CHAMPIONNAT DU MONDE DE
HOCKEY SUR GLACE 2017 DE L‘IIHF
TEAM MEDICAL HANDBOOKTABLE OF CONTENTSI.

WELCOME LETTERII.

MEDICAL ORGANIZING STRUCTURE

III.

TEAM MEDICAL PERSONNEL MEETING AGENDAIV.

MEDICAL POLICIES AND PROCEDURESV.

EMERGENCY ACTION PLAN (EAP)VI.

DOPING CONTROLVII.

APPENDIX

I. WELCOME LETTER
Dear Ice Hockey Friends,
We would like to warmly welcome you to the cities of Cologne and Paris, the host cites of the 2017 IIHF Ice Hockey WorldChampionship !
We are very pleased to finally have you around after a long road that started back in May 2013, when the IIHF Annual
Congress voted for the very first time in favor of a joint bid of two nations, Germany and France.
Under the motto “Together for 2017” we gathered a crew of motivated hockey lovers that soon became a team withmultinational spirit, ideas and dreams. Now all members of our Organizing Committee are taking great pride inpresenting ourselves to you as two different nations, but one common host.

Franz Reindl

Together with you, your teams, the fans, Asterix and Obelix, we are looking forward to experiencing a unique event, greatsport, big emotions and lots of fun during the 2017 IIHF Ice Hockey World Championship in Germany and France.
Let’s all celebrate :Together for 2017 !
Ensemble Pour 2017 !
Gemeinsam für 2017 !

Luc TardifII. MEDICAL ORGANIZING STRUCTURE

III. TEAM MEDICAL PERSONNEL MEETING AGENDA
THURSDAY, MAY 4TH – 16:00
Louis Magnus Lounge / ACCORHOTELS ARENA (AHA)
✓✓
✓
✓
✓
✓

WelcomeHost organizing commitee medical program services
Host organizing commitee services
IIHF Injury Reporting System
Doping Control Program
Medical Policies- IIHF concussion Protocol- Injured Athlete, EAP, Removal from ice procedures- Blood Spill procedures✓ Others

IV. MEDICAL POLICIES AND PROCEDURES
1. ROLE OF HOST PHYSICIANS

The primary role of the volunteer physicians is to act as an EVENT PHYSICIAN, which includes:a)

Liaise with, and provide support for, the national team physicians in order to ensure the provision ofcomprehensive local medical care during the event.

b)

Provide urgent or emergency medical care assistance if necessary.

 Return to play and fitness to play decisions are the responsibility of the national team physician.

IV. MEDICAL POLICIES AND PROCEDURES
2. MEDICAL PERSONNEL ON SITE
All physicians, surgeons, dentists and therapist providing game coverage are licensed to practice in France
and are registered as accredited volunteers with the organizing committee.
Medical staff will have proper accreditation and outfitting that identifies them accordingly.
The primary role of the host medical staff is – as with the physicians – to work with and support thenational team medical staff in accessing or delivering care for the athletes.
➢➢➢➢

Dr Fabrice Leclerc MD (ECMO From May 4th to 10th)
Dr Olivier Tricoire MD (ECMO From May 11th to 18th)
Dr Eric Dopff (Chief Dental Officer)
Eric Wadoux (Chief Therapist)

IV. MEDICAL POLICIES AND PROCEDURES
3. AMBULANCE
A dedicated ambulance with trained paramedics will be on site at the AccorHotels Arena (AHA) for all
games, and only on call for practices as it is very close (10 minutes max.)
Paramedics should check with the duty physician prior and the intensive care physician (for the games) toleaving.
In most cases the event ambulance will NOT be asked to transport a seriously ill or injured athlete.
The event staff will stabilize the athlete and Venue PCO will manage transfer to the Centre Hospitalier
Universitaire (CHU) thru emergency system (SAMU de Paris)

IV. MEDICAL POLICIES AND PROCEDURES
4. HOSPITAL & COSTS
The Championship Hospital is « Hôpitaux Universitaires La Pitie Salpêtrière » - (2kms from the AHA)
Further information on the hospitals is available in Appendix A.
Please be reminded that teams should be prepared to pay or being reinvoiced by the IIHF for any hospitalcosts (admission, diagnostic imaging, other tests, surgery) at the time the patient is treated, and then bereimbursed by their insurance company.

