What Is Rock Medicine? http://www.RockMed.org In 1973, the late Bill Graham asked the Haight Ashbury Free Clinics to staff a "medical emergency care tent" at Grateful Dead and Led Zeppelin outdoor concerts. Many of the clinicians who participated had previously provided their medical expertise at rock concerts, but the level of planning for these events was unprecedented. Since then, Rock Medicine has evolved into a full program of the Haight Ashbury Free Clinics, and has provided service at an increasing number of concerts, community marches, celebrations and fairs, circuses, and assorted other events. In recent years, its 400+ active volunteers have provided care at nearly 200 events in a single year. Since 1987, our patient load has almost doubled as more concert-goers, promoters and venues have become aware of our services. Rock Medicine is a mobile facility. Its work areas range from dusty fields with nylon parachutes slung overhead to three rooms with three sinks, a bathroom!, and built in storage space. A comprehensive assortment of supplies, medications and equipment travels with Rock Medicine wherever it's sent in "road boxes" modeled on those the bands use to transport their equipment. All sorts of people volunteer with Rock Medicine. In addition to doctors, nurses, EMTs, paramedics, psychologists and other medically licensed and/or trained staff, we have carpenters, architects, editors, accountants, computer programmers, lawyers, and auto mechanics. Anyone who is willing to help and learn can find a place in Rock Medicine. All volunteers are CPR-certified. We embrace a philosophy which asserts that health care is a right, not a privilege, free at the point of delivery for all who need it. All of our services, from soothing a sunburn to stabilizing a heart attack, are free. What Does Rock Medicine Do? Some liken Rock Medicine to an urgent care center, a front line station where patients come for minor illness, injury, referral and/or transport when necessary. Its services range from public health to basic first aid to advanced life support. We routinely stock such items as bandaids, antacids, aspirin/ acetominophen/ ibuprofen, ear-plugs, sunscreen, condoms, and tampons, as well as safety pins and rubber bands for those emergencies which can ruin a good time. Most of our patients come to us due to overindulgence of some form. Some are simply overcome by the size of the crowd and the level of energy/excitement, while others have partaken too strongly and need to sleep "it" off. A small minority may be involved in a more serious situation and require repair of a cut. Others need confirmation that they have a possible sprained ankle and should get an X-ray as soon as possible -- while we provide ice packs and crutches on the spot. A very small number require transport to a hospital. Rock Medicine also provides a strong element of emotional support for its patients. Volunteers are assigned to "talk-down" those who are overwhelmed or who may have taken consciousness-altering substances and need to be reminded that they're in a safe space. Some of these volunteers are professionally trained; others have learned their craft as part of their journey through life. Over the years, Rock Medicine's staff have developed specific treatment modalities. Working an event like a large heavy metal concert can be good experience for handling the problems that will arise in the event of a disaster. Other concerts provide an education in public health. Rock Medicine handles in unique ways situations that are demanding and unusual, while following the precept of "Do no harm." Establish a Meeting Place with Your Friends Before you get caught up in the excitement of the concert, it's a good idea to make a few basic plans for after the show. We're not thinking of going out for coffee or a beer, but how to find your friends or ride if you get separated by some of those 5,000-15,000 other folks at the concert (up to 65,000 if it's a big stadium show). If you've driven, make a mental note of where you've parked the car or even write yourself a note. Six to eight hours later you'll be trying to find your way in the dark, from the other direction. It's also a good idea for one person who knows how to drive to be the "designated driver," and agree not to drink or do any drugs. When you get inside the concert hall, decide on a place where you and your friends can meet if you get separated. We always have lots of concert-goers coming by looking for their friends. Crowd Syndrome Many of the people we see at Rock Medicine come in simply because they're so overpowered by the event. What we call "crowd syndrome" is simply a combination of over-excitement and energy due to the number of people in the crowd, the flashing lights, the loud music and the heat. If you feel very hot and sweaty, short of breath and faint, you need to get away from it all for awhile in a (relatively) quiet place. Come by Rock Medicine for a cool drink and some fresh air. We recommend that you eat a good meal before a show and perhaps even bring a sandwich with you. It's generally a good idea to drink lots of non-sugary, non-alcoholic liquids to compensate for the heat and excitement you're about to have. Otherwise eat and party in style, rather than overindulging and maybe missing the whole show! Everyone Wants to Get Front of Stage When people rush up to the stage -- what we call FOS -- those who are in the very front row get jammed against the barrier in front of the stage. Imagine being pushed from behind by 5000 other people! If you're small, front of stage can be a very unpleasant place. We've seen many concert-goers overwhelmed by the crowd. Concert security people sometimes have to help patrons over the barrier and hand them over to Rock Medicine. When they've caught their breath, security takes them back to the main hall. If this happens to you, we recommend that you try to find a less crowded place where you can sit down. You may want to find a less noisy spot out in a hallway and get a drink of water. We escort people who require more extensive examination or rest to the main medical area where they are checked out by a doctor and other medical staff. Outdoor Shows When Rock Med works a concert staged under the sun and/or stars, we find we need a lot more preparation than for other shows. You may want to do the same. We always tell our staff to bring hats, perhaps a bandanna for cooling off the back of the neck, sunscreen, and loose clothing that covers the arms and legs. If we'll be working into the evening, we also bring sweaters or jackets for the temperature change. Most outdoor concert areas don't have much in the way of shade, so it's important to take good care of yourself. Those with fair skin and light hair are especially vulnerable to a long day of sun and need to protect themselves with sunscreen. Make sure you drink plenty of liquids. Check before the concert to see whether you can bring along your own water container. Do You Take Prescribed Medications? If you have medicine that you should take on a regular basis, for example, if you're diabetic or asthmatic, bring it into the show with you. Don't leave it in the car or at home, because it's almost impossible to arrange for you to go get it once you have entered the concert hall. If you're afraid of losing it, you can leave it with Rock Medicine. We stock many medications, but we are not a hospital pharmacy. Also, many conditions require more extensive tests than we have on-site. Getting Home Safely Again, remember to set up a meeting place with your friends before you enter the hall so that if you get separated you can find each other afterwards. Many people come by Rock Med looking for their friends, and we often have patients who don't know where to meet their friends. Make a note of where you leave your car. Some of our staff say bad words when you ask them to help find someone's car -- in the past they've spent hours searching the parking lots with patients, and that's when the person "knew" where the car was parked. If someone is dropping you off, remember that when the concert is over, hundreds of cars will be trying to get out of the parking lot as your ride is coming in to pick you up. It may take an hour or even longer for the parking lot to clear, so take this into account when telling your ride when and where to pick you up. Neighborhoods near some concert halls are also not the greatest. Venue security usually maintain a skeleton staff until well after the show is over if you need a hand. Rock Medicine is there to help, but everyone -- the bands, the promoters, the venues, and ultimately you -- would be much happier if we didn't have anything at all to do! Say, Thanks! Rock Medicine is supported by donations. Because we are an affiliate of the Haight Ashbury Free Clinics, Inc., a 501(c)3 organization, all donations are tax-deductible. Our continued existence is a direct result of the generosity of those we serve. Thanks for helping me at ______________________________ Here's my tax-deductible contribution of $ ___________ Name _________________________________ Address ______________________________ City ______________________ ZIP __________ Mail to: Haight Ashbury Free Clinics Rock Medicine - (RockMed.Org) 612 Clayton Street San Francisco, California 94117