Dylan Holloway Stretchered Off After Puck to the Neck - Doctor Explains

[@One_Proud_Papa]

Blues just announced Holloway is alert and in stable condition awaiting further evaluation. No issues with breathing.

[@seawolvesfan4u]

Yes amen! Looked scary tho thank goodness no breathing issues I was worried it damaged the carotid artery

[@Pandamama29]

A relief this morning hearing that. Oilers fan here and I've been looking at Blues results to see how him & Broberg are doing.

[@deanm3464]

Man I'm an Oilers fan who is still sad the Oilers lost him! I hope there's no injury Holloway is awesome

[@Pandamama29]

@@deanm3464 exactly

[@jeffmacdonald501]

Bless

[@perfumedquail222]

Finally a hockey video!! Lots of injuries in the NHL that Doc never covers Sergachev, Doughty, McDavid, Laine. Could even discuss and explain Demko’s rare and unique knee injury

[@klompsauce]

Even previous stuff like Rich Peverly or Clint Malarchuk

[@DingoOverlord]

Or Samuel Savoie from last year

[@Valspartame_Maelstrom]

Nobody cares about hockey (I love it)

[@xM40A3x]

He also doesn’t cover MLS (which has higher viewership on average than NHL at this point) or many other unpopular sports. He can’t cover everything and reality is people just don’t care about hockey.

[@pdubcentral]

I am so happy I saw this video before the injury. Not watching blues but loved him on the oilers so when I saw this I immediately freaked out. Was relieved to see the video was yours as I’ve seen a ton of your previous videos. I feel like there would have been way more panic watching it live than hearing it here. Thank you as always for your informative breakdown. Hope Dylan is okay.

[@DoubleRD]

who else start poking at their neck when he was talking about the artery.

[@JustADudeYT]

Omg me totally I covered my neck by reflex

[@JimmyFunkytown]

Holloway is just Genji...

[@jeffreyzucker.6819]

i do this every video

[@MRDY4322]

Hate seeing injuries but love seeing Doc put in the work to educate us

[@deemariedubois4916]

As soon as I read about this injury, I cam to YT knowing you would have a video about this. I can always count on you to clarify these injuries. Thanks Dr Brian.

[@erikssonek149]

Would love to see more hockey videos!!

[@EricBacker-r5o]

Blues fan watching live in STL, you are prolific and timely with your analysis. Initially thought puck hit collar bone or bottom of shoulder pad as it went straight down. Your slow-mo shows it did hit higher up on side of neck. He initially seemed unfazed and carried puck other way with his usual speed. I was thinking with the delayed reaction it was probably vascular, maybe a damaged jugular that started leaking and blood started pooling. Then he gave the stinger or pinched nerve type of head motion which I didn’t think was possible in this situation. Your skeletal man 2:45 illustrated exactly what prob happened.

[@ariyayaya957]

Everyone’s on about politics then we got doc, breathe of fresh air

[@Starkesea]

For real!

[@taylordrawdy9149]

Facts😂

[@deemariedubois4916]

I voted. I’m not watching the returns. It will be what it will be. I just hope which ever ‘side’-we should be one side, the American side-loses that they will handle it with class and peacefully. Yes I’m a dreamer but I’m too old to change now.

[@Maronator]

Except he's gone Woke

[@jeffreydevers5083]

Wow, thanks for breaking this down! Sounds like he’ll be OK 🙏

[@jalenhinton8531]

That boy don't miss ❤❤❤

[@chrisprice7216]

Right?!?

[@Jessica805.]

Who the KZbinr or the hockey player lol

[@yeatdaddy9900]

@@Jessica805.Nick paul

[@melissak2071]

As soon as I heard about this, I was hoping you’d do a video about it, and here you are! You’re amazing!

[@SRQBID]

Why it's always good to see hockey content here. So many different types of injuries and a huge pool of issues that don't come up in football/basketball.

[@wordsofjames]

Praying he is alright.

[@paul75ranger]

I was watching this game and very worried. Not so much now with your analysis. Thanks Doc

[@josefihli2672]

Dang you got a video out on this already. Legend!

[@cj9667]

You possess so much knowledge it blows my mind!

