Table 1

Team members and roles for the FIFA emergency action plan

RoleSkillsMDT member exampleResponsibility
Team leaderTeam coordination and communication
Good understanding of clinical prioritisation in emergency care
Clear situational awareness
Doctor
Senior paramedic
Nurse with the resuscitation leader role
If performing the initial assessment, move to “Hands Off’ role when able:
Should avoid becoming task-focused and only be involved in practical skills if absolutely required.
Responsible for delegating key equipment to other roles (such as AED/medical gases/airway equipment).
Responsible for coordinating the team, defining clinical priorities, and maintaining an overview.
Responsible for garnering pertinent medical information relating to the patient, from the team medical staff.
Head/neckRecognise potential cervical-spine injury and apply manual in-line stabilisation (MILS) techniques
Perform airway management (or exchange with more qualified responder) in unconscious patients (including iGel LMA insertion in sudden cardiac arrest).
Doctor
Physiotherapist
Athletic trainer
Paramedic
EMT
Primary communicator with patient
Cervical-spine MILS
Airway management
Leading team in log-roll or spine boarding technique.
ChestAble to perform initial primary clinical assessment (ABCDE)
Experienced in recognising sudden cardiac arrest or signs of significant injury
Capable of performing basic airway manoeuvres and chest compressions
Doctor
Paramedic
EMT
Initial assessment (including starting as team leader while team assembles)
Ensure safe airway and application of oxygen when required
Start CPR
Torso control in log-roll
EquipmentUnderstands the use and deployment of all medical equipment allocated to the team (although does not need to be skilled in its use)
Able to carry relatively heavy resources to support the team
Paramedic
EMT
First Aiders/AHPs
Bring FIFA Bag and AED. Deployment of medical equipment in line with the clinical scenario
Liaison with any other venue stretcher team personnel to assist the team leader in coordinating extrication
Responsible for the safe clearance and removal of medical equipment from the field of play
PelvisPerform basic medical manual handling and assist clinicians in patient care
Trained in the application of spinal immobilisation and patient movement equipment
EMT
First Aiders/AHPs
Pelvic control in log-roll
Assists with CPR (if trained)
May be designated specific equipment to assist Head & Chest roles (AED/medical gases/airway equipment)
LegsPerform basic medical manual handling and assist clinicians in patient care
Trained in the application of spinal immobilisation and patient stabilisation equipment (such as spider straps and vacuum splints)
EMT
First Aiders
AHPs
Leg control in log-roll
Assists with CPR (if trained)
May be designated specific equipment to assist head/neck and chest roles (AED/medical gases/airway equipment)
  • AED, automated external defibrillator; AHP, allied health professionals; CPR, cardiopulmonary resusicitation; EMT, emergency medical technician; FIFA, Fédération Internationale de Football Association; LMA, laryngeal mask airway; MDT, multidisciplinary team.