Cardiac screening has increasingly become a standard part of preventive care for elite athletes in cricket and many other sports around the world. Ideally, a cardiac screening program should be supported by a range of other strategies across the sporting organization focused on quality of care for athletes and prevention of other cardiac emergencies. This narrative review aimed to present key strategies for the successful implementation of cardiac screening and prevention of other cardiac emergencies in the setting of elite cricket. It builds on previous recommendations and adds updated evidence, including cricket-specific evidence. We present key strategies for the prevention of cardiac emergencies in elite cricket. These are cardiac screening, including electrocardiogram (ECG) interpreted by a physician with expertise in athlete ECGs, regular auditing of the cardiac screening program and ongoing quality improvement, building required sports cardiology infrastructure; cardiovascular awareness across the organization, and cardiac emergency preparation, including access to automated external defibrillators (AEDs), cardiopulmonary resuscitation (CPR) training, and prematch medical briefings. Some of these strategies may also be appropriate for nonelite matches but would need to be tailored according to the resources available. The ultimate aim is to provide better cardiac care for cricketers, staff, and the broader community.