[@porfiriato84]

You act as if you've never met a doctor 😂

[@cj9667]

@@porfiriato84 actually..none that even come close to his level…and I’m talking about so called“sport orthopedics” big wigs at Stanford

[@soulknife20]

​@@cj9667Those are usually research doctors. They haven't seen a patient in years.

[@mikecumbo7531]

Doc, look up Phillip Hughes. He was a 25 yr old Australian cricket player who died when a cricket ball caused a vertebral artery dissection that led to a subarachnoid haemorrhage.

[@LJ-fm5og]

Scary, reminds me of the cricket player who died after getting hit in the neck with a ball.

[@bramstedt8997]

Follow up the next day is that it impacted his vagus nerve. He immediately knew something was wrong but saw a chance to possibly score so he didn’t immediately go to the bench. But once he did, things got fuzzy and he can’t really remember what happened. Was told no active for 24 hours then if all is well, he’s good. This happened Tuesday night and he plans on playing Thursday Another note: that head athletic trainer is Ray Barile and he’s been with the team since 1995. He’s seen some stuff, including 2 cardiac events

[@aegisreflector2725]

Scary sight to see initially. The refs suspended the first period with time left on the clock for Holloway's injury; you almost never see that in the NHL. A puck-to-the-neck situation happened tonight with Stolarz, too.

[@billyanowsky8736]

Yes. You identified the head athletic trainer correctly. His name is Ray Barile. As an athletic trainer thanks for saying "athletic trainer" instead of "trainer." It shows respect for the profession.

[@jeffceriotti]

Great and thorough explanation. Thanks. It was reassuring!

[@kennywaynemayne5453]

I just saw an interview with Holloway, he did say he was unconscious from the bench to the ambulance. He said that the puck hit a nerve in his neck, great explanation Doc!!

[@JustBob-sw4rf]

Excellent discussion, thanks a lot for this.

[@Dr._Wan___PharmD]

In doc we trust.

[@jasonthieme8926]

Hoping for a speedy and full recovery for Holloway. Sucks to see these guys who are warriors on ice go down. I could see a world where neck guards are a thing even in the NHL. Might have cushioned the blow a little bit and change the outcome here but I don't know that for sure

[@kurtperini1224]

Thank you for the video, Docter.

[@owenator]

Yet again proving hockey athletes are the toughest in the world. Dude finished his shift too

[@michaeldalsky1209]

He almost scored too!

[@Atomos89]

Think if this was a soccer player instead 😂

[@DingoOverlord]

Thanks for another hockey video, Doc! 👍

[@avah3643]

Would a neck guard have done anything to help prevent the severity of an injury here? I know they've been becoming more popular in the NHL (mandatory in the AHL) since the death of Adam Johnson after a skate cut his throat unfortunately. I doubt it would help since they are made for something else, but I was just curious

[@kennethplatz5843]

Thank you for this detailed analysis!

[@kennethplatz5843]

Dylan Holloway just did a brief press conference and indicated that per his doctors the puck applied pressure to his vagus nerve, which caused the loss of consciousness. No expected long-term effects.

[@Rayallwayz]

His parents were at the game. They are with him at the hospital. Dr's said he's fine. They will tina scan for precautionary reasons. You were correct like usual!

[@BlueshirtFan4Ever]

That reminds me of the same injury that Henrik Lundqvist suffered when he took a puck to the throat against Carolina back in February 2015. That was scary.

[@cn07jsai]

This is what I immediately thought of. Horrific event. There's a reason cricketers all wear neck guards now.

[@TheEDFLegacy]

He's back in the lineup two days after the injury. Excellent news!

[@natedizzle106]

Well explained doc!

[@JPHiP88]

Oilers Fan here. Love Hollywood god speed

[@justinalbers3167]

Great breakdown. I haven't looked if you've Jay Bouwmeester, but if you haven't I'd love to watch it.

[@nancybannerman1224]

That was very interesting. There was a player with, I believe Montreal, that did take a slapshot to the throat. He was rushed to the hospital with, and please forgive me if this is wrong,a crushed larnyx, collapsed lung, and possibly other injuries. He couldn't breathe. That was a scary scene. I really enjoy these videos and try to guess what the possible injuries could be before you do your explanation. Thanks. 🇨🇦

[@Dillonisthename]

Prayers 😔

[@rickmts]

Great explanation!

