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Preparing pre-hospital medical coverage for a Papal visit.

On October 1, 1979 the Boston pre-hospital emergency medical services (EMS) was readied for operation at an unprecedented capacity for the visit of Pope John Paul II and an estimated crowd of one million persons. The City of Boston Department of Health and Hospitals (DHH) was principal coordinator for providing medical coverage during the schedule of events which included a 20-mile Papal motorcade and the main attraction, the celebration of Mass on Boston Common. Taking into consideration such factors as the weather and characteristics of the crowd, DHH organized the procurement, assignment, and deployment of EMS resources and personnel, both for ambulances and for basic and advanced life support stations located at the principal activity site; DHH also developed an EMS radio communications plan and provided for augmentation of ambulance services and utilization of the hospital emergency departments within the city. The step-by-step discussion of planning considerations, preparations, and outcome is inten...