KEEP YOUR EDGE
HOCKEY SPORTS
MEDICINE 2015
AOSSM
DISCLOSURES
Anthony Colucci, D.O.,F.A.C.E.P.
DETROIT REDWINGS , HEAD TEAM PHYSICIAN
E.D. MEDICAL DIRECTOR, HENRY FORD MACOMB
PRESIDENT , NHLTPS
CO-CHAIRMAN, EMERGENCY PREPAREDNESS
COMMITTEE/NHL
MEDICAL DIRECTOR, MCCC PARAMEDIC PROGRAM
EMERGENCY
PREPAREDNESS
DO YOU HAVE A PLAN???
GOAL:
To provide a consistent level of medical
care for potential catastrophic injury at all
NHL practices and games for both home
and visiting teams.
VASCULAR INJURIES
VASCULAR INJURY
Fractured Larynx/AIRWAY
Airway Emergencies
Commotio
Cordis
Cardiac Arrest
Concussion
Are You Prepared?
It is not the intent that definitive care be provided at
the arena, but rather, that Club facilities shall be
staffed and equipped to stabilize and transport the
injured player to a tertiary care center (e.g. Hospital
Emergency Department)
Clubs are required to have two ambulances at the arena and one
solely dedicated to the players positioned at ice level. This
ambulance is to be staffed with personnel that are trained/certified
in airway management/intubation and IV access
ability…PARAMEDIC.
This ambulance must be replaced with another one that has the
exact same capabilities preferably prior to the first one leaving, but
ASAP.
Ambulance service available during practice times for the home
and visiting teams.
Each Club shall have a minimum of three Physicians at all home
games, either as Team Physicians or Consultants. “Team Physicians”
are defined as Physicians who are making fitness to play decisions on
behalf of the Club. Consultants are Physicians other than “Team
Physicians” who are in attendance at games to provide medical care to
the Players at the request of a Team Physician.
Each Club’s Physicians at home games shall include an
active specialist in emergency medicine who has completed
training in ATLS and ACLS. (In addition to an orthopedist,
and an internal medicine or primary care sports physician,
as previously required).
**Separate from the Emergency physician, at least one of the Team Physicians in
attendance at home games shall have completed hockey specific trauma management
training or ATLS training in the previous 3 years. Compliance with this requirement
is required by the 2015 All-Star Break.
**Each Club’s Team Physicians and Athletic Trainers in attendance at home games
shall have familiarity with the NHL Modified SCAT3 for concussion evaluation and
diagnosis. At least one Team Physician and at least one of the Club’s Athletic
Trainers in attendance at each home game shall be proficient in administering the
NHL Modified SCAT3.
During game play the team’s emergency medicine physician
shall also be seated (along with the Clubs’ other physicians) in
close proximity to – within 50 feet of – the Player’s bench with
immediate access to the bench and ice surface.
The Medical/Training Staff are suppose to be
trained and/or certified in ACLS,BLS, ATLS
(hockey specific trauma
management/NHLTPS), SCAT3, NATA
and/or CATA as described in the “Emergency
Medical Standards”
EMERGENCY
PREPAREDNESS
The rehearsal provisions were expanded
to include trauma airway management and
cardiopulmonary resuscitation, and
injuries/illnesses occurring at different
locations on the ice surface or elsewhere.
Dry runs shall occur prior to the first
home exhibition game and shall be
expanded to also include role of
paramedics, and arena/security staff and
plans for communication between medical
staff and ambulance paramedics.
Travel Med Kit
The Subcommittee continues to affirm the value of training for, and access to, a standardized ATC Med
Kit. The use and training of the Travel Med Kit remains voluntary for the 2014/15 season. The
Subcommittee is continuing to explore transition to League-wide adoption of the Travel Med Kit.
Medical direction for the Travel Med Kit is required for the administration of any prescription drugs.
Such medical direction might come from the In-Flight Medical Consultant or from a Team Physician or
other physician who is traveling on the flight.
Appropriate medical supervision of the stocking, restocking, storage and maintenance of the Travel Med
Kits is required, and may come from the Team Physician or a Club’s In-Flight Medical Consultant.
General topics include Advanced EMS Care and Treatment Protocols
for: Cardiac Arrest, Chest Pain, Difficulty Breathing, Allergic
Reaction, Unconscious Patients, Diabetic Emergency, Seizures, and
Narcotic Overdose. The medications overviewed and contained in the
Kit included: Albuterol, Aspirin, Benadryl, EpiPen, Glucagon, Nitro,
Narcan, and Oral Glucose. The medical equipment overviewed
included: Atomizers, Glucometer, Non Re-Breather Mask, Pulse
Oximeter, and SVN. A protocol booklet that includes the indications
and contraindications for the above emergencies is included in the
Travel Med Kit.
IS YOUR ROOM READY?
AIRWAY
INTUBATION/LMA/AMBU
BAG
BREATHING/O2 PULSE
OXIMETER
CIRCULATION IV’S AND
FLUIDS
SUCTION
C-COLLAR/BACKBOARD
EQUIPMENT
EMERGENCY PLAN of
ACTION
1. Check your ABC’s
2. Support ABC’s
3. Stabilize and support C-Spine
4. Transport
EMERGENCY ACTION PLAN
WEATHER THE STORM!