IOC Medical Research Centre · UKCCIIS 2026

Sports Medicine
Event Care

A scoping-review-informed framework and operational tools to support the design, delivery, governance, and evaluation of medical services at major sporting events.

The Sports Medicine Event Care Framework
Resources
Workforce · Skillmix · Equipment · Facilities · Communications
Operations
On-site Care · Triage · Escalation · Extraction · Records
Command
Medical Planning · EAP · Risk Assessment · Supervision
Governance
Accountability · Policy · Quality Improvement · Procurement
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UKCCIIS 2026 · IOC Medical Research Centre

Papers


SMEC Paper 1 · PRISMA-ScR Scoping Review · Epidemiology

Healthcare presentations at large events: a scoping review of Event Medicine epidemiology, influencing factors, and implications for service planning

Scott R Morrison, Lewis Turmeau, Ronan Kearney, Andrew D Murray, William Wynter Bee, Paul Dijkstra, Emma Lunan, Niall Elliott, Carrie McCrea-Routray, Rajeev McCrea-Routray, Alan Kourie, Wimpie Du Plessis, Andrew J Hall

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.

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SMEC Epidemiology Poster

SMEC Paper 1 · Healthcare Presentations at Large Events · IOC UKCCIIS 2026

SMEC Paper 2 · Framework Synthesis

The Sports Medicine Event Care Framework: a prototype framework & operational tools to support performance, safety and health at major sporting events

Scott R Morrison, Lewis Turmeau, Ronan Kearney, Andrew D Murray, William Wynter Bee, Emma Lunan, Niall Elliott, Carrie McCrea, Rajeev Routray, Alan Kourie, Wimpie Du Plessis, Andrew J Hall

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.

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SMEC Framework Poster

SMEC Paper 2 · The Sports Medicine Event Care Framework · IOC UKCCIIS 2026

Field comparison

General Event Medicine and Sports Event Medicine

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 fieldAcute care for large gatherings; diverse event typesBoth concern event-based acute and urgent careSports event-specific field shaped by sports context and governance
Primary contextMass gatherings broadlySport is one important event category in bothSports events specifically
Literature baseBroad mass-gathering literature; often non-sport-specificSame evidence base initially reviewedInterpreted and extended through a sports event care lens
Service populationsSpectators / non-participants; adjacent public foregroundedBoth may include mixed event populationsParticipants, officials, workforce, spectators — across the spectator–participant continuum
Participant boundaryOften clearer conceptual separationCrossover does occurOverlap is common, practically important, and often defining
On-site clinical ecologyMedical system often more singularMultiple agencies may be presentLayered systems — team medicine, event care, rescue, ambulance, governing-body processes
GovernanceRegulated through regional or national professional structuresAll care remains subject to healthcare law and regulationAlso shaped by sport-specific national and international governing bodies; stronger within-sport consistency
Standard-settingMore regionally variableBoth use guidance, policy, and service standardsMore sport-dependent; may transcend national boundaries within a sport
Risk structureEvent, crowd, and environment relatedBoth influenced by crowd, weather, venue, and infrastructureRule-bound, sport-shaped, repetitive, and often predictable in specific ways
Spectator exposureSpectators generally distinct from performersShared environmental exposure can occurSpectator–participant continuum often central
Venue typeStatic and bounded settings often common in the literatureBoth can include complex eventsDynamic, distributed, mobile, terrain- and environment-dependent settings especially common
Competition integrityGenerally less centralOperational sensitivity always mattersExplicitly relevant; intervention must respect rules of play and event integrity
Medical access & escalationMore generic emergency care access modelsEscalation planning matters in bothField-of-play access, referee permission, independent review, extraction routes; return-to-play pathways may be sport-specific
Workforce profileMore generalist pre-hospital or urgent care orientationBoth require acute care capabilityGreater integration with sport-specific clinicians and mixed teams
Training & accreditationMore generic event or pre-hospital competency structuresBoth require safe credentiallingOften sport-specific, context-specific, and role-specific
MSK & sports medicinePresent variablyInjury care exists in bothOften more prominent and practically important
Stakeholder ecosystemOrganisers, emergency services, security, venue teamsMulti-agency working in bothAdds governing bodies, officials, team care structures, competition management, rights-holders, sport operations
Media / commercial environmentCan be importantPublic-facing care always carries scrutinyOften heightened by broadcast, sponsorship, political profile, and event-as-product considerations
Research opportunityHeterogeneous literature and reportingBoth need better data and methodsRepeated seasons, circuits, championships; comparable sport settings create stronger opportunities for standardised prospective work
Frameworks and toolsBroader conceptual and service guidanceShared concern with minimum standards and service designRequires 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

