I saw some programs and thank you for the comments, it was interesting to read.
I would like to come back to Madison’s accident. I am glad that couple was OK enough to compete.
ISU has documents about Medical Team -
https://isu.org/docman-documents-li...ort-1/memorandum/21610-isu-medical-guide/file
For all practices at the competition/main rink there must be a minimum of two (2) medical personnel at rinkside and one (1) in the medical room, one of whom must be a Physician.
At the practice rink there must be two (2) medical personnel at rink side, one of whom must be a physician, if the practice rink is not located in the same building as the competition rink.
At page 12 there is Concussion Recognition Protocol.
In Madison’s case she was lying on the ice for more than 20 seconds, if Evan wouldn’t help her to stand up, it would be much longer.
I do believe that Medical Team seeing that skater is lying on the ice, not moving, they should immediately enter the ice and go to injured skater. Doctor should check skater and decide whether skater 1) can be helped to get up or whether 2) medical stretcher and fixation of neck should be used with fast transport into hospital for other examinations (to exclude intracranial hematoma, fracture of vertebrae…). Those things above probably shouldn’t be decided by skater’s partner.
Now try to imagine a little bit different situation…skater can fall from lift exit / jump / step because she / he suddenly loses consciousness – there can be many reasons – drop of blook pressure, hypoglycemia, arrhythmia, heart attack, epilepsy...those acute conditions must be solved immediately. Every second matters. In case of certain arrhythmia you need defibrillator, if skater stops breathing you immediately have to start cardiopulmonary resuscitation. And we have skater lying on the ice, not moving....10 seconds, 20 seconds...and the only one who cares is her / his partner. And realise that from behind the board you absolutely cannot see whether skater is breathing and speaking / reacting. Prolonged hypoglycemia leads to brain damage, late start of resuscitation leads to brain damage...
I do realise that such non traumatic cases are rare. But once it happens it is necessary to be ready to react. And rely on the skaters themselves to decide that the situation is serious and (instead of being in shock) start shouting: “Bring defibrilator!” – I don’t take this like the best possible approach.
I do believe that coaches and partners know health state of each other. In case of Montreal coaching team they probably have a notebook...I no way believe that they remember health state and allergy of all of their students.
BUT does Medical Team at competitions has some idea whether any skaters are in higher risk? Having diabetes, epilepsy, allergy at some drug? Probably not. But it could help with differential diagnosis. Some people have allergy on pain killers or muscle relaxers – those drugs can be used by medical stuff for first aid in case of acute pain. Usually an injured skater is in shock so giving information about his anamnesis or allergies is probably the last thing he / she will be doing at the moment.
It would be good to rethink what is the fastest way how Medical Team could be informed about skater’s anamnesis, if it is not done yet. And rethink that Medical Team should enter the ice immediately seeing that skater is not moving.