Thursday, April 15, 1999 Published at 10:17 GMT 11:17 UK
Millennium emergency care risk
Events like Edinburgh's New Year's fireworks attract crowds
A lack of first aid volunteers could lead to "major problems" during the millennium celebrations, an emergency medicine specialist has warned.
Lieutenant Colonel Tim Hodgetts, a special adviser in accident and emergency medicine, will tell a conference that the people who usually provide emergency cover at big events may prefer to join the celebrations themselves for this New Year's Eve.
St John Ambulance volunteers and off-duty doctors, nurses and paramedics might not want to give up their free time on such a special occasion or simply may not be available, he will say.
But a spokesman for St John Ambulance said the organisation does not anticipate any problems at the moment.
It has, however, been preparing for New Year's Eve for some time, he said.
Hospitals fear staff shortages
Hospitals have already expressed concern that they may not be able to cope with a major incident over the millennium because of their low staff levels.
But Lieutenant Colonel Hodgetts fears the impact of this on care in the field.
He organised Thursday's Pre-Hospital Immediate Care Conference in London to examine the issue.
Doctors, emergency services and event planners are expected to attend.
Events rely on volunteers
The Lieutenant Colonel said: "The problem is that major events, like the celebrations in Scotland and concerts and gatherings at places like Trafalgar Square, depend largely on volunteers.
"The fact is that it is a very real problem that these people might not want to do that on this New Year's Eve.
"There is only a finite number of people who have the first aid training and if there are not enough of them there could be major problems.
"The other problem is that the trained volunteers - for instance doctors and nurses, may already be committed to working because of the increased staffing levels that will be needed in accident and emergency departments."
Recommended levels of medical cover
The first aid requirements for large events are set out in the so-called Purple Guide. It recommends that there should be:
It is estimated that an average New Year's Eve celebration in somewhere like Trafalgar Square sees nine casualties per 1,000 people.
Half of these will be injuries and the other half medical problems like asthma attacks, low blood sugar and fainting.
The conference will include a session where emergency services and event organisers respond to a "virtual reality disaster" in London on New Year's Eve.