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!