During a game on March 22, 1989, between the visiting St. Louis Blues and Malarchuk's Buffalo Sabres, Steve Tuttle of the Blues and Uwe Krupp of the Sabres became entangled while chasing the puck and crashed into Malarchuk's goal. Tuttle's skate caught Malarchuk on the neck, severing his jugular vein.
With blood spurting from Malarchuk's throat onto the ice, he was able to leave the ice on his own feet with the assistance of his team's athletic trainer, Jim Pizzutelli. Many spectators were physically sickened by the sight. Eleven fans fainted, two more suffered heart attacks and three players vomited on the ice. Local television cameras covering the game cut away from the sight of Malarchuk bleeding after noticing what had happened.
Malarchuk, meanwhile, believed he was going to die. "All I wanted to do was get off the ice", said Malarchuk. "My mother was watching the game on TV, and I didn't want her to see me die." Aware that his mother had been watching the game on TV, he had an equipment manager call and tell her he loved her. Then he asked for a priest.
Malarchuk's life was saved by the team's trainer, Jim Pizzutelli, a former Army medic who had served in Vietnam. He reached into Malarchuk's neck and pinched off the bleeding, not letting go until doctors arrived to begin suturing the wound. Still, Malarchuk came within minutes of becoming only the third fatality to result from an on-ice injury in NHL history after Howie Morenz (1937) and Bill Masterton (1968). It was estimated that if the skate had hit 1/8 inch (3 mm) higher on Malarchuk's carotid, he would have been dead within two minutes. It took doctors a total of 300 stitches to close the wound. It was also said that had the incident occurred at the other end of the ice, Malarchuk would have died - the Buffalo Memorial Auditorium had the locker room exits at one end of the ice instead of the location behind the benches, and he was at that end.
Tennis players, get some perspective!