TY - JOUR KW - Scientific and Cultural Organization KW - Thailand KW - United Nations educational KW - adult KW - aged KW - article KW - daily life activity KW - Data base KW - emergency health service KW - emergency response time KW - Female KW - health care policy KW - human KW - Inheritance KW - major clinical study KW - male KW - mass gathering KW - operation duration KW - reaction time KW - retrospective study AU - Korakot Apiratwarakul AU - Lap Cheung AU - Dhanu Gaysonsiri AU - Kamonwon Ienghong AB - The Songkran Festival, held in Thailand in (April 13–15 annually), has been recognized as an intangible cultural heritage by the UNESCO. This mass gathering event attracts 250,000 people daily. However, there has been a lack of previous studies demonstrating the emergency medical services (EMS) utilization pattern during this festival. The aim of this study was to evaluate EMS response times, comparing the Songkran Festival periods with the routine daily activity. This retrospective database analysis was conducted using data from Thailand’s EMS at Srinagarind Hospital between April 2023 and April 2024. Data collected EMS operation time, the characteristics and medical resources used during the Songkran Festival. 2,622 EMS missions were examined. The time of EMS missions were most frequent during the sunset hours (6 PM to 6 AM) in the Songkran group. During the festival, EMS usage was significantly higher than routine services (P \textless 0.001). The average response time during the Songkran period (12.20 mins) was significantly longer, than the routine period (9.10 mins, P = 0.024). The Songkran Festival affected EMS utilization. The response and on scene times in EMS were longer than those during routine services. Health organizations researching to improve EMS during significant mass gathering events are urged to embrace the themes obtained in this study. DO - 10.1080/09581596.2025.2529379 M1 - 1 N1 - Type: Article N2 - The Songkran Festival, held in Thailand in (April 13–15 annually), has been recognized as an intangible cultural heritage by the UNESCO. This mass gathering event attracts 250,000 people daily. However, there has been a lack of previous studies demonstrating the emergency medical services (EMS) utilization pattern during this festival. The aim of this study was to evaluate EMS response times, comparing the Songkran Festival periods with the routine daily activity. This retrospective database analysis was conducted using data from Thailand’s EMS at Srinagarind Hospital between April 2023 and April 2024. Data collected EMS operation time, the characteristics and medical resources used during the Songkran Festival. 2,622 EMS missions were examined. The time of EMS missions were most frequent during the sunset hours (6 PM to 6 AM) in the Songkran group. During the festival, EMS usage was significantly higher than routine services (P \textless 0.001). The average response time during the Songkran period (12.20 mins) was significantly longer, than the routine period (9.10 mins, P = 0.024). The Songkran Festival affected EMS utilization. The response and on scene times in EMS were longer than those during routine services. Health organizations researching to improve EMS during significant mass gathering events are urged to embrace the themes obtained in this study. TI - Recognizing the demand for emergency medical services during the Songkran Festival, Thailand’s intangible cultural heritage: an approach for healthcare policy development UR - https://www.scopus.com/inward/record.uri?eid=2-s2.0-105010038263&doi=10.1080%2F09581596.2025.2529379&partnerID=40&md5=871cbf72add1268eceec8d459715421b VL - 35 ER -