The SMEC Framework

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

  • Workforce
  • Skillmix
  • Equipment & Consumables
  • Clinical Facilities
  • Transport & Extraction
  • Communications
  • Documentation Systems
  • Admin & Logistics
  • Location

Layer 2

Operations

  • On-site Care
  • Risk Assessment & Review
  • Risk Mitigation
  • Triage & Flow
  • Escalation
  • Extraction & Transfer
  • Supervision
  • Venue / Field Response
  • Command Liaison
  • Medical Records

Layer 3

Command

  • Event Medical Planning
  • Emergency Action Planning
  • Needs & Risk Assessment
  • Venue / Route Planning
  • Tactical Supervision
  • Escalation Pathways
  • Performance Review
  • Iterative Redesign

Layer 4

Stakeholder Interface

  • Service Plan
  • Emergency Action Plan
  • Partner Clinical Services
  • Competition Organiser
  • Venue Management
  • Local Authorities
  • Emergency Services
  • Athlete Medical Services
  • Media

Layer 5 · Outermost

Governance

  • Human Resources
  • Administration
  • Training & Accreditation
  • Accountability
  • Insurance & Indemnity
  • Policy & Protocol
  • Information Governance
  • Quality Improvement
  • Adverse Event Analysis
  • Procurement

Distinctive characteristics of sports event care contexts

Layered on-site clinical ecology
Spectator–participant continuum
Sport-specific governance and transnational standard-setting
Rule-bound and predictable exposure patterns
Competition integrity
Sport-specific medical access and escalation pathways
Dynamic, distributed, and mobile venues
Repeated series, circuits, seasons, and championships
Sport-specific education, credentialling, and accreditation
High media, commercial, and reputational intensity
Stronger interface with sports medicine and MSK care

Operational tools

SMEC-OS and SMEC-AT

The framework generates two practical implementation tools — a service specification and a dual-purpose assessment instrument.


SMEC-OS
Sports Medicine Event Care Operational Specification

Specifies what a sports event care service should be for a given event: Requirements · Roles · Governance · Resources

  • Translates SMEC Framework domains into service requirements
  • Defines minimum standards and event-specific adaptations
  • Clarifies remit, jurisdiction, roles, and responsibilities
  • Specifies workforce, equipment, facilities, command, interfaces, and governance
  • Supports service design, commissioning, and operational planning
Specification · Commissioning · Operational Planning
SMEC-AT
Sports Medicine Event Care Assessment Tool

Dual-purpose: prospective needs assessment AND service evaluation / quality improvement

A · Needs Assessment & Planning
  • Assesses what a given event or client requires to align with the SMEC Framework and SMEC-OS
  • Supports systematic needs assessment during planning
  • Identifies required capabilities, contextual adaptations, and service enhancements
B · Service Evaluation & Improvement
  • Assesses how well an existing service aligns with the SMEC Framework and SMEC-OS
  • Identifies strengths, gaps, risk areas, and priorities for improvement
  • Supports assurance, benchmarking, and quality improvement
Needs Assessment · Evaluation · Quality Improvement

Have your say

Stakeholder Survey

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.

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