目前國內外在舉辦各類中、大型的活動已愈來愈頻繁，不論是大型演唱會、跨年晚會、國際運動賽事、萬人路跑派對、媽祖遶境及廟會蜂炮等人數眾多的活動中，常會發生災害傷亡事件。八仙塵爆的發生就再度凸顯政府在處理大型活動災害防救中，應該重新檢討救援醫療體系及安全管理運作模式等問題。本研究探討重點係以政府在處理八仙塵爆事件作為研究個案，採用危機管理三階段理論模式，藉由文獻探討、個案研究、深度訪談參與本案救災專業人員，探討政府各部門對於災害事件發生之危機處理與緊急應變能力，從中吸取經驗及教訓。鑑於過去對大型活動危機管理應變能力研究的諸多不足，本研究透由訪談專業救護人員，研究發現業者大型活動整體風險意識薄弱、大型活動行政管理規範未臻周延、緊急醫療災害應變得宜降低傷亡。建議成立災防專責單位與權責範圍、因應多元災害預案與應變能力、提升聚眾活動安全管理法規位階、增訂聚眾活動「安全管理師」、專責舉辦活動業者納入規範、落實聚眾活動安檢與稽核。

At present, all types of middle and large-scale activities have been increasingly frequent at home and abroad, and there are often disasters and casualties occurred in regardless of large-scale concerts, New Year Countdown party, international sporting events, road race party, Matsu Holy Pilgrimage, the Temple fair, Fireworks and activities with number of people involved. The occurrence of Formosa Fun Coast explosion again highlighted that the Government should review rescue and medical system, as well as the mode of security management problems in dealing with large-scale activities in the disaster prevention and relief. This study focuses on the case of New Taipei City Government in dealing with the Formosa Fun Coast explosion event, using the Three-Phase Theory of crisis management and based on literature review, case studies and in-depth interviews with emergency professionals involved in the case to discuss government departments’ abilities to the crisis management and emergency response when disasters occurred and learn from the experience and lessons. Given lack of studies to the ability of crisis management and response in the large-scale activities in the past, the present study based on interviews with emergency professionals and found that there are still insufficient regulations for disaster prevention, weak in risk awareness, further circumspect for administrative management, inadequate horizontal linkages with the medical and rescue system, and failed to synchronously start disaster response grade when government departments deal with large-scale events . Accordingly, the study concludes five proposals, including to amend relevant laws and regulations for disaster prevention and relief, to enhance public security awareness in the participation, to revise and issue the safety management regulations for large-scale activities, and to construct platform for disaster emergency medical rescue and establish dedicated units for disaster prevention and relief, in order to be as reference for government in the face of the same event in the future.