IOC Medical Research Centre · UKCCIIS 2026
A scoping-review-informed framework and operational tools to support the design, delivery, governance, and evaluation of medical services at major sporting events.
UKCCIIS 2026 · IOC Medical Research Centre
Background
Event Medicine concerns the provision of healthcare at large events, where presentation patterns are shaped by crowd characteristics, event type, environment, and service model. Understanding these patterns is important for planning safe, proportionate, and effective services.
Objectives
To map the literature relating to healthcare presentations at large events, examine epidemiological patterns and influencing factors, and identify implications for Event Medicine service planning and future research.
Design & Setting
PRISMA-ScR scoping review with descriptive and thematic synthesis. Peer-reviewed and grey literature from PubMed, Scopus, DOAJ, Google Scholar and citation screening. Studies reporting on healthcare presentations among spectators and other non-participating attendees at large events.
Results
There were 119 studies, predominantly case series and expert opinion (levels III–V). The literature was heterogeneous in design, context, definitions, and reporting, and related primarily to mass gatherings in general rather than sports events specifically. While this reflects the diversity of the Event Medicine field, it currently limits direct comparison between studies and makes it difficult to draw conclusions that are robust, meaningful, and generalisable across settings. Common themes included presentation frequency and type, variation between event settings and patient groups, and the influence of environmental, crowd, and service-related factors. Overall, the literature provides useful descriptive insight but an inconsistent basis for robust service planning.
Conclusions
Current evidence in Event Medicine remains too fragmented to support strong generalisable conclusions across settings. Future research should prioritise comparable contexts, such as specific sports, groups of sports, event types, or spectator categories, to build a more robust evidence base for service planning and evaluation.
SMEC Paper 1 · Healthcare Presentations at Large Events · IOC UKCCIIS 2026
Background
Event medicine involves the provision of acute medical services at events involving spectators, performers, or the adjacent public. Sporting events form a portion of the event medicine remit, but present distinctive contextual and governance characteristics that may justify a service model aligned specifically to sport.
Objectives
Relating to medical services at sporting and non-sporting events, identify common principles and distinguishing characteristics, and evaluate the need for the development of a sporting-event specific framework for research and practice.
Design
PRISMA-ScR scoping review with descriptive and thematic analysis, expert stakeholder interpretation and framework development. Articles relating to event medicine on PubMed, Scopus, DOAJ, Google Scholar, and relevant key literature.
Results
119 studies, predominantly case series and expert opinion (levels III–V). The literature was heterogeneous in design, context, and reporting, and related primarily to mass gatherings rather than sports events specifically. Emergent themes: service purpose, infrastructure, workforce, operational challenges, stakeholder interfaces, and governance. Thematic analysis and stakeholder synthesis permitted the construction of a novel Sports Medicine Event Care (SMEC) Framework, with supporting practical tools including an operational specification and assessment tool. These define minimum viable service requirements, support context-sensitive adaptation, and improve consistency of design, delivery, and evaluation.
Conclusions
Sporting events represent a distinctive care context shaped by sport-specific governance, layered on-site clinical systems, operational overlap between participant and non-participant care, and the spectator–participant continuum of shared exposure. The SMEC Framework offers an evidence- and stakeholder-informed translational model to support research, service development, and quality improvement in sports event care, with future validation required in applied settings.
SMEC Paper 2 · The Sports Medicine Event Care Framework · IOC UKCCIIS 2026
Field comparison
Showing continuity, overlap, and distinction — Sports Event Medicine emerges from and remains informed by General Event Medicine.
| Domain / Issue | General Event Medicine | Shared Ground / Overlap | Sports Event Medicine |
|---|---|---|---|
| Conceptual field | Acute care for large gatherings; diverse event types | Both concern event-based acute and urgent care | Sports event-specific field shaped by sports context and governance |
| Primary context | Mass gatherings broadly | Sport is one important event category in both | Sports events specifically |
| Literature base | Broad mass-gathering literature; often non-sport-specific | Same evidence base initially reviewed | Interpreted and extended through a sports event care lens |
| Service populations | Spectators / non-participants; adjacent public foregrounded | Both may include mixed event populations | Participants, officials, workforce, spectators — across the spectator–participant continuum |
| Participant boundary | Often clearer conceptual separation | Crossover does occur | Overlap is common, practically important, and often defining |
| On-site clinical ecology | Medical system often more singular | Multiple agencies may be present | Layered systems — team medicine, event care, rescue, ambulance, governing-body processes |
| Governance | Regulated through regional or national professional structures | All care remains subject to healthcare law and regulation | Also shaped by sport-specific national and international governing bodies; stronger within-sport consistency |
| Standard-setting | More regionally variable | Both use guidance, policy, and service standards | More sport-dependent; may transcend national boundaries within a sport |
| Risk structure | Event, crowd, and environment related | Both influenced by crowd, weather, venue, and infrastructure | Rule-bound, sport-shaped, repetitive, and often predictable in specific ways |
| Spectator exposure | Spectators generally distinct from performers | Shared environmental exposure can occur | Spectator–participant continuum often central |
| Venue type | Static and bounded settings often common in the literature | Both can include complex events | Dynamic, distributed, mobile, terrain- and environment-dependent settings especially common |
| Competition integrity | Generally less central | Operational sensitivity always matters | Explicitly relevant; intervention must respect rules of play and event integrity |
| Medical access & escalation | More generic emergency care access models | Escalation planning matters in both | Field-of-play access, referee permission, independent review, extraction routes; return-to-play pathways may be sport-specific |
| Workforce profile | More generalist pre-hospital or urgent care orientation | Both require acute care capability | Greater integration with sport-specific clinicians and mixed teams |
| Training & accreditation | More generic event or pre-hospital competency structures | Both require safe credentialling | Often sport-specific, context-specific, and role-specific |
| MSK & sports medicine | Present variably | Injury care exists in both | Often more prominent and practically important |
| Stakeholder ecosystem | Organisers, emergency services, security, venue teams | Multi-agency working in both | Adds governing bodies, officials, team care structures, competition management, rights-holders, sport operations |
| Media / commercial environment | Can be important | Public-facing care always carries scrutiny | Often heightened by broadcast, sponsorship, political profile, and event-as-product considerations |
| Research opportunity | Heterogeneous literature and reporting | Both need better data and methods | Repeated seasons, circuits, championships; comparable sport settings create stronger opportunities for standardised prospective work |
| Frameworks and tools | Broader conceptual and service guidance | Shared concern with minimum standards and service design | Requires sports-context-specific framework, operational specification, and assessment tools |
Table 1. Comparison of General Event Medicine (GEM) and Sports Event Medicine (SEM). The comparison demonstrates that SEM emerges from and remains informed by the established GEM literature and practice environment, while also reflecting distinctive characteristics of sports event settings. GEM = General Event Medicine; SEM = Sports Event Medicine.
Conceptual architecture
A layered model for the design, delivery, governance, and evaluation of sports event care services — organised from core purpose outward through five content layers.
Layer 1
Resources
Layer 2
Operations
Layer 3
Command
Layer 4
Stakeholder Interface
Layer 5 · Outermost
Governance
Operational tools
The framework generates two practical implementation tools — a service specification and a dual-purpose assessment instrument.
Specifies what a sports event care service should be for a given event: Requirements · Roles · Governance · Resources
Dual-purpose: prospective needs assessment AND service evaluation / quality improvement
Have your say
Help shape Sports Medicine Event Care. The survey takes 5–8 minutes and welcomes perspectives from clinicians, service leaders, researchers, organisers, and governing body representatives at all levels.