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.)
Nurturing Our Lower Level Programs
May 15, 2014
By John E. “Jack” Roberts
MHSAA Executive Director
When I’ve been faced with the most difficult choices as to different courses of action for the MHSAA, I’ve tried to face up to this reframing of the issue: “If we were creating the MHSAA for the first time today, would we do this, or would we do that?”
For example, would we or would we not limit coaches’ contact with athletes out of season? Would we have a 90-day period of ineligibility for transfer students or would it be 180 days?
There are other examples of such “either, or” questions I could provide, but none is as difficult or defining as this: Should school sports under the MHSAA’s auspices provide more opportunities for 7th- and 8th-graders and new opportunities for even younger students?
I won’t be coy about what I think our answer should be. I haven’t always felt this way, and I recognize it is a different opinion than some who are quoted in this publication; but today it’s my belief that if we were creating the MHSAA for the first time in 2014, the MHSAA would allow more contests and longer contests for 7th- and 8th-graders, and the MHSAA would have competition policies and programs for younger middle schoolers too.
I believe this is what parents want for their children and what students want for themselves; and I believe, within reason, that the better we serve these students in their junior high/middle school years, the stronger high school sports will be and the better these programs will support the educational missions of schools.
I believe we must begin to serve middle school students more comprehensively, and that our doing so today is the best hope we have for retaining comprehensive programs for high school students tomorrow. Not only does the lower profile and pressure of lower level programs nurture the highest ideals of educational athletics, they provide our highest hope for preserving those ideals at the high school level.
The Lasting Impact of First Impressions
The over-arching question before us is how to maintain policies that encourage multiple sport experiences for students at the junior high/middle school level while at the same time adjusting those policies in terms of grade level served and the numbers and lengths of contests allowed in order to be more attractive to junior high/middle school parents and to school districts which desire additional competition opportunities in the school setting for students prior to high school.
There is a good healthy discussion in our midst about the scope of junior high/middle school athletics – how much should occur and how young it should commence; and the result of these discussions may have long-lasting effect on students, schools and the MHSAA.
Here are two central issues:
1. Contest Limits
Many people over many years have contributed to developing the current season limitations for the number of contests permitted by MHSAA member junior high/middle schools. These good people have believed in a philosophy of sports at this level that encourages students to try multiple sports.
“Kids haven’t fully matured yet,” they say. “Kids haven’t been exposed to some sports yet. They don’t know what they might like or be good at. So let’s have policies and programs that encourage new opportunities and experiences at this level.”
The season limits that have been put in place allow some junior high/middle schools, or their entire leagues, to fit four distinct seasons in a nine-month school year, consistent with this over-arching philosophy to encourage these students to try new things and learn.
There is another educationally grounded and equally astute group of administrators and coaches who are concerned that the current limits are too severe in comparison to non-school youth sports programs. For example, community/club basketball or soccer programs may schedule 15 or 18 or more games per season versus the MHSAA limit of 12 at the junior high/middle school level.
These folks think these restrictive limitations create a disincentive for kids to play school sports, and that many of those who have no place in junior high/middle school sports have no interest later in high school sports.
2. 6th-Graders
Historically, the popular opinion among educators has held that 7th and 8th grade is early enough for schools to provide competitive athletics, early enough to put youth into the competitive sports arena, and early enough to pit one school against another in sports.
Today, however, many educators and parents point out that such protective philosophies and policies were adopted about the same time “play days” were considered to be the maximum exertion females should experience in school sports. Some administrators and coaches argue that both our severe limits on contest limits at the junior high/middle school level, and our refusal to serve 6th-graders, are as out of date and inappropriate as play days for females.
Today, in nearly four of five school districts with MHSAA member schools, 6th-graders go to school in the same building with 7th- and 8th-graders. But MHSAA rules don’t allow 6th-graders to participate with and against 7th- and 8th-graders. In fact, the MHSAA Constitution doesn’t even acknowledge that 6th-graders exist.
Today, in many places, 6th-graders have aged-out of non-school, community sports, but they are not permitted to play on MHSAA junior high/middle school teams.
Last school year, 50 different school districts requested this rule be waived for them, and the MHSAA Executive Committee approved 46 of 50 waivers, allowing 6th-graders to compete on 7th- and 8th-grade teams. During 2011-12, 37 of 40 requests for waiver were approved, in all cases for small junior high/middle schools. Many of these schools want, and some of them desperately need, these 6th-graders to fill out junior high/middle school teams.
Young people are starting sports much younger today than 100 years ago when the MHSAA was created. Younger than even 50 years ago when the MHSAA was incorporated. If the MHSAA were created today to serve any students before 9th grade, I’m certain it would not leave out 6th-graders who are walking the same halls with 7th- and 8th-graders, and who have been playing competitive sports almost since the first day they started walking at all.
Eyes on the future
The most important thing we can do to enhance high school sports is to grow junior high/middle school sports programs. The earlier we disconnect young people from non-school sports and engage them in school-sponsored sports, the better our chances are of keeping high school athletic programs healthy, and the better our prospects are of keeping both participation rates and conduct