AHA2024 · currentSpectator
Guidelines
78 documents on the shelf
The current authoritative stack for event medical directors, with what each document actually governs, its age, and what it replaced. Participant-focused sports-medicine documents are labeled — citing them for spectator care is the most common citation error in this field.
Core stack
The documents an event medical director should hold current:
- NAEMSP 2021 + 2015
- ACSM 2022
- WHO 2015
- FEMA IS-15.B
- ANSI ES1.9-2020
- UK Purple & Green Guides
White space — what does not exist
- No US binding medical-provision ratios
- No spectator-focused clinical standard
- No dedicated pediatric mass-gathering policy
- No US festival harm-reduction standard
- No unified event medical / hostile-event integration standard
- Even FIFA publishes no spectator staffing numbers — Art. 58 defers to national law + a medical risk assessment; deferral to national standards is the global norm
Watch list
- UK Event Healthcare Standard (in development — the most consequential forthcoming document)
- NFPA / ES1.x revision cycles
- FIA Appendix H annual updates
- Possible WHO 2015 successor
US Medical Societies18 documents
ACEP2024 · currentParticipant + Spectator
NATA2024 · currentParticipant
supersedes → Emergency Planning in Athletics (2002)
ACSM2021 · currentParticipant
NAEMSP2021 · currentSpectator
AAP2021 · currentParticipant + Spectator
ACS-COT2016 · 10 yrsSpectator
NATA2015 · aging (11 yrs)Participant
NAEMSP2015 · aging (11 yrs)Spectator
NATA2013 · aging (13 yrs)Participant + Spectator
ACEP2012 · aging (14 yrs)Participant + Spectator
AHA2006 · aging (20 yrs)Spectator
ACSM2004 · aging (22 yrs)Participant
NATA2002 · aging (24 yrs)Participant
NATA2001 · aging (25 yrs)Participant + Spectator
NAEMSP2000 · aging (26 yrs)Spectator
ACEP1996 · aging (30 yrs)Spectator
US Government & Standards9 documents
CDC2025 · currentSpectator
ANSI/ESTA2025 · currentSpectator
NFPA2024 · currentSpectator
NFPA2024 · currentSpectator
ANSI/ESTA2020 · 6 yrsSpectator
DHS2019 · 7 yrsSpectator
Event Safety Alliance2013 · aging (13 yrs)Spectator
FEMA2010 · aging (16 yrs)Spectator
CISAcurrentSpectator
International15 documents
Events Industry Forum2026 · currentSpectator
Events Industry Forum2026 · currentParticipant + Spectator
Events Industry Forum2026 · currentParticipant + Spectator
Events Industry Forum2026 · current
Events Industry Forum2026 · currentSpectator
Events Industry Forum2026 · currentParticipant + Spectator
Events Industry Forum2026 · currentParticipant + Spectator
Events Industry Forum2026 · currentSpectator
supersedes → The Event Safety Guide (HSG195) (1999)
UKHSA2024 · currentSpectator
SGSA2021 · currentSpectator
SGSA2018 · 8 yrsSpectator
WHO2015 · aging (11 yrs)Spectator
Emergency Management Australia2006 · aging (20 yrs)Spectator
HSE (UK)1999 · aging (27 yrs)Spectator
AIDRcurrentSpectator
supersedes → Safe and Healthy Mass Gatherings (Manual 12) (2006)
Sanctioning Bodies8 documents
World Athletics2025 · currentParticipant
NCAA2025 · currentParticipant
FIA2025 · currentParticipant + Spectator
World Athletics2020 · 6 yrsParticipant
FIFAcurrentSpectator
UEFAcurrentSpectator
FIFAcurrentParticipant
Other
District of Columbia Department of Health, Health Systems Preparedness Administration; Mayor's Special Events Task Group2026 · current
San Francisco Emergency Medical Services Agency2025 · current
Georgia Department of Public Health2025 · current
Pennsylvania Department of Health2025 · current
Arkansas Department of Health2025 · current
Kentucky Board of Emergency Medical Services2025 · current
North Carolina Department of Health and Human Services2021 · current
Utah Department of Health and Human Services2016 · 10 yrsParticipant + Spectator
International consensus (multi-society)2015 · aging (11 yrs)Participant
Missouri county governing bodies (RSMo ch. 316 festival licensing)2013 · aging (13 yrs)
EACPR (European Society of Cardiology)2011 · aging (15 yrs)Spectator
Connecticut Department of Public Health2010 · aging (16 yrs)
Nevada State Board of Health and county boards of county commissioners2003 · aging (23 yrs)
Washington State Department of Health1997 · aging (29 yrs)
Indiana Department of Health1993 · aging (33 yrs)
Maine Department of Health and Human Services (Maine CDC)1982 · aging (44 yrs)
Iowa Department of Public Healthcurrent
Tennessee Department of Healthcurrent
Vermont Department of Public Safetycurrent
Colorado Department of Public Health and Environmentcurrent
Mississippi State Department of Healthcurrent
Texas Department of State Health Servicescurrent
New York State DOHcurrentSpectator
Oregon Health Authoritycurrent
New York State Department of Healthcurrent
Maryland Department of HealthcurrentSpectator
Louisiana Department of Healthcurrent
Oklahoma State Department of Healthcurrent
Known gapsnamed but unverified — not cataloged as entries
These were sought in the sweep but not confirmed as citable documents. They are recorded here as an honest map of the edges, not imported as library entries.
- AAP mass-gathering-specific policy (likely nonexistent — recorded as white space, not an entry)
- NFL / MLB / NBA / NHL venue medical standards
- IOC host medical requirements
- Canadian provincial event standards
- German national event standards
- NASEMSO event document
- AMSSM standalone statement
- OSHA event-specific standard