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.)

Next Play: Action Plans Save Lives

July 2, 2015

By Rob Kaminski
MHSAA benchmarks editor
 

Without a doubt, questions will enter the minds of many as they attend AED or CPR training sessions, or MHSAA Coaches Advancement Program courses on health and safety:

“Will I ever need any of this?” 

“Is this worth my time?”

The answer to the first question is, “Hopefully not.” The answer to the second musing lies in the stories that follow, excerpted from a small sampling of countless situations occurring in school buildings on a regular basis. These had happy endings, thanks to trained, educated individuals who knew how to react. The MHSAA’s mandate for CPR certification in 2015-16 aims to put more school sports personnel into that position.


Roughly 30 months after the tragic death of Wes Leonard, a Fennville High School basketball player who collapsed moments after his shot capped a perfect regular season in 2011, his mother Jocelyn helped to save the life of another Fennville student.

Thanks in large part to her efforts to promote greater presence of Automatic External Defibrillators (AEDs) in high schools across Michigan, and to provide training for such circumstances as the one in which she lost her son, Jocelyn was prepared for such a moment in the school where she serves as a choir teacher. 

In October 2013 a Fennville High student collapsed in the middle of a math class prompting an alert being sent to Leonard, who rushed down the hall to the classroom and began CPR. She activated the AED that had been retrieved from the school’s office and used it on the boy, who was resuscitated as emergency responders arrived on the scene.

The Leonard family continues to campaign for mandatory advanced CPR training and practice in schools across the state through the Wes Leonard Heart Foundation, and more can be found by clicking here.


Chess can be a mentally exhausting game. Thinking of your opponent’s moves and the counter moves you can make, often anticipating many moves into the future, can be stressful and draining. Luckily, Andrew Wilson, a sophomore member of the Streamwood (Illinois) High School chess team, used that quick thinking to save a 7-year-old girl’s life in February. 

Wilson had just finished a long four-game day at the Illinois High School Association (IHSA) state chess tournament in Peoria, Ill., and was eating dinner with a friend when they heard screams coming from the pool area at the hotel where the team was staying. Initially thinking nothing of it, Wilson and his friend continued eating before the reason for the screaming became known.

“We both agreed it was probably just a bunch of kids playing in the pool,” Wilson said. “After a while, a man came in and said that some girl had a seizure and asked if anyone in the lobby knew CPR. 

“I said I did, ran in, gave CPR and revived her.”

Wilson had become certified in CPR less than a year ago as part of the Elgin Explorers Group, which is conducted by the Elgin Police Department for teenagers interested in pursuing a career in law enforcement. There, Wilson learned about being a police officer, just like his father who is on the Elgin Police Force. 

“I didn’t expect to have to use [the certification] at all,” Wilson said. “I remember during training, I said, ‘I don’t understand why I’m going to need this.’”

The rest of the weekend in Peoria was uneventful, even with three more chess matches the next day, Wilson said. The Streamwood chess team didn’t win the tournament, but they brought home a hero. 

Wilson was recognized at a ceremony in March, where he received a proclamation from Illinois Senator Michael Noland and an award from the police department. Both he and his chess coach, Pat Hanley, won awards from the U46 School District at the ceremony as well.

“While you may not have won the chess tournament, you’re definitely a winner in our eyes,” Board Member Traci O’Neal Ellis said while presenting the certificates of achievement.

(Below by Juli Doshan for NFHS.org)