'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.

Catch These New Rules as Fall Kicks Off

August 7, 2014

By Geoff Kimmerly
Second Half editor

The first practices of 2014-15 begin next week for approximately 110,000 student-athletes taking part in eight sports in which the Michigan High School Athletic Association sponsors postseason tournaments, with nearly 41,000 football players practicing under a new policy in that sport aimed at continuing to improve player safety.  

The new practice policy was proposed by a Football Task Force made up of coaches, administrators and MHSAA staff which met during 2012 and 2013, and approved by the MHSAA’s Representative Council at its Winter Meeting on March 21.

The modifications are meant to promote heat acclimatization and limit helmet-to-helmet contact during practices. They include:

  • During the first week of practice, only helmets are allowed the first two days, only shoulder pads may be added on the third and fourth days, and full pads may not be worn until the fifth day of team practice.

  • Before the first regular-season game, schools may not schedule more than one “collision” practice in a day. A collision practice is defined as one in which there is live, game-speed, player-versus-player contact in pads involving any number of players.

  • After the first regular-season game, teams may conduct no more than two collision practice days in any week, Monday through Sunday.

  • No single football practice may exceed three hours, and the total practice time for days with multiple practice sessions may not exceed five hours. Neither strength/weight training activities nor video/classroom sessions are considered practice for the purposes of the three or five-hour limits.

Previously, schools were required to conduct at least three days of practice without pads before beginning contact. The change to four days for gradual addition of pads was added to assist athletes in acclimating to being physically active in hot weather. Guidelines reducing the amount of collision practice go hand in hand with rules changes that have been made to reduce helmet-to-helmet contact in game situations. The policies in detail can be found on the Football page of the MHSAA Website.

“We think these new policies, with respect to the number of collision practices there can be before the first game, and after the first game, really are where 85 to 90 percent of our coaches already were,” said John E. “Jack” Roberts, executive director of the MHSAA. “This new policy sends a signal to that 10 to 15 percent to get on board with the rest of us to make football just as safe as it can possibly be.”

Practice in football must begin on August 11 for all schools wishing to begin regular-season games the weekend of August 28-30. Schools must have 12 days of preseason practice at all levels before their first game, and those 12 days of practice may not occur before 16 calendar days.

Practice sessions for all other sports begin on Wednesday (August 13).  In golf and tennis, competition may commence no earlier than after three separate days of team practice, and not before seven calendar days. The first day competition may take place in golf and tennis is August 20. In all other fall sports, contests can take place after seven days of practice for the team and not before nine calendar days. The first day competition may take place in cross country, tennis, soccer, swimming and diving, and volleyball is August 22.

Only one football date precedes Labor Day, and most varsity games will take place on Thursday, August 28, that week. Subvarsity competition may begin on Wednesday, August 27. In Week 1, 255 games will be played on Thursday, 53 contests will be played on Friday, and five games will be played on Saturday. 

Continuing the focus on player safety, a number of rules changes were made in football for 2014:

  • Rules were added restricting targeting of opponent and illegal helmet contact with defenseless players, with both resulting in 15-yard penalties. Targeting is defined as taking aim at an opponent with the helmet, forearm, hand, fist, elbow or shoulder to initiate contact above the shoulders and with an intent beyond making a legal tackle or block, or playing the ball. A defenseless player can be considered one no longer involved in a play, a runner whose progress has been stopped, a player focused on receiving a kick or a receiver who has given up on an errant pass, or a player already on the ground.

  • Illegal contact to a quarterback now will be considered roughing the passer, and the offense will receive an automatic first down in addition to the previous 15 yards from the penalty.

  • On kickoffs, the kicking team must have at least four players on either side of the kicker, and no kicking team players except for the kicker may line up more than five yards behind the free-kick line. These changes were made to improve safety by balancing the kicking formation and shortening the potential run-up by kicking team players heading down the field to tackle the ball carrier.

A number of significant rules changes will go into effect for other fall sports:

  • In cross country, the ban on wearing jewelry has been lifted (and also for track and field in the spring). The National Federation of State High School Associations deemed the ban unnecessary in these two sports because there is little risk of injury with minimal contact between competitors. Elimination of the rule will allow officials to further focus on the competition.

  • In soccer, Michigan has adopted the National Federation rule stating home teams must wear solid white jerseys and socks, with visiting teams in dark jerseys and socks (dark defined as any color contrasting white). Also, officials may now wear green and blue shirts in addition to red and black as alternates to the primary yellow shirt with black pinstripes.

  • Also for soccer, both field players and goalkeepers must now leave the field when injured and the referee has stopped the clock. Previously, an injured goalkeeper was not required to leave the game when the referee stopped the clock; going forward, the keeper must be replaced.

  • In swimming and diving, one change affects the beginning of races and another impacts a specific event. The use of starter’s pistols is now prohibited; starters must use an alternative sounding device to start races. Additionally, in the backstroke, a swimmer may not submerge his or her entire body after the start except for during turns. The swimmer must remain on or above the water surface on the finish, eliminating the abuse of submerging well before touching the wall. This change also applies to the finish of the backstroke leg of the individual medley. 

The 2014 Fall campaign culminates with postseason tournaments beginning with the Upper Peninsula Girls Tennis Finals the week of Sept. 29, and wraps up with the 11-Player Football Playoff Finals on Nov. 28-29. Here is a complete list of fall tournament dates:

Cross Country:
U.P. Finals – Oct. 18
L.P. Regionals – Oct. 24 or 25
L.P. Finals – Nov. 1

11-Player Football:
Selection Sunday – Oct. 26
Pre-Districts – Oct. 31 or Nov. 1
District Finals – Nov. 7 or 8
Regional Finals – Nov. 14 or 15
Semifinals – Nov. 22
Finals – Nov. 28-29

8-Player Football:
Selection Sunday – Oct. 26
Regional Semifinals – Oct. 31 or Nov. 1
Regional Finals – Nov. 7 or 8
Semifinals – Nov. 15
Finals – Nov. 21

L.P. Girls Golf:
Regionals – Oct. 8 or 9 or 10 or 11
Finals – Oct. 17-18

Soccer:
Boys L.P. Districts – Oct. 13-18
Boys L.P. Regionals – Oct. 21-25
Boys L.P. Semifinals – Oct. 29
Boys L.P. Finals – Nov. 1
L.P. Girls Swimming & Diving
Diving Regionals – Nov. 13
Swimming/Diving Finals – Nov. 21-22

Tennis:
U.P. Girls Finals – Oct. 1 or 2 or 3 or 4
L.P. Boys Regionals – Oct. 9 or 10 or 11
L.P. Finals – Oct. 17-18

Girls Volleyball:
Districts – Nov. 3-8
Regionals – Nov. 11 & 13
Quarterfinals – Nov. 18
Semifinals – Nov. 20-21
Finals – Nov. 22

The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,500 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools. Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract more than 1.4 million spectators each year.