IV. MEDICAL POLICIES AND PROCEDURES
5. MEDICAL CLINIC AND EQUIPMENTS
The medical clinic at the AHA will be open 1 hour prior to and ½ hour following all games and duringpractices.
The duty physician, host surgeon, dentist, and therapist will be available for advice, support and assistance.
For non-urgent medical advice, support or assistance when the medical clinic is not activated, please call thechief medical officer.
➢ Dr Fabrice Leclerc : +33 642 31 56 77 from May 4th to 10th
➢ Dr Olivier Tricoire : +33 623 89 93 59 from May 11th to 18th

IV. MEDICAL POLICIES AND PROCEDURES
6. MEDICAL CLINIC AND EQUIPMENTS
The following medical equipment will be available in the Medical Clinic :- X-Ray Equipment Rafale B DR
- Ultrasound scanner Logiq E9 xd clear- Defibrillator Responder AED- ECG Mac 2000
The following medical equipment will be available in Zimmer Area :- Physio SD Komplet- EnPuls Pro- Thermo TK

IV. MEDICAL POLICIES AND PROCEDURES
7. IMAGING
At the venue, immediate x-ray and ultrasonography will be available
Any need of more extensive imaging will be referred to our affiliated hospital or an x-ray clinic.
Further details will be provided at the Team Medical Meeting.

IV. MEDICAL POLICIES AND PROCEDURES
8. MASSAGE THERAPY
A program to allow athletes to have access to massage therapy has been set up for the duration of theChampionship.
We will have a massage therapist-osteopath available at the venue on a daily basis.
Schedule will be posted in the Medical Clinic.
Priority will be given to athletes requiring massage for injury recovery, as well as to athletes who have prebooked their appointments.

Please see the Chief Therapist to arrange an appointment.

IV. MEDICAL POLICIES AND PROCEDURES
9. ON-SITE PHARMACY

A limited pharmacy of medications (for emergency use only) will be available at the venue. Writtenprescriptions may be given for medications required beyond an initial supply after consultation between theteam and event physicians.
Contact information for a local 24-hour pharmacies is included in the Appendix of this manual.
Prescription from any medical doctor, belonging to EU, is valid in France
The cost of medication or medical supplies that are not available at the Medical Clinic is the responsibility ofeach team.

IV. MEDICAL POLICIES AND PROCEDURES
10. DENTAL SERVICES
A host dentist will be available at every game to assist with the management of oral, facial and dental injuries.
He will be able to provide the following services on-site that may allow an athlete to return to play :➢ repositioning of a dislocated TMJ➢ replantation (if indicated) of an avulsed tooth➢ repositioning of a luxated tooth➢ stabilization of a dislodged or loosened tooth➢ treatment of a damaged or exposed nerve➢ smoothing of a small fracture of the enamel
However, the decision to return to play will be the responsibility of the team medical staff.
Athletes will be transported to either on-call private dental clinic or hospital if more extensive treatment orradiographs are indicated.

IV. MEDICAL POLICIES AND PROCEDURES
11. PRACTICE SESSIONSECMO and physiotherapist will be on site during all practices sessions to manage any injury or illness requiringtransport to hospital

In any emergency situation, on-call ambulance will be on site within a 10 minutes maximum delay
AED and emergency supplies will be available in the Medical clinic.

IV. MEDICAL POLICIES AND PROCEDURES
12. SPECTATORS & OFFICIALS
Separate first aid staff and clinic for spectators are open on site. In the event of any emergency, host
medical staff may assist in any manner possible providing that medical care for athletes is not jeopardized.
Host medical staff will also be responsible for medical treatment of on-ice officials, coaches, IIHF staff andother team officials.

