Many 2020 athletic events have been cancelled because of the COVID-19 epidemic, although some were postponed to 2021, making 2021 full of mass participation sporting events. As sports activities have been linked to minor and serious injuries, Sports medicine (SM) is a clinical subspecialty of Emergency Medicine developed to be in charge of treating sports-related injuries. While during the COVID-19 pandemic, Personal protective equipment (PPE) guidelines may lag emergency care delivery at sporting events. Athletes` unexpected death is uncommon, but it is a tragic accident for society and unfortunately, a sporting event attended by thousands of athletes the size of the Olympics is not far off. Basic life support (BLS) operations are essential to save the lives of these athletes; while no complete guideline has addressed BLS in the COVID-19 pandemic. Rapid cardiac defibrillation is most needed during cardiac attacks. Tokyo, the host of the 2021 Olympics, appears to have a good supply of defibrillators at medical centers and sports stadiums. Because of the increased risk of COVID-19 transmission, basic life support operations are still dangerous for rescuers and patients. Alternative methods are suggested in the literature as well as the prone position cardiopulmonary resuscitation (CPR) which is not fully supported by clinical shreds of evidence, especially in BLS. Mechanical chest compression devices could be used safely in CPRs in sports events. Minor concerns are about the management of the nasal or oral wounds that should be done discreetly to prevent COVID-19 infection.
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