[@bradyhill2136]

The first thing I thought of when I saw the puck hit his neck was the Russian kid who died a couple years ago from getting hit in the neck in a similar spot. I’m glad holloway is stable currently. I hope we get some more info soon.

[@porfiriato84]

Side note... your room looks so relaxing. Nice place for naps

[@klompsauce]

Please do more NHL stuff, even previous stuff like Rich Peverly or Clint Malarchuk

[@justinbrannan1135]

Can u plz review the Phillip Broberg injury 3 days ago

[@vietnam1978]

Update on Chet? Best defender in the league and looks pretty bad :/

[@captainpjarker]

Hey Brian, could you cover the recent injury during the Rice v. Memphis college football game? I’d imagine it might be nerve damage or maybe a broken neck, but it’s just so weird because he was walking for a little bit and then fainted on his way to the sidelines.

[@tchevrier]

"if you have a laceration to the carotid artery, you're going to collapse..." except if you're Richard zedik, you bolt for the dressing room.

[@erindee122]

This made me think of Zednick. That was a fucking nightmare

[@SuperIClaudius]

I played hockey in college and saw a similar hit. A swollen muscle resulted. You didn't mention that as a possibility, pressing inward on the nerves and artery, again a delayed reaction.

[@Editss213]

getting hit by a Puck causes swelling? I think it's pretty much common sense you're gunna experience swelling if you get hit with a piece of rubber like that

[@enzy6434]

Never want to angle your stick blade backwards like that when you're going to block a shot.. the second I saw that I knew what was about to happen.

[@rudypericolo]

Good thing he's OK! Not the same spot/ injury for me but, as someone that used to play a lot of hockey when I was younger I can really appreciate the danger of getting hit in the neck. I see most kids now wearing neck protection, probably wouldn't be a bad idea to wear them as adults too, anyhow not here to preach... So about 20yrs ago we had a real good group of guys we rented the ice and played once a week together. All ex-pro, college, junior A players we weren't the nhl but, the hockey was fast and a good fun game. One night a guy that had an absolute cannon tee'd one up through a screen that I never saw. Luckily, it hit my neck dangle, but so hard it shattered into pieces. After obliterating that throat guard it hit me just to the side of my throat. Not only did it scare the living hell out of me, I was hurtin pretty good and either the puck or a now sharpened edge of my busted plastic dangle cut me pretty good too. The ER Dr that checked me out afterwards told me anymore to the side it could've crushed my larynx and killed me. Curious I went online to see if I could find any info on hockey players getting killed by pucks to the neck. Turns out in 2005 (approximately when it happened) that getting hit in the throat/ neck was the #2 killer of amateur hockey players at the time. I'm pretty sure that bodycount covered pucks and skates but, still pretty scary. Oh and for the morbidly curious out there the #1 killer of amateur hockey players back then (and I'm sure still is today) was heart attacks.

[@TimothyWiebe-v2y]

Remote possibilities include arterial dissection

[@dennis2376]

Thank you.

[@jasonhackworth3502]

Would a stroke or mini stroke be out of the question with possible damage to the carotid artery?

[@harv83]

Definitely bp/vascular related. If it was a stinger, he would have immediately reacted to the electrical-like jolt down his arm. I wonder if the delay in his symptoms also related to some kind of rapid onset of swelling (ruptured blood vessel?), compressing structures on the right side. Side flexing to that side would provide slack to those soft tissues and let them stretch out

[@Seamonste12]

The blood pressure thing was my immediate thought. It reminded me of Dylan Larkin's injury when he was unconscious for 30-60 seconds

[@bdonaghu]

Just one minor correction, pretty sure it was Chris Pronger that had the cardiac arrest after being hit with a puck, not Bouwmeester

[@melissak2071]

Bouwmeester collapsed on the bench with cardiac arrest last year (or the year before?). Can’t remember if it was an existing condition or if he had taken a hit. ETA: just looked it up- happened in 2020

[@klompsauce]

Pronger went down in the playoffs w/Blues against the Red Wings in 1998, Marty LaPointe clapper hit him in the heart, I was 11, it was scary.

