, with 13% of patients undergoing electrocardiogram, 5% receiving point-of-care blood tests, and 4% undergoing ultrasound examinations. The median length of stay at the Main Hospital was 28 min, with 13% of patients requiring extended observation.Most patients (81%) were discharged on-site, while 14% were referred to local ED or specialized medical facilities. The hospital admission rate was 1.0 per 10,000 attendees, with primary reasons for referral including the need for advanced imaging or prolonged observation.

conclusionThe 2023 Ryder Cup medical response system demonstrated the effectiveness of a well-organized on-site healthcare infrastructure in managing mass-gathering emergencies. Future events can benefit from refining medical protocols, enhancing data collection, and strengthening collaboration with local healthcare institutions to optimize patient care and resource utilization.

Indexed as

Athletic InjuriesEmergency Medical ServicesSportsAdolescentAdultAnniversaries and Special EventsFemaleHumansMaleMiddle AgedRetrospective StudiesYoung AdultEmergency medical servicesEvent medicineGolfMass gatheringsSport event

Identifiers

PMID40796818
PMCPMC12345102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.