国际足联医疗器械-比赛现场干预协议

Protocols for on‑field interventionsduring matches TABLE OF CONTENTS 06. 01. FIELD‑OF‑PLAY (FoP) MEDICAL TEAMS4 FoP MEDICAL TEAM EQUIPMENT20 02.MATCHDAY PRINCIPLES6 THE A © B C D E ASSESSMENT22 03. FIFA MEDICAL SET PIECE AND PRE‑MATCHEMERGENCY ACTION PLAN (PEAP)8 SUDDEN CARDIAC ARREST30 09.CERVICAL SPINE INJURY36 04. OFFICIAL RULES FOR ACCESSINGTHE PITCH 10. 05. EXTREMITY FRACTURE40 FoP MEDICAL TEAM POSITION ANDMOVEMENTS16 Fédération Internationale de Football Association Gianni InfantinoMattias GrafströmFIFAFIFA‑Strasse 20P.O. Box8044 ZurichSwitzerland+41 (0)43 222 7777FIFA.com President:Secretary General:Address: Telephone:Website: Field‑of‑play (FoP) medical teams The following applies to the field‑of‑play (FoP) medical teams at all FIFA World Cups: 1.The FoP medical team consists of eight or nine members (four or five members atBeach Soccer and Futsal World Cups).01. 2.Team composition •One emergency medicine physician regularly providing treatment to patients inout‑of‑hospital settings, fluent in English•Seven to eight paramedics or other healthcare professionals regularly providing basicand advanced life support in out‑of‑hospital settings•Two or three replacements in case of injury or illness The same team members should be present at all matches in a venue. The entire team will undergo training in the FIFA medical set‑piece proceduresby the FIFA Match Doctor five to seven days before the first match in a venue,using the standard FIFA FoP medical and extrication equipment (page 21). 5.All FoP medical teams will have standardised equipment, except for the emergencycare bag with which they are most familiar. Field‑of‑play (FoP)medical teams Matchday principles 1.Schedule The timeline below needs to be adhered to: Figure 1.Matchday timeline02. All FoP medical team members: a)are aware of their assigned role in the FIFA Pre‑Match EmergencyAction Plan (Orange, Red, Blue, Green, White);b)have their equipment checked by kick‑off ‑2h;c)wear their FIFA Medical bib over their uniform;d)display strictly professional conduct; ande)show no team bias. Matchdayprinciples 2.Moulages (simulations) of the most critical scenarios are performed between kick‑off ‑2hand kick‑off ‑1h. 3.The FIFA Match Doctor identifies the first‑response team. 5.No mobile phones to be used pitchside. 6.No photographs to be taken pitchside. 7.No sports brands other than adidas to be worn. 8.No food to be consumed pitchside. FIFA medical set piece and Pre‑Match Emergency Action Plan (PEAP) 1.Moulages (simulations) of the most critical scenarios will be performed under the directionof the FIFA Match Doctor between kick‑off ‑2h and kick‑off ‑1h. 2.The FIFA Match Doctor will discuss with the team doctors the role they wish to assumeduring trauma incidents and in the event of a sudden cardiac arrest. They will complete theFIFA Pre‑Match Emergency Action Plan (PEAP) accordingly: FIFA medical setpiece and Pre‑MatchEmergency ActionPlan (PEAP) Roles within the PEAP Team role – Red Team role – Black You are the person at the “chest” of the player (usually to the player’s right). You are the overall team leader.* You should be a senior clinician and have the ability to perform assessments andtreatments (this role might be taken by the team doctor or the FoP medical teamemergency physician). You will be in overall charge of the decision‑making for the player. You should be “hands off”, leaving all assessments and interventions to beperformed by other members of the team (unless exceptional circumstances meanyou need to become directly involved). In trauma, you are responsible for: •undertaking all structured assessments (Hands On 1,2,3); and•performing any interventions required – specifically the application of:‑airway adjuncts‑non‑rebreathing trauma mask‑cervical collar You should lead all members of the team, ensuring they are undertaking their rolesappropriately. You will make the decision as to when to involve the extrication team, and you haveoverall responsibility for ensuring that the player’s condition is monitored for anydeterioration during the extrication process. In a cardiac arrest, you are responsible for:•assessing for signs of life; •immediately commencing chest compressions whilst ensuring theautomated external defibrillator (AED) has been called for; and•swapping out from compressions after two minutes and assessing forreversible causes of the arrest. * This role will mostly be assumed by the FIFA Match Doctor. Team role – Orange (If a face mask is used rather than an LMA, then whilst you are performingtwo minutes of chest compressions you should also squeeze the bag fortwoventilations after every 30 compressions whilst Orange applies the facemask to the player.) You are the person at the “head” of the player. In trauma, you are responsible for:•immobilising the cervical spine (and potentially performing a jaw‑thrust at thesame time, should it be required). In a log r