'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.

UP Schools Big & Small Find Multi-Sport Success

January 10, 2020

By Dennis Grall
For the Second Half
 

ESCANABA – It should not come as a surprise that the Class A school with the highest percentage of multi-sport athletes has an athletic director who lived that life.

Alex Tiseo, athletic director at Marquette High School, received 15 varsity letters while he was a student at the school, including as a three-sport participant for two years in the fall alone. Tiseo played soccer for four years while running cross country for three years and playing football for two. He also played basketball and ran track.

He is not taking any credit for the excess of multi-sport athletes at his alma mater. "It is the foundation of the thing, the culture of the coaches," Tiseo said of all the school's coaches supporting and encouraging all-around athletic participation.

"It is the benefit and mentality of getting away from (athletic) specialization," Tiseo said, noting an athlete may be "a leader in one sport and just a role player" in another.

He also pointed out athletes are not penalized when they have to miss practices or events because of their heavy extracurricular participation.

According to the most recent multi-sport participation survey conducted by the Michigan High School Athletic Association, Marquette had the highest percentage of multi-sport athletes among all Class A schools in 2018-19 with a whopping 85.9 percent. Grand Rapids Northview, at 83.1 percent, was the only other large school above 80 percent.

Four Class B schools and six Class C schools topped the 80-percent mark while 14 Class D schools surpassed 80 percent, including three topping 90 percent, led by Gaylord St. Mary (93.2).

Marquette, unlike many larger schools, does allow students to participate in more than one sport in the same season. Many small schools, simply because of the lower enrollment, also allow students to compete in more than one sport during the same season.

"It is near and dear to my heart," Tiseo said of seeing multi-sport participation. Students must pick a priority sport if practices or games would conflict on the same date. "For me, it was cross country," Tiseo said, noting his soccer and football coaches knew he was getting plenty of running in that primary sport. In football, he was a place-kicker, which made it easier if he had to miss a practice. 

He would often kick with his dad, he said, agreeing that a primary position player may have found it harder to miss a practice or game.

He also pointed out that in fall sports, "one-third of the season comes before school starts" and fall sports ended in mid to late October, reducing the number of potential conflicts.

Tiseo said multi-sport athletes work closely with their coaches to arrange practice schedules: "If coaches have difficulty with the kids in putting the schedule together, there is a caveat there where I can help." To date he has not needed to assist.

Students and coaches alike "reinforce the importance of academics," Tiseo said. "Multi-sport athletes are definitely among our highest academic achievers."

Athletes realize, he said, the importance of staying academically eligible so they can compete in their athletic endeavors.

Tiseo also has noticed student-athletes in general maintain better attitudes, which permeates the hallways and classrooms and benefits the general student body.

Success in athletics can generally bolster improved spirit and attitude in school. He said there is a general attitude of wanting to participate in something "when you see your peers having fun." The long Upper Peninsula winters also help encourage students to participate in athletics to help the time speed along. "It also correlates with the success of the teams," he said.

Two other Upper Peninsula schools have also found outstanding multi-sport participation, with Class B Gladstone at 86.7 percent and Class D Watersmeet with 90.3 percent during 2018-19.

First-year Gladstone athletic director Dave Lindbeck said "I strongly promote for kids to go to the next level. When I hire a new coach, I ask them how they feel about (multi-sport participation)."

Like Tiseo, Lindbeck also encourages athletes to get involved in programs for lifting weights and nutritional growth. Tiseo said proper conditioning and nutrition "help lessen the risk of injury" and playing multiple sports allows students to use different sets of muscles in those various activities. "You don't see over-use injuries" he said.

Lindbeck said "a good strength and conditioning program involves everything, including in-season and off-season workouts and help them maintain strength. We're not asking kids to bulk up. There is a lot of strength and flexibility (training), working (various) muscle groups, strengthen(ing) ligaments."

Lindbeck said the Braves' coaches are encouraged to attend games in the wide selection of activities, which shows students they care.

He also said it is easy to see how students grow in athletics and socially as they raise their participation levels. "You see how they communicate, you see it in the hallways," he said.

He also noted it has a big impact on their classroom work. "Those who don't participate don't do as well," he said, noting B-C students tend to improve their grade-point averages as they increase their involvement. "Kids seldom have issues with their grades.

"It is so crucial to be involved with sports," Lindbeck added. "The ones who do it really value it. We use it as a carrot, a motivator. It also keeps the structure and holds each other accountable."

Watersmeet has only 44 students this school year – up from 36 last year – but the Nimrods definitely are a school and community-oriented program.

Pizza parties, camping trips and cook-outs are among projects to encourage students to participate in sports, and fund-raisers are used to buy warm-ups for players in grades 6-12. "We dress them up so they look special," said long-time administrator-coach George Peterson.

"We work hard to get them to enjoy all the sports."

The board of education uses the Nimrod Fund to help students "dress up and be a part of it," said Peterson, who indicated much of that financial opportunity comes from the memorable 2003-04 season when ESPN coined the "Nimrod Nation" program.

That spring the boys basketball team appeared on The Tonight Show, and the Sundance Channel did a series on the school/town in 2006.

Peterson said the school realized $500,000 in gross revenue as a result of that national exposure and still averages $10-13,000 a year in profits. "I still pinch myself. I still can't believe it happened," Peterson said of that exposure and financial benefit.

Watersmeet has girls volleyball and offers cross country country, basketball, track and golf for boys and girls. "They are proud to be out there," said Peterson. "They have to conduct themselves in a respectful manner.”

The MHSAA study revealed nearly 43 percent of state prep athletes participated in two or more sports in 2018-19. It also indicated "early and intense sport specialization has become one of the most serious issues related to health and safety at all levels of youth sports, with overuse injuries and burnout among athletes tied to chronic injuries and health-related problems later in life."

The survey found 45.1 percent of boys and 40.4 percent of girls participated in more than one sport.

Denny Grall retired in 2012 after 39 years at the Escanaba Daily Press and four at the Green Bay Press-Gazette, plus 15 months for WLST radio in Escanaba; he served as the Daily Press sports editor from 1970-80 and again from 1984-2012 and currently is in a second stint as the interim in that position. Grall was inducted into the Upper Peninsula Sports Hall of Fame in 2002 and serves as its executive secretary. E-mail him at [email protected] with story ideas for the Upper Peninsula.

PHOTOS: (Top) Marquette's Maria Millado (40) works to get a pass past a Traverse City West defender last season; Millado also runs track for the Redettes. (Middle) Gladstone's Luke Van Brocklin crosses the finish line to finish second in the 400 meters at last spring's Upper Peninsula Division 1 Track & Field Finals; he played football this fall. (Photos by Cara Kamps.)