Host medical staff are not responsible for medical treatment of media, family members of athletes, or any
other visitors other than those described above. These individuals will be directed to the walk-in family
practice clinics , or to a hospital emergency department in more urgent situations.

IV. MEDICAL POLICIES AND PROCEDURES
13. BLOOD SPILL MANAGEMENT
All medical personnel must wear gloves when in contact with or when there is potential to be in contact
with body fluids of any kind.
A bleeding or blood-stained athlete must be removed from the playing area until the wound is properly
treated and covered, and any blood cleansed.
Blood-stained equipment or clothing must be appropriately cleansed or replaced prior to return to play.
In certain cases, the athlete may change jerseys if needed. As well, blood soaked ice surfaces must bescraped, and other areas (benches, medical treatment tables, floors) must be cleaned with anappropriate solution.
The host therapist will be available to assist with following these protocols.

IV. MEDICAL POLICIES AND PROCEDURES14. CONTROL OF COMMUNICABLE DISEASE
Teams should avoid the sharing of water bottles or towels wherever possible. In the penalty box area,
only single use drinks and towels will be provided.
Hand sanitizer will be available throughout the venues and should be used.

Training equipment should be wiped down after use. Single use disposable cups should be used in thedressing rooms. Massage and therapy tables should be properly cleaned after use.
Team medical personnel should attempt to isolate any athlete or staff member who shows signs of apotential communicable disease.

If there is any indication of a potential outbreak of any disease, the CMO should be immediately notified.

IV. MEDICAL POLICIES AND PROCEDURES
15. IIHF CONCUSSION MANAGEMENT PROTOCOLThe IIHF Concussion Management Protocol will be followed by all host staff.
An athlete who shows any signs or symptoms of concussion must be removed from the playing area andreassessed in a quiet area.

Team staff shall follow the IIHF concussion protocol in the event of a concussion. Concussion protocols
will be reviewed at the Team Medical Meeting.
The Team Physician shall consult the IIHF Medical Supervisor. In case of disagreement about the return on
ice the IIHF Medical Supervisor will inform the Directorate Chairman.

V. EMERGENCY ACTION PLAN (EAP)
1. PRIOR TO THE GAME

Either the duty physician or host therapist will meet with the team physician prior to every match to identify
any problems, discuss the following protocol and confirm communication to be used during the game andgame injury situations (hand signal etc.)
These protocols will also be reviewed during the Team Medical Personnel Meeting on May 4th

V. EMERGENCY ACTION PLAN (EAP)
2. ON-ICE RESPONSE
In the event of an injury on the ice during a game or practice, the injured athlete will always be assessed
first by team medical personnel.
If additional assistance is required (host medical personnel or ambulance / paramedic) this will be
communicated by the team medical staff using pre-arranged signals (crossed hands over the head). Injured
athletes will be removed from the ice and taken to either the team dressing room, the event medical room or
immediately to hospital, depending on the situation (Emergency Action Plan - Appendix )Ambulance and intensive care physician, paramedics will be on-site at all games and will be checking in withteams after each game before leaving the venue.
All Team Medical staff shall participate in an on-ice demonstration of the removal of an injured athlete prior
to the start of the Championship ( after test game on 4th of May )V. EMERGENCY ACTION PLAN (EAP)
3. LOCATION OF AED-

One in Medical Clinic-

One with ECMO-One with the ambulance and emergency physician-

One between player’s benchesVI. DOPING CONTROLThe IIHF, with the support of the AFLD, will administer the doping control program in accordance with theguidelines of the World Anti-Doping Agency. Federations are encouraged to take proactive and comprehensive
measures to ensure players are best prepared for their responsibilities.
This includes ensuring that players, support personnel and medical staff are informed of the:➢ IIHF rules and procedures that will be in place during the championship➢ 2017 WADA prohibited list
➢ Risks associated with supplement use➢ Therapeutic use exemption (TUE) requirements➢ Importance of drug-free sport

Players selected for doping control will be notified in person and escorted to the doping control station by achaperone as soon as practical. It will be the responsibility of the athlete to remain under continuous
observation of the chaperone after notification. All federations, players and team support personnel,
including medical practitioners, should review and be familiar with the 2017 WADA prohibited list that cameinto effect January 1, 2017

