15 comprehensive sections covering risk assessment, toxicology, heat illness, crowd crush, resuscitation, incident management, clinical operations, and quality improvement
Chapter 1: Event Risk Assessment & Planning
1.1 The Australian Context (NSW default)
1.2 NSW Festival Guidelines Integration
1.3 NSW Festival Compliance Checklist
1.4 Risk Modelling & Arson Protocol
1.5 Staffing Models
Chapter 2: Jurisdictional Frameworks
2.1 National Regulation (AHPRA)
2.2 Legislation: Drugs, Poisons & Health Acts
2.3 Ambulance Liaison & Escalation
Chapter 3: Legal & Ethical Considerations
3.1 Duty of Care
3.2 Consent, Capacity & Restraint
Chapter 4: Clinical Pharmacology & Governance
4.1 Medication Governance & Safety
4.2 Scope of Practice Tables
4.3 OTC medicines & paediatric readiness OTC governance controls
Common OTC categories Paediatric medication readiness
Chapter 5: Toxicology & Agitation (Festivals/Concerts)
5.0 Festival triage: where to manage?
5.1 Toxidrome recognition
5.2 FoS “first 3 minutes” overdose card
5.3 a Festival red flags (NSW Ambulance triggers)
5.4 b Unknown collapse in the pit
5.5 Alcohol intoxication and poisoning
5.6 Observation Bay protocol
5.7 Opioid overdose
5.8 Psychostimulants and MDMA
5.9 GHB/GBL and benzodiazepines
5.10 Mixed/unknown overdose: minimum safe approach
5.11 Decision aid: Return/Discharge/Ambulance
5.12 Harm minimisation interfaces
Chapter 6: Environmental & Trauma
6.1 Heat illness & rapid cooling Heat exhaustion vs heat stroke
NSW-default suspected heat stroke pathway
6.2 Crowd Crush
6.3 Minor Wound Care & Blisters
Chapter 7: Major Incidents & MCI
7.1 Command & Control
7.2 Triage Sieves & Sort
Chapter 8: Documentation & Reporting
8.1 Mandatory Reporting & Safeguarding
8.2 Documentation Standards
Chapter 9: Comms & Clinical Handover
9.1 Festival communications principles
9.2 Radio etiquette & call-signs
9.3 Standard message format
9.4 IMIST-AMBO Handover
9.5 Downtime procedures
Chapter 10: Public Health & Infection Control
10.1 Event public health risks
10.2 Isolation and cohorting
10.3 b Modifiers (camping / 18+ licensed)
10.4 PPE and sharps discipline
Chapter 11: Vulnerable Populations
11.1 Paediatrics
11.2 Pregnancy and post-partum
11.3 Disability, neurodiversity, access
11.4 Older adults and comorbidity load
Chapter 12: Resuscitation & AEDs
12.1 AED coverage model
12.2 Cardiac arrest rehearsal checklist
Chapter 13: Data & Quality Improvement
13.1 Minimum dataset (MDS)
13.2 Practical KPIs (festival)
13.3 After-action review (AAR)
Chapter 14: Clinical Operations (PMA)
14.1 Festival PMA location and footprint
14.2 Patient flow model for festivals
14.3 Extraction routes & front-of-stage
14.4 Festival staffing roles
14.5 Surge planning for headline sets
14.5a Modifiers (camping / 18+ licensed)
Chapter 15: Mental Health & Behavioural
15.1 Medical causes of agitation
15.2 De-escalation workflow
15.3 Disposition thresholds Appendix A: Equipment Checklists Appendix B: Clinical Templates & Cards
Operational Cards (print, cut, laminate) Card 1: FoS “first 3 minutes” overdose card Card 2: Observation bay protocol
Card 3: Disposition decision aid
Card 4: Paediatric OTC & readiness mini-card