More than 1,000 emergency calls were made to West Midlands Ambulance Service after England's World Cup Semi-Final defeat to Croatia.
The service say calls rose by 15 per cent compared to the same seven hour period the previous week.
Among the incidents attended by paramedics, there were 40 assaults, several cases of domestic violence and road traffic collisions.
A large fight broke out on Beacon Road in the Great Barr area of Birmingham and the service were also called to reports of a man who had been ‘surfing’ on top of a moving car in Solihull.
Around 16 people also jumped in the canal off Broad Street in the City Centre.
Assistant Chief Ambulance Officer, Nathan Hudson, said the phone lines "lit up" after the final whistle.
He added: "The high levels of demand continued until around 4.30am before returning to levels that we would normally have expected to see.
"The Trust had put in place an extensive plan to deal with the evening with a large number of additional crews, managers and doctors on shift. The planning paid dividends with the Trust able to cope with the significant rise in demand exceptionally well. I would like to thank all of the staff who came in on days off to assist us."
Earlier this week, West Midlands Police received its highest ever volume of calls. They took more than 3,000 calls in just 24 hours following the England vs Sweden game on Saturday.