CPR Training, CAP Add to Preparedness

By Geoff Kimmerly
MHSAA.com senior editor

October 12, 2015

A recent graduate from Ovid-Elsie High School named Chris Fowler started classes this fall at Michigan State University, his days representing the Marauders on the basketball court, football field and golf course now memories as he starts the next chapter of his young adult life.

But his story also will remain a reminder as his high school’s athletic department prepares each year to keep its athletes as safe as possible.

Three years ago next month, Fowler collapsed on the football practice field in cardiac arrest. The then-sophomore was brought back to life by two of his coaches, who revived him with CPR and an AED machine.

There’s no need for athletic director Soni Latz to recount the events of that day when explaining the importance of being ready to respond to a medical crisis – her coaches are well aware of why Fowler survived and understand completely why they too must be prepared.

“Everyone is very aware of what happened and the importance of being trained and knowing what to do, and actually feeling comfortable to step in and administer CPR when needed,” Latz said. “You can feel it’s never going to happen to you, but once it has, it makes you more aware and conscientious to be prepared.”

But Fowler’s story is worth noting on a larger level as varsity coaches at all MHSAA member schools are required this year for the first time to become certified in CPR, and as the largest classes in Coaches Advancement Program history begin course work that includes up to four modules designed to make them aware of health and safety situations that may arise at their schools as well.

The CPR requirement is the most recent addition to an MHSAA thrust toward raising expectations for coaches’ preparedness. The first action of this effort required all assistant and subvarsity coaches at the high school level to complete the same rules and risk minimization meeting requirement as high school varsity head coaches beginning with the 2014-15 school year.

The next action, following the CPR mandate, will require all persons hired as a high school varsity head coach for the first time at an MHSAA member school after July 31, 2016, to have completed the MHSAA’s Coaches Advancement Program Level 1 or Level 2. 

In addition, MHSAA member schools this summer received the “Anyone can Save a Life” program, an emergency action plan curriculum designed by the Minnesota State High School League to help teams – guided by their coaches – create procedures for working together during medical emergencies.

“Coaches get asked to do a lot, and even if a school has an athletic trainer or some other health care professional, that person can’t be everywhere all the time. Coaches often are called upon to be prepared for (medical) situations,” said Gayle Thompson, an adjunct assistant professor at Albion College who formerly directed the athletic training program at Western Michigan University and continues to teach CAP sports medicine modules.

“The more (coaches) can learn to handle the situations that can inevitably arise, the better off they’re going to feel in those situations and the better care they’ll be able to offer their athletes. It’s proven that the faster athletes are able to get care, the quicker they’re able to come back to play.”

Pontiac Notre Dame Prep – which has sent a number of coaches through the CAP program – began a focus on heart safety about five years ago after a student-athlete was diagnosed with a heart issue that allowed her to continue to play volleyball and softball, but not basketball. Athletic director Betty Wroubel said that prior to the student’s diagnosis, the school did provide training in CPR, AED use and artificial respiration; however, that situation put coaches and administrators further on the alert.

Her school offers CPR training also to subvarsity and middle school coaches, using a combination of video instruction from the American Red Cross and in-person guidance by members of the school community who are certified to teach those skills. Students at the school also have received training – and it paid off a few years ago when one of them gave CPR to a baby who had stopped breathing at a local shopping mall.

Portage Central scheduled two sessions this fall for its coaches to receive not only CPR certification, but AED training as well. Central was fortunate to have an American Red Cross first-aid trainer in house, teacher Rachel Flachs, who also is close to the athletic side as the girls swimming and diving coach at Mattawan High School.

Central athletic director Joe Wallace said the training was offered not just to varsity head coaches, but every head coach on every level of the program so that “at least we know that at every given practice, every game, we’d have someone recently trained,” he said.

And he was proud of how his coaches immersed themselves in the subject matter.

“They were putting themselves in scenarios to see how it related to their own sports and asking really great questions,” Wallace said. “It was thought provoking.”

The CAP sports medicine modules are designed to do the same as coaches consider the medical situations they could face. They aren’t designed as “medical training,” said Tony Moreno, a professor of kinesiology at Eastern Michigan University and teacher of all four CAP sports medicine modules. Rather, attendees receive an awareness and basic education on common injuries, injury mechanisms and prevention, and how to create an action plan in the event of an injury incident.

The CAP program touches on a variety of safety topics in several of the available seven levels of coach education.

CAP 1 – which is part of the mandate for new coaches beginning next school year – includes “Sports Medicine and First Aid.” Cap 4 has modules titled “Understanding Athlete Development” and “Strength and Conditioning: Designing Your Program.” CAP 5 includes the session, “Peak Health and Performance.” Attendees also have the option of receiving CPR and AED training as an addition to some courses.  

