11 September 2026
World First Aid Day – Sara Gray’s story
World First Aid Day
When training becomes reality: Sara Gray’s story
Graduate Sports Therapists train for medical emergencies hoping they will never have to put that training into practice. For The Society of Sports Therapists (SST) member Sara Gray, that changed on 10 January 2023, when a steward suffered a cardiac arrest at the football training ground where she was working.
At the time, Sara was a Senior Academy Sports Therapist. She should have finished work around half an hour earlier but was still completing her notes when a message came over the radio.
“One of the stewards has collapsed.”
For Sara, the word collapsed immediately triggered a response. “The minute I heard the word ‘collapsed’, I shot up from my seat and said, ‘We’ve got to go.’”
Sara and another therapist headed to the scene. Before they had even arrived, Sara was already allocating roles and preparing for the possibility of a cardiac arrest.
When they reached the steward, the situation was serious. There was blood in his airway and he was unresponsive. The team immediately began emergency care. Seven shocks were delivered before the steward was transferred to the ambulance, where return of spontaneous circulation was achieved.
The best outcome happened, and he survived.
“I had just gone into training mode… It was completely emotionless, methodical, keep doing this, listen to the rhythm, you do this, you do that.”
Although the situation was chaotic, the team had something important to fall back on which was training and preparation. The club had a well-established Emergency Action Plan (EAP). Trauma equipment and an automated external defibrillator (AED) were already pitch-side, staff could communicate by radio and people understood their roles. The coaches also had first-aid training, allowing them to provide CPR and follow instructions while Sara and her colleague concentrated on more advanced emergency care.
An EAP needs to be practised
The experience also changed how Sara approached emergency planning. Although the outcome was positive, the response wasn’t perfect. The team subsequently sat down and reviewed what had happened.
“What happened that we weren’t prepared for? What were we prepared for? What could we do better?”
They identified practical issues they had not fully anticipated. It was January, the casualty was wearing several layers of clothing, and it was pouring with rain. They also needed to consider privacy, crowd control and how other players should be moved away from a serious incident. These lessons were incorporated into future emergency planning.
For Sara, this demonstrates why an EAP should never simply be a document that sits in a folder. It needs to be practised in the environment in which it may actually be used.
First aid is not just a pitch-side skill
Around six weeks later, the steward returned to work. Sara remembers something he told her:
“This could have happened to me at the stable on my own and I wouldn’t be standing here talking to you today. It was only because it happened here, you and the team were around to help, that I’m alive today.”
The steward hadn’t been exercising when he collapsed. He had simply been standing at the training ground. A medical emergency can occur on a pitch, but it can equally happen in a clinic, gym, changing room, team bus or waiting room and this is why it is important to plan our EAP’s to cover all these possible situations.
Why this matters for Graduate Sports Therapists
Sara believes the emergency and trauma education embedded within her Sports Therapy degree provided an important foundation for the additional emergency-care qualifications she subsequently completed. For her, understanding why something is being done is as important as learning what to do.
“When we teach it over the course of the degree… we get to really explore the ‘here’s why you’re doing things’ and you understand the underlying pathology.”
This is why emergency care is an important competency for Graduate Sports Therapists. Graduation, however, is not the end of that training. Skills need to be refreshed and practised, supported by appropriate governing-body and recognised emergency-care training throughout a therapist’s career.
What happens afterwards matters too
Sara also speaks openly about something that can receive less attention which is the impact on the person who responds. Immediately afterwards, she was running on adrenaline.
“I was absolutely buzzing… it was a real, ‘This is a showcase of why we do what we do.’”
Two days later, her feelings were very different.
“I hit a massive low… I felt so sad and I think the heaviness of the situation and the reality of how it could have gone weighed in on me.”
Talking to colleagues helped Sara process what had happened. Looking back, she recognises that she probably needed more time and support than she initially allowed herself.
It is an important reminder that support and debriefing following a serious incident should include the wellbeing of those who responded, not just a review of the clinical management.
How can The Society of Sports Therapists support members?
The SST requires members first aid training to maintain membership. The SST also helps to provide guidance around EAPs (Check out the world cup section on Exertional health illness and the EAP templates) and encourage members to regularly practise emergency scenarios in their own working environments.
As a member focussed organisation, we are always here if you would like to chat through an experience, so please do not hesitate to reach out.
When asked what advice she would give another Sports Therapist preparing for an emergency, Sara’s answer was simple:
“Know your equipment. Know your role.”
For World First Aid Day, it is a message worth remembering.
About Sara Gray
Sara Gray Williams is a Graduate Sports Therapist and registered member of The Society of Sports Therapists. She currently teaches on the Sport and Exercise Therapy degree programme at the University of South Wales, alongside working within the medical provision for the Wales Women’s National Football Team and in private practice.
Sara has a varied background across grassroots and elite sport, having previously worked within Welsh league football and international futsal before progressing into elite development football with an EFL Championship club. She has also completed both Intermediate and Advanced Trauma qualifications, further developing her knowledge and practical skills in the assessment and management of pre-hospital emergency care.
Photo credits: Images of Sara Gray provided courtesy of the Football Association of Wales (FAW). Photography by Ashley Crowden/FAW.
Image 1: Wales Women’s training session, The Vale Resort, Cardiff, 27 November 2024.
Image 2: Wales Women’s training session, Sportanlagen Güttingersreuti, Weinfelden, Switzerland, 30 June 2025.
Continue reading