'Anyone Can Save a Life' Aims to Prepare
July 28, 2015
By Rob Kaminski
MHSAA benchmarks editor
It was 2008 when Jody Redman and staff at the Minnesota State High School League developed an emergency action plan to provide guidance and procedure in the event of sudden cardiac arrest during scholastic athletic competition.
The desired response from schools upon receipt of the plan was, well, less than enthusiastic.
“Only about 40 percent of our schools used the information and implemented the program,” said Redman, associate director for the MSHSL. “Our focus was completely on sudden cardiac arrest, that being the worst-case scenario regarding athletic-related health issues.”
The MSHSL asked the University of Minnesota to survey its member schools, and results showed that the majority of schools not on board simply felt a sudden cardiac arrest “would never happen at their school.” Naive or not on the schools’ parts, that was the reality – so Redman went back to revise the playbook.
“We expanded the plan to deal with all emergencies, rather than specific incidents,” Redman said. “Now it’s evolved so that we are prepared to deal with a variety of situations which put participants at risk. We shifted gears and got more schools to participate.”
Did they ever. And not just in Minnesota.
This summer, the “Anyone Can Save a Life” program, authored by the MSHSL and the Medtronic Foundation, is being disseminated to high schools nationwide with the financial support of the NFHS Foundation. The program will reach schools in time for the 2015-16 school year.
Once received, schools will find that there are two options for implementation, via in-person training or online.
“The in-person method is facilitated by the athletic administrator with the assistance of a training DVD” Redman said. “The important element is the follow through, ensuring coaches return their completed Emergency Action Plan (EAP). With the e-learning module on anyonecansavealife.org, individuals will complete an e-learning module that will walk them through the details of their specific plan, and as they answer questions, the information will automatically generate a PDF of the Emergency Action Plan (EAP) which they can edit at a later date as information changes.”
Schools will find five major components of the program to be received this summer: the first is an implementation checklist for the AD, explaining their role. Next are sections for in-person training, online training and event staff training. The last item contains a variety of resources that will ensure the successful implementation of a comprehensive emergency response to all emergencies.
Generally speaking, the program prompts schools to assemble preparedness teams, broken into four categories: a 911 team, a CPR team, an AED team and a HEAT STROKE team. The groups are made up of coaches and their students who will be in close proximity to all after-school activities.
“The reality about school sports is, at 3:30 every day the office closes and any type of medical support ceases to exist,” Redman said. “We then send thousands of students out to gyms, courts, fields and rinks to participate without systemic support for emergencies. This program puts into place that systemic support.”
Another stark reality is that the majority of schools in any state do not have full-time athletic trainers. Even for those fortunate enough to employ such personnel, it’s most likely the training “staff” consists of one person. That one body can only be in one place at one time, and on widespread school campuses the time it takes to get from one venue to another could be the difference between life and death.
“Athletic trainers can champion the program, but someone needs to oversee that every coach has a completed EAP in place,” Redman said. “For every minute that goes by when a cardiac arrest occurs, chance for survival decreases by 10 percent.”
Thus, it’s imperative to train and grant responsibility to as many people as possible, including student-athletes. In fact, students are a vital component to having a successful EAP. Students will be put in position to call 911, to meet the ambulance at a pre-determined access point, to locate the nearest AED, to make sure emersion tubs are filled for hot-weather practices, and for those who are trained, to assist with CPR. Coaches will identify students at the beginning of the season and prior to an emergency taking place. They will provide them with the details of the job they are assigned so they will be ready to assist in the event of an emergency.
“We have game plans for every sport, and for every opponent on our schedule,” Redman said. “But we don’t have a plan to save the life of a member of our team or someone attending a game at our school.
“This is about developing a quick and coordinated response to every emergency so we give someone in trouble a chance at survival, and then practicing it once or twice a season. We have ‘drop the dummy’ drills where we drop a dummy and evaluate how it went, and how everyone performed. In one scenario, it’s the coach that goes down, and then you have a group of 15- or 16-year-olds standing there. That’s why students have to take ownership of this, too.”
The key to an effective emergency action plan is to utilize and empower students in every sport and at every level to be a part of the response team. Following are brief descriptions of the teams.
The 911 Team
- Two students will call 911 from a pre-determined phone and provide the dispatcher with the location and details of the emergency.
- Two students will meet the ambulance at a pre-determined access point and take them to the victim.