With a quick Internet search, coaches have no trouble finding a variety of resources on sports medicine, performance enhancement, nutrition and healthy living regarding young athletes. “However, some of these sources are more credible and scientifically-based in comparison to others,” Moreno said. “CAP strives on an annual basis to continue to update and improve the quality and credibility of this information and in a face-to-face manner where coaches have the opportunity to ask questions about their experiences and specific programs.”

“Having the CAP requirement will only make them better informed. Many have had this kind of information before, but there’s always something new coming,” Thompson added. “I think we do a good job, not of trying to tell them they were wrong, but maybe taking what they’ve known a step further and making them better prepared – empowering them to do their best.”

Wroubel may understand more than most athletic directors the growing list of tasks coaches are asked to accomplish; she’s also one of the winningest volleyball and softball coaches in MHSAA history and continues to guide both Fighting Irish programs.

But she and Wallace both said the CPR mandate isn’t considered another box to check on a to-do list; there’s enthusiasm because of its importance and the opportunity to carry those skills into other areas of community life as well.

Wroubel has served as a coach since 1975 and said this renewed emphasis on coaches having knowledge of sports medicine actually is a return to how things were when she started. Back then, coaches were responsible for being that first line of medical know-how, from taping ankles to providing ice and evaluating when their athletes should make a trip to the doctor’s office.

“When I first started coaching, we didn’t have sports medicine people, trainers, or team doctors other than for football. You did everything yourself,” Wroubel said. “I think everybody got away from that, but I think it’s coming back because a trainer can’t be everywhere.

“It’s healthy and it’s good for kids. … The more of us with emergency skills, the better we’re able to serve our community.”

PHOTOS: (Top) Portage Central coaches receive CPR training earlier this fall. (Middle) Pontiac Notre Dame Prep coaches practice during AED training. (Photos courtesy of school athletic departments.)

Task Force Building Multi-Sport Message

November 11, 2016

By Geoff Kimmerly
Second Half editor

Walled Lake Western’s Cody White draws his perspective on high school sports from a background that, while perhaps not unique, has to be close.

The Warriors senior is one of the top college football prospects in Michigan, a Big Ten-caliber player who has committed to continue his career at Michigan State University after he graduates in the spring.

Our state has a handful of athletes like that every year, of course. But White also is the son of former NFL player and Detroit Lions executive Sheldon White – and has followed his father’s Dayton, Ohio, footsteps in playing three sports during his high school career.

White plays football, basketball during the winter and baseball in the spring, in addition to travel basketball and baseball during the summer. He has played these same sports throughout high school. His freshman year he also competed in track & field, along with baseball. As of May – when White and his multi-sport experience were featured on Second Half – he hadn’t ruled out returning to track & field, in addition to baseball, as a senior.

“I couldn’t see myself not competing in those sports,” White said at the time. “I love them so much. I want to finish my senior year playing all three.”

It’s White’s experience, and the benefits enjoyed by so many who have shunned the recent trend toward specialization, that is driving the MHSAA’s Multi-Sport Task Force as it aims to promote the value of a varied sports experience through high school, even for athletes considered “elite” in a sport they’ll go on to play at higher levels.

The Multi-Sport Task Force met for the third time Oct. 27 and includes coaches, administrators and teachers with diverse experiences in athletics at schools large and small; urban, suburban and rural and in both the interscholastic and club settings.

The idea of moving away from specialization and back toward playing multiple sports has gained steam in recent years with pronouncements of how doing so paid off for nationally-recognized stars like professional golfer Jordan Spieth, baseball Hall of Famer John Smoltz and a number of members of the U.S. women’s soccer national team who played multiple sports through high school.

The MHSAA’s task force is working to develop that message, package it in the most digestible formats, and deliver it to the key decision-makers to benefit athletes at the age where the message can have the heaviest impact on their sports careers and growth into physically fit adults.

“This is a fundamental topic in school sports,” MHSAA Executive Director Jack Roberts told the task force during its most recent meeting. “This is something we’ll be talking about five and 10 years from now.”

The task force is charged with a series of goals that will be discussed below and are still in development. But there’s no doubt coaches will play a significant part in promoting and carrying out this important mission.

“Growing up was a little different (for me) than the usual kid. Going to Lions games and just being around football all the time. I think I love the game more because I was around it so much. But I think playing three sports helped me, too. The twisting of your hips in baseball, when you swing the bat, you’re using different muscles. And all the jumping you do in basketball. You have to move in tight spaces. With football, you’re with the football guys. By doing all three you meet different people.” – Cody White, “Western’s White Enjoys ‘Special’ Career” – May 4, 2016 

What we’ve learned

The task force’s first meeting in April included discussions with Dr. Tony Moreno of Eastern Michigan University, a frequent Coaches Advancement Program instructor, and Dr. Brooke Lemmon of the MSU Sports Medicine Clinic. Among points from their focus on medical issues that result from specialization:

•  Specialization has chronic, long-term affects; young people who do not learn physical literacy – how to solve movement problems – are less likely to be physically active and, hence, less likely to be physically fit. This is becoming an expensive health issue for society.

