RT Journal Article SR Electronic T1 Athlete health and safety at large sporting events: the development of consensus-driven guidelines JF British Journal of Sports Medicine JO Br J Sports Med FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine SP 191 OP 197 DO 10.1136/bjsports-2020-102771 VO 55 IS 4 A1 Margo Mountjoy A1 Jane Moran A1 Hosny Ahmed A1 Stephane Bermon A1 Xavier Bigard A1 Dominik Doerr A1 Alain Lacoste A1 Stuart Miller A1 Alexis Weber A1 Jeremy Foster A1 Richard Budgett A1 Lars Engebretsen A1 Louise M Burke A1 Vincent Gouttebarge A1 Marie-Elaine Grant A1 Brian McCloskey A1 Paul Piccininni A1 Sebastien Racinais A1 Mark Stuart A1 David Zideman YR 2021 UL http://bjsm.bmj.com/content/55/4/191.abstract AB All sport events have inherent injury and illness risks for participants. Healthcare services for sport events should be planned and delivered to mitigate these risks which is the ethical responsibility of all sport event organisers. The objective of this paper was to develop consensus-driven guidelines describing the basic standards of services necessary to protect athlete health and safety during large sporting events. By using the Knowledge Translation Scheme Framework, a gap in International Federation healthcare programming for sport events was identified. Event healthcare content areas were determined through a narrative review of the scientific literature. Content experts were systematically identified. Following a literature search, an iterative consensus process was undertaken. The outcome document was written by the knowledge translation expert writing group, with the assistance of a focus group consisting of a cohort of International Federation Medical Chairpersons. Athletes were recruited to review and provide comment. The Healthcare Guidelines for International Federation Events document was developed including content-related to (i) pre-event planning (eg, sport medical risk assessment, public health requirements, environmental considerations), (ii) event safety (eg, venue medical services, emergency action plan, emergency transport, safety and security) and (iii) additional considerations (eg, event health research, spectator medical services). We developed a generic standardised template guide to facilitate the planning and delivery of medical services at international sport events. The organisers of medical services should adapt, evaluate and modify this guide to meet the sport-specific local context.