CLEVELAND — When the Cleveland Browns take the field in London, fans may notice the familiar sights of an NFL game—the blue medical tent, sideline personnel monitoring every play, and medical staff ready to respond at a moment's notice. What they won't see is the months of complex preparation that goes into ensuring player safety remains identical whether a team is playing at home or thousands of miles away.

Dr. James Voos, president of the NFL Physicians Society and head team physician for the Cleveland Browns, says the planning for international games begins more than six months in advance. Medical staff must obtain temporary licenses to practice medicine in other countries, establish relationships with local hospitals and healthcare providers, and coordinate supplies and equipment th

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