•  The loss of physical education from schools is the root of these problems and has led to the creation of “privatized PE” for those who can afford a club sports experience. Physical education in schools, done correctly, can create a relatively noncompetitive environment that increases student interest in becoming physically active.

•  More time spent in one activity will lead to more injuries, especially of the chronic nature. The number of hours per week a child spends on one sport activity shouldn’t exceed that child’s age (8 hours per week for an 8-year-old, for example).

Dr. Dan Gould, the director of the MSU Institute for the Study of Youth Sports, talked to the task force during its second meeting about how children perceive sports – and the need to adjust parents’ expectations for their kids’ success. He explained how kids can lose their identity focusing on just one sport, and also the importance of free play – the games kids make up themselves while playing in a structure-free environment.

Bob Mancini of USA Hockey visited with the task force most recently, explaining how his was the first governing body to tell athletes it wanted them to play their sport – but in order to do so well, play other sports also. USA Hockey’s American Development Model was launched in 2009 to in part promote multi-sport participation – and is growing hockey in the process, with increased participation seen at youth levels over the last three years.  

“It’s just really fun to do different things. We don’t have a lot of the numbers, but we have the people who are willing to put in the hard work, even if it’s not their best sport. Each season is only three to four months at the most. So it keeps things exciting.”— 2016 Bronson graduate Kelsey Robinson, a defensive specialist in volleyball, former cross country runner, guard in basketball and a third baseman and centerfielder in softball, “Multi-Sport Experience ‘Special’ for Bronson” – February 2, 2016

Questions & Answers

The task force will meet again Feb. 8, and in the meantime there are a number of questions – and answers – to be considered.

The group has pinpointed a series of goals:

1. Partner with groups promoting diverse physical activity.

2. Encourage those promoting more and better physical education.

3. Prepare tools for administrators for use in interviewing prospective coaches, conducting meetings with their coaching staffs and encouraging them to “walk the talk” of balanced participation.

4. Assist in the explanation of the multi-sport experience to parents through a variety of media, including a guidebook and video explaining its benefits.

Carrying out these aspirations comes with plenty to discuss.

Who most needs to hear the message of multi-sport participation? It’s most likely junior high and middle school parents, or even those of elementary students just starting to experience organized athletics.

What do these parents and children most need to know? Parents are stakeholders in their children’s athletic ventures. The challenge is convincing them our way is best for their kids’ futures, from a health and development standpoint.  

Who should deliver this message? Celebrities obviously carry clout when they talk about how their multi-sport experiences led them to become successful adults. But there also could be a strong emotional tug from current student-athletes who tell their stories. 

How can coaches and athletic directors help spread the word? The MHSAA, with input from the task force, will develop tools to help. But the options are many: could it come in video form, eye-catching graphics for use at coaches meetings, or live interaction at regional summits?

We are looking for ideas, both for getting out the message and incentivizing taking part in the multi-sport experience. Schools already are doing great things to promote multi-sport participation, and we’d love to hear about what's working.

To that vein, we’ll close with a final success story from this fall about a team that benefited from a lineup of multi-sport athletes:

Grosse Pointe Woods University Liggett on Oct. 15 ended an eight-year championship run by Ann Arbor Greenhills at Lower Peninsula Division 4 Boys Tennis Finals. Knights coach Matt Sobieralski relied on a roster filled with multi-sport athletes, including No. 1 singles player T.J. Dulac, who also ran cross country this fall.  

Only one player on the Liggett roster plays only tennis, and Sobieralski says his players’ multi-sport participation served them well.

“It makes you tough, mentally tough and strong. And they’re competitive. That’s important. I think tennis, a lot of times, is 80 percent mental and 20 percent ability. You win a lot of matches with guts and just hanging in there. I always say a good player can win even when they’re not playing their best, because they’ll try something different and they keep fighting. That’s the team I’ve got. I’m really proud of their fight.” – Matt Sobieralski, “Liggett Ends Greenhills’ 8-Year Reign” – October 16, 2016

PHOTOS: (Top) Walled Lake Western's Cody White runs ahead of a group of Lowell defenders during last season's Division 2 Semifinals. (Middle) Bronson (right) goes for a kill during last season's Class C Semifinal against Traverse City St. Francis. (Top photo courtesy of Walled Lake Western athletic department.)