VII. APPENDIX
1.
2.
3.
4.
5.
6.

Contact and Local Medical Information
WADA Code www.wada-ama.org
WADA List of Prohibited Substances www.wada-ama.org/en/prohibited-list
IIHF Injury Definition
IIHF Injury Report Form
IIHF IRS FormMEDICAL PERSONNEL PARIS CONTACT LISTFUNCTION
IIHF MEDICAL SUPERVISORMEDICAL SERVICE COORDINATOR (MSC)
EVENT CHIEF MEDICAL OFFICERCHIEF DENTAL OFFICER (CDO)
CHIEF THERAPIST
ORTHOPEDIC SURGEON
RADIOLOGISTNURSESPHARMACYNAMEDr Markku Tuominen
Dr Mark Aubry
Dr Fabrice Leclerc
Dr Olivier Tricoire
Dr Fabrice Leclerc
Dr Eric Dopff
Laurent Wadoux
Dr Willy Schmidt
Dr Jean-Louis Tricoire
Dr Etienne Pluot
Dr Henri Guerini
Morgane Getenet
Juliette Ropert

EMAIL ADDRESSPHONE NUMBER
markku.tuominen@medisport.fi
markaubry@rogers.com
fabrice.leclerc@wnadoo.fr+33 6 42 31 56 77
otricoire@gmail.com+33 6 23 89 93 59
fabrice.leclerc@wnadoo.fr+33 6 42 31 56 77
ericdopff@yahoo.fr+33 6 08 94 29 08
laurentwadoux@orange.fr+33 6 48 03 69 20
wschmidt@orange.fr+33 6 48 03 69 20
jean-louis.tricoire@wanadoo.fr+33 6 85 32 42 52
etienne.pluot.cch@live.fr+33 6 81 51 04 92
henri.guerini@gmail.com+33 6 29 78 92 96
getenet.mogane@hotmail.fr+33 6 75 92 67 22
ropertjuliette@gmail.com+33 6 62 35 27 75
Pharmacie Bastille 24/7 6 boulevard Lenoir 75003 Paris+331 47 00 49 44

MAIN REFERRING HOSPITAL

Hôpitaux universitaires La Pitié Salpêtrière (APHP)
47-83 BOULEVARD DE L’HÔPITAL - 75013 PARIS
01 42 16 00 00

ARENA MAP
1a. CZE Dressing Room
2a. BLR Dressing Room
3a. NOR Dressing Room
4a. SUI Dressing Room
5a. FRA Dressing Room
6a. SLO Dressing Room
7a. CAN Dressing Room
8a. FIN Dressing Room
9a. Team Services Room
10. Team Laundry Room
11a. Team Stretching Area
11b. Team Warm-Up Area
12a. Team Uniform ServiceCentre Office13a. Referees & LinesmenDressing Room

17. Off Ice Officials Room
18. Team Skate Sharpening &Equipment Room
22b. Anti-Doping Control Room
23a. Medical Clinic
23b. Physio Room
23c. Zimmer Room
24. LOC Competition Office
29. Players’ Lounge
51. Mixed Zone Main Rink
52. Mixed Zone Practice Rink
107. Training Ice Rink
126. Team Bench 1
127. Team Bench 2

IIHF INJURY DEFINITIONAn injury is considered resportable if a player misses a practice or a game because of an injury sustained during apractice or game.
The player doesn’t return to the play for the remainder of the game following the injury :• all concussions• any dental injury• any laceration which requires medical attention• all fractures

IIHF Daily Injury Report Form
IIHF Championship:

National Association:Date://(dd/mm/yy)

Using this form, please report if there were any injuries sustained by any player on yourteam during the above-mentioned day during this IIHF Championship. We would ask that you also report ifthere were no injuries sustained by players on your team during this day of this IIHF Championship. If aninjury was sustained during this day then an IIHF Injury Report Form must be completed and submitted tothe IIHF Medical Supervisor or, in his absence, to the IIHF Directorate Chairman providing the details of theinjury sustained.
Please check (✓) the appropriate box below. Please provide the number of injuries
sustained if you check article ‘A’.

Injury Report(✓)

A. During this day there wereinjuries sustained by our team.
(number)B. During this day there were no injuries sustained by our team

Team Physician/Medical Representative:(print name)Signature:
Date:

30
November 2010

Injury Definition

Injury Report System/IRS

The definition of an injury in the IIHF Injury Reporting System is as follows
1. An injury is considered reportable if a player misses a practiceor a game because of an injury sustained during a practice or a game2. The player doesn't return to the play for the remainder of the game following an injury
3. All concussions
4. Any dental injury
5. Any laceration which requires medical attention
6. All fractures(only one injury/form)

Country:

IIHF Championship:

Mark the area on the ice surface where theinjury occured.
Note that Home and Visitor ends are marked toidentify offensive and defensive activity

235

67M

Y

Game / Period
1. warm up

94

DVisitor

Zone of Injury B

1. No contact with boards
2. Contact with boards

1

Home

Zone of Injury A

Date of injury:

8

2. 1st3. 2ndplaying time:
Situation
Even Strength

Practice
off-ice
on-ice4. 3rd
5. Ot

off-ice
on-ice

5/5
4/4
3/3

Penalty Killing

5/4
5/3
4/3
Cause of injury:

Goalie1. Yes
2. NoPower Play

1
Source of Diagnosis
1. Medical Doctor

2. Physiotherapist

Side / Body part:1. N/A

2. Left

Player information:

Dx/assessment:

1. Age2. Height (cm)3. Weight (kg)1. Contusion
2. Sprain (Ligament)
3. Strain (Muscle-Tendon)
4. Laceration
5. Dislocation/Subluxation
6. Fracture
7. Neurotrauma/Concussion
8. Other

3. Other
fill out a separate form for each injury

3. Right

4. Both

1. Head2. Face
3. Neck
4. Throat
5. Jaw/Chin
6. Teeth/Mouth
7. Eye8. Ear
9. Clavicle

10. Shoulder
11. Scapula
12. Upper arm
13. Elbow
14. Forearm
15. Wrist
16. Hand17. Thumb
18. Fingers

19. Chest
20. Abdomen
21. Kidneys
22. Upper Back
23. Lower Back
24. Coccyx
25. Buttocks
26. Pelvis
27. Groin

28. Genitals
29. Hip
30. Thigh
31. Knee
32. Leg
33. Ankle
34. Foot
35. Toes
36. Other:

Position:

Dental:Mouthguard?
Custom made?

1. Yes
1. Yes

2. No
2. No

1. Acute

Knee:

Circle the appropriate structure involved:
1. ACL
2. PCL3. MCL
4. LCL

5. Meniscus

Grade:

3.

Shoulder:91.

2.

1. Centre
2. Wing
3. Defence
4. GoalieTime Lost:
The amount of time player is
expected to be out of play

6. PF*

2. Recurrent:a. this season
b. last season

1. Return same day
2. Less than 1 week
3. 1 to 3 weeks
4. More than 3 weeks

Diagnosis:
ICD-code2.

3.

Was a penalty Called on the Play?

1. Yes
2. No

1. 2 min.
2. 2+2 min
3. 2+10 min
4. 5+20 min
5. Other:_Equipment:
DG:

PF= Patellofemoral, Kneecap
1.

1. Type of Checka. Body Checkb. Check from Behindc. Check to the Head
2. Stick Contact
3. Puck Contact
4. Unintended Collision
5. Fighting
6. Non-Contact
7. Skate
8. Other:

Nature of injury:

Circle the appropriate structure involved:
1. AC*
2. SC*
3. Glenohumeral
Grade:

4/5
3/5
3/4

AC= Acromioclavicular Joint
SC= Sternoclavicular Joint

1. Full Face mask
a. shieldb. cage
2. Visor
3. None31

THANK YOU !!