On field management
Ensuring that on-field medical staff have the appropriate competencies in immediate care in sport is a key element of secondary injury prevention programmes. English Premiership matches medical staff must have completed a minimum of a yearly level three course in Immediate Care in Rugby which includes advanced airway management with training in needle cricothyroidotomy and the surgical airway. The medical staff at English Premiership matches (who are level three trained) are specifically trained in both the recognition and if required advanced airway management in the prehospital setting.