PITCHSIDE EMERGENCY CARE

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An open emergency backpack with colour-coded pouches and an oxygen cylinder on a floodlit pitch

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MODULE 5

Preparation of the Football Emergency Care Bag

FIFA's standard bag, plus a fuller local checklist, layout and critical fails

HOW MANY BAGS — LOCAL PLANNING GUIDE

Match settingPrimary bagsBackup
1 football pitch1 fully equipped bag1 reserve / secondary bag
2 pitches operating simultaneously2 bags1 reserve
3 pitches3 bags1 reserve
Tournament, multiple simultaneous matches1 bag per active pitchAt least 1 central reserve
High-risk / large tournament1 per pitch + dedicated trauma/medical team bagAdditional reserve

Do not rely on one bag shared between pitches

The bag must be immediately accessible at the pitch where the emergency occurs. Emergency planning should be venue-specific and rehearsed before the event.

Single football match: 1 × pitchside emergency medical bag + 1 × backup / resupply bag + 1 × AED immediately available pitchside. The AED should not be buried inside the medical bag — it needs to be rapidly accessible.

LOCAL CHECKLIST · A. AIRWAY

EquipmentQty
Oropharyngeal airway1 set
Nasopharyngeal airway1 set
LMA / supraglottic airway / i-gel size 3, 4, 51
Lubricating gel1
Pocket mask with O₂ port1
Magill forceps1
Portable suction1
Suction catheters, appropriate sizes2–3 each
Pen torch1

LOCAL CHECKLIST · B. BREATHING / OXYGEN

EquipmentQty
Adult BVM set1
Adult face masks2
Oxygen tubing2
Non-rebreather oxygen mask2
Simple oxygen mask1
Nebuliser mask / set1–2
Oxygen cylinderSeparate dedicated cylinder
Oxygen regulator1
Pulse oximeter1
Spacer device1

Oxygen availability should be considered part of the pitchside emergency response, not simply an optional accessory.

LOCAL CHECKLIST · C. CIRCULATION / CARDIAC

EquipmentQty
AED1
AED adult pads1 set + spare if available
AED paediatric padsAccording to event population
BP machine1
Adult BP cuffs1–2
Stethoscope1
IV cannula 14G / 16G / 18G / 20G / 22G2 each
Tourniquet2
Alcohol swabs10
IV dressing / Tegaderm5
5 mL syringe5
10 mL syringe5
NeedlesAssorted
IV giving set2
Normal saline 0.9%According to clinical protocol
Sharps container1

Rapid recognition, CPR and defibrillation are critical components of field-of-play cardiac emergency management.

LOCAL CHECKLIST · DIAGNOSTICS

  • BP machine
  • Stethoscope
  • Pulse oximeter
  • Glucometer, blood glucose strips, lancets
  • Thermometer
  • Pen torch
  • Watch / timer
  • ECG machine — preferably with the medical team / medical room rather than inside the bag

LOCAL CHECKLIST · HEAT / ENVIRONMENT

Essential wherever football is played in heat and humidity.

  • Instant cold packs
  • Ice; ice-water immersion capability where appropriate
  • Cooling towels, wet towels, cooling blanket
  • Spray bottle
  • Water, oral rehydration solution
  • Fan
  • Thermal blanket

The pre-event emergency plan should specifically address exertional heat illness and rapid cooling before transport.

MEDICATIONS — EMERGENCY DRUG POUCH

Follow local authority

Drugs and quantities must follow the event medical director’s standing orders, prescriber authority, national regulations, formulary and local SOP. Do not place prescription medicines into a generic football bag without an approved medication protocol.

Clinical problemMedication category
AnaphylaxisAdrenaline / epinephrine IM
Asthma / bronchospasmSalbutamol ± ipratropium according to protocol
HypoglycaemiaOral glucose
Severe hypoglycaemia / unconsciousParenteral glucose / dextrose according to protocol
PainAnalgesia according to approved formulary
Allergic reactionAntihistamine according to protocol
Cardiac arrestResuscitation drugs only where advanced medical team / protocol supports them
IV fluid requirementIsotonic crystalloid according to clinical indication

ONE WAY TO LAY OUT A LOCAL BAG — 11 COMPARTMENTS

1 · Airway
OPA / NPA / i-gel / lubricant
2 · BVM & oxygen
BVM / masks / oxygen masks / nebuliser
3 · Suction
Suction device / catheters
4 · Circulation
IV cannulas / syringes / tourniquet / IV set
5 · Drugs
Approved emergency medications
6 · Trauma
Gauze / dressing / haemorrhage control / shears
7 · Splints
Splints / sling / bandages / cervical collar
8 · Diagnostics
BP / SpO₂ / glucose / thermometer / stethoscope
9 · PPE & sharps
Gloves / eye protection / sharps box / waste bags
10 · Concussion / documentation
SCAT6 / CRT / forms / pen
11 · Heat / environmental
Cold packs / cooling towels / oral rehydration solution / fan

FIFA'S STANDARD BAG (FECB 2022) — THE MINIMUM

FIFA's standard bag is a minimum. Teams may add items, but FIFA recommends not altering the basic inventory, so different teams can work together on the same pitch with the same kit. Contents suit players over 14 years and over 50 kg.

Airway
Suction · NPA 6, 7, 8 · OPA 2, 3, 4 · i-gel 4, 5 · lubricant · Magill forceps
Breathing
BVM · trauma O2 mask · nebuliser mask · pocket mask · spacer
Circulation
IV cannula 14G, 16G · syringes 5 & 10 mL · needles · tourniquet · swabs · giving set · AED (own compartment)
Cervical spine
Hard collar
Diagnostics
Stethoscope · BP · glucometer · SpO₂ probe · peak flow · pen torch · thermometer
Wounds · PPE
Suture set, steristrips, gauze, shears, eye wash · aprons, gloves, gel, glasses, sharps bin
  • Oxygen is clipped to the outside of the bag (cannot be flown) — stadiums should provide it.
  • IV fluids and drugs are added per the clinician / local protocol — they count as medication.
  • Check the bag against the checklist before AND after every match: batteries charged, adjuncts replaced, everything in date.

Other recommended pitchside kit (FIFA):

  • Scoop stretcher (preferred over a spinal / long board for trauma, where affordable)
  • Spider straps or clip-on straps · head huggers / restraints
  • Basket stretcher — carrying a scoop or board is far safer inside a basket
  • Splints (vacuum or individual)

CRITICAL FAIL ITEMS

  1. No AED available
  2. No oxygen / BVM
  3. No suction when required by the service level
  4. Unable to identify emergency access / ambulance plan
  5. Expired / unavailable emergency medication
  6. Bag not accessible pitchside
  7. Unable to activate EMS / ambulance
  8. Unsafe medication administration

Source: FIFA's standard bag: FIFA Emergency Care Manual, Ch.10. The bag-number guide, the longer local checklist, the 11-compartment layout and the critical-fail list are practical additions that go beyond FIFA's minimum. Study aid only — follow FIFA's current documents and your local protocol.