- Two students will call the athletic trainer, if one is available, and the athletic administrator and alert them to the emergency.
The CPR Team
- The coach is the lead responder on this team and is responsible for attending to the victim and administering CPR, if necessary, until trained medical personnel arrive.
- One person is capable of providing effective CPR for approximately two minutes before the quality begins to diminish. Having several students trained and ready to administer CPR will save lives.
The AED Team
- Two students will retrieve the AED and take it to the victim.
- Two students will physically locate the athletic trainer, if one is available, and take him or her to the victim.
The Heat Stroke Team
- Two students identify locations of emersion tub, water source, ice source and ice towels.
- Two students prepare tub daily for practices and events.
For more information, visit anyonecansavealife.org or contact the MSHSL.
High School a Time for Plays of All Kinds
April 2, 2015
By Jack Roberts
MHSAA executive director
At end of season or school year banquets attended by student-athletes and their parents, I often tell this short story about my mother that never fails to get a good laugh, especially from mothers:
“At the end of my junior year of high school I attended the graduation ceremony for the senior class on a hot and humid early June evening in our stuffy high school gymnasium. The bleachers on each side were filled to capacity, as were several hundred folding chairs placed on the gymnasium floor.
“The public address system, which was wonderful for announcing at basketball games or wrestling meets, was awful for graduation speeches. Person after person spoke, and the huge audience wondered what they had to say.
“I was present because I was the junior class president; and as part of the ceremony, the senior class president handed me a small shovel. It had something to do with accepting responsibility or carrying on tradition.
“In any event, the senior class president spoke briefly; and then it was my turn. I stepped to the podium, pushed the microphone to the side, and spoke in a voice that was heard and understood in every corner of the gymnasium.
“Whereupon my mother, sitting in one of the folding chairs, positioned right in front of my basketball coach – who had benched me for staying out too late on the night before a game, because I had to attend a required school play rehearsal – my mother turned around, pointed her finger at the coach and said, ‘See there? That’s what he learned at play practice!’
“And she was heard in every corner of the gymnasium too.
“But my mother knew – she just knew – that for me, play practice was as important as basketball practice. And she was absolutely correct.”
This old but true story about in-season demands of school sports actually raises two of the key issues of the debate about out-of-season coaching rules.
One is that we are not talking only about sports. School policies should not only protect and promote opportunities for students to participate in more than one sport; they should also allow for opportunities for students to participate in the non-athletic activities that comprehensive, full-service schools provide.
This is because surveys consistently link student achievement in school as well as success in later life with participation in both the athletic and non-athletic activities of schools. Proper policies permit students time to study, time to practice and play sports and time to be engaged in other school activities that provide opportunities to learn and grow as human beings.
A second issue the story presents is that parents have opinions about what is best for their children. In fact, they feel even more entitled to express those opinions today than my mother did almost 50 years ago. In fact, today, parents believe they are uniquely entitled to make the decisions that affect their children. And often they take the attitude that everyone else should butt out of their business!
The MHSAA knows from direct experience that while school administrators want tighter controls on what coaches and students do out of season, and that most student-athletes and coaches will at least tolerate the imposed limits, parents will be highly and emotionally critical of rules that interfere with how they raise their children.
No matter the cost in time or money to join elite teams, take private lessons, travel to far-away practices and further-away tournaments, no matter how unlikely any of this provides the college athletic scholarship return on investment that parents foolishly pursue, those parents believe they have every right to raise their own children their own way and that it’s not the MHSAA’s business to interfere.
It is for this very reason that MHSAA rules have little to say about what students can and can’t do out of season. Instead, the rules advise member schools and their employees what schools themselves have agreed should be the limits. The rules do this to promote competitive balance. They do this in order to avoid never-ending escalating expense of time and money to keep up on the competitive playing field, court, pool, etc.
Every example we have of organized competitive sports is that, in the absence of limits, some people push the boundaries as far as they can for their advantage, which forces other people to go beyond what they believe is right in order to keep up.
If, during the discussions on out-of-season rules, someone suggests that certain policies be eliminated, thinking people will pause to ask what life would be like without those rules.
Our outcome cannot be mere elimination of regulation, which invites chaos; the objective must be shaping a different future.
A good start would be simpler, more understandable and enforceable rules. A bad ending would be if it forces more student-athletes and school coaches to focus on a single sport year-round.