[@ISUCKATANYOFTHIS]

​@melissak2071 Bouw was "non contact" He just went down and the doctors discovered a heart defect.

[@gregariousgaming6497]

I have a question for you. As the puck impacted the vascular network in that area and the momentary increase in pressure is realized by baroreceptors, could there be prolonged swelling due to injury that both decreased blood flow to the brain and increased the pressure due to the resulting decrease in lumen size? Also, I've read about a different condition, aortic distension. Is it possible that other arteries like the internal jugular become distended reducing pressure and blood flow? Would really appreciate and answer, thank you so much.

[@100Crackfist]

Yes so glad doc did this fascinated by what happened here, hope he’s okay

[@noisepuppet]

Hockey arena sponsor in the background: 🎶 graybar, graybar, graybar!!

[@Usiris23]

Damn you work quick!

[@1017_CK]

You mentioned you might get to this and never did, no worries! but now I’m curious. What would happen if you were hit at a high rate of force in the front of the throat?

[@NIOWatcher]

My son encountered the same during the hockey game and he skated back to the bench and shortly after he blacked out on the bench then was lifted to the emergency room.

[@cammiller5516]

Hey doc question for you before he gets hit w puck he is standing their and his posture look odd like he is struggling wonder if he has asthma and when he got hit it caused him to wease because he waz hyperventilating

[@jimmyconway8025]

Could the artery collapse or get like damaged permanently Was. Watching a video on a old martial arts guy who was a bouncer in Australia. Neck is apparently very vulnerable And someone can be taken out easily with a neck strike. Dude took that pretty well

[@holyheadshot5553]

I'd be curious to see this contrasted with the puck/neck injury Lundqvist sustained a few years ago

[@7thangelad586]

A rare hockey video!

[@jasonhackworth3502]

Would a stroke or mini stroke be out if the question with possible damage to the carotid artery?

[@Maxamillon123]

Hey Brian do you heard anything about Drake London Falcons WR#5 he injured his hip pointer but I haven’t heard anything else yet.

[@NatPat-yj2or]

Prayers from Bruins nation. The look on his face before he went on the stretcher was terrifying. He did not put his arm up with a thumb's up for his home crowd, and that concerns me the most. I feel that it is not a nerve injury, and it looks like a cardiovascular problem. There is not enough blood getting to his brain, and you can see that clearly because his eyes are wide open and he has a vapid stare. Hopefully the blood pressure is normalized by now.

[@bjarczyk]

Horrifying. I think all the time that I can’t believe we don’t see more pucks hitting players in the neck. Playing defense and blocking shots takes serious courage at that level of hockey.

[@bsrkoacar8414]

Is that why you can get light headed or even pass out after a heavy deadlift? Blood pressure spikes during the lift then have that reaction?

[@luke34349]

When I was high school, I got elbowed in the neck during basketball practice. Shortly after I went blind for about 45 minutes. Definitely something to do with the artery being hit and body overreacting.

[@summer7945]

Could you review cubarsi’s injury It’s not that serious but I thought he was like knocked out

[@Sigma1_969]

Thanks for the analysis, however, you missed something.. as Dylan got to the bench and sat down.. before the medical staff got to him you can see him sitting on the bench in obvious distress and discomfort.. something was wrong.. at that point, I believe he had lost consciousness, it was only then that his own medical staff (the man holding his head) noticed something was amiss.

[@JayRoberts244]

Some really good news, Holloway is back at their rink today addressing the media. The puck hit his vagus nerve. All seems to be good.

[@chrisbishop3716]

I am going to watch more hockey in this video than I will watch all year.

[@delusionalvikingsfan18]

Need a Mahomes ankle/hip breakdown

[@porfiriato84]

Nobody cares about that 😂

[@oldskooltv8787]

Can you do one on Ja Morant’s latest injury??? Can’t seem to find out what happened

[@sinestra81]

I saw this live and it was scary af watching him get carted out on a stretcher, everyone said neck and they thought he was really bad because the announcers said due to the "serious" injury.

[@pounderish]

Stinger if you look closely he has a hard time letting go of the hockey stick and when he does his arm seems to be in a locked position. Jmo.

[@karlje8n]

While he's still on the ice, there is venous pump from his lower extremity musculature. I wonder if he started getting lightheadedness because he sat down on the bench, which would've taken away that venous pump.

[@Not_a_smart_man]

BETTMAN: MANDATORY NECK GUARDS. The fact hockey players won’t wear these, FORCE them to.

[@dw4867]

They're grown ass men, they know the (very low)risks...

[@reaganharder1480]

I think there's something to be said for the "they know what they're signing up for" argument, but also... Two pucks to the neck just tonight, both to players not wearing neck protection that is entirely allowed. Even if they make it a grandfathered rule like they did for visors, neck protection really ought to be making its way into the NHL.

[@BigHeavyLove]

Hard agree. After the Adam Johnston incident Penguins said they'd rally for it and bailed. It 100% needs to happen. Fuck what the players think.

[@joked87isback]

Hes actually fine. He just adressed the media and answered questions about it. Scary tho

[@FionaGlennanne]

True sports fans will come to Dr. Brian's site to get accurate explanations for realtime sports injuries. We are all smarter because of his content.

[@stevenpuccio]

Vasospasms as the carotid artery and jugular veins, pressure sensors got triggered

[@thomasm1278]

Instant subscribe.

[@wilcee238]

Don’t they make hockey players wear guards after that one guy got his throat cut? Or did the kinetic energy of the puck transfer through the guard?

[@tracyelsinger1088]

Neck guards are optional I believe. Just like face shields

[@emilefragz1885]

He showed images.

[@wilcee238]

@tracyeslinger1088 Those aren’t mandatory?! Wow.

[@tracyelsinger1088]

@@wilcee238 I guess they are now, but there are still 5 guys who are exempted from wearing them due to a grandfather clause.

[@newfie1613]

Neck guards are not mandatory in the NHL, but also probably would not have helped as they are cut resistant on impact resistant.

[@rizzorizzo2311]

He’s lucky man. A cricketer took a fast bouncer to that area a few years ago and it cut his vertebral artery and he died from cranial bleeding. Fucking crazy shit.

[@SMG2fanatic]

Interesting. I went to the general care once for pain in my neck. They were pushing in the side of my neck feeling for whatever. Then a few moments after I told them I had to lie down cuz I was feeling queasy. Only took a couple minutes to recover, so figured it was just an overreaction to the pain but maybe they just caused that reflex and my blood pressure dropped.

[@bornyoung]

He has updated that the puck hit his Vagus nerve. He's ok and will probably play on Thursday.

[@Axe_Slinger]

This looks so much like the collapse of Jiri Fischer, of the Red Wings, collapsed on the bench after a shift. His Heart actually stopped and the had to use a Defibrillator and give him CPR on the bench!

[@Lazybonesitis]

it looked like he was breathing pretty heavily on the bench so my first thought was swelling to the neck that closed up the airways but idk if the body works like that

[@Rayallwayz]

On a different player. Ovechkin got hurt. Didn't look bad. All they said was lower leg injury. I wonder what it is. I never thought Wayne Gretzsky record would be broken. Ovechkin will definitely break it.

[@matthewkapfer2464]

Update: He met with Blues media, all tests so far have come back good and he's hoping to play the next game which is 11/7/24

[@td1068]

Thats strange, both philip broberg and dylan hollaway got hurt. Maybe a sign that they shouldn't have gotten greedy with Edmonton.

[@BreezyJC]

this exact thing happened to me except it hit the center of my neck, not fun

[@Chris-k9k9c]

Interesting that if spinal injury is suspected, you stabilize the head. If it is a drop in blood pressure, you need to get blood to the brain so best to let nature take it's course when you are lightheaded and lie down so that you can get more blood to the brain.

[@davidfeldman354]

He was told not to do any physical activity for 24 hours and he was a game time decision the next game

[@christopheriannotti8462]

Only mentioned it briefly, but would be concerned for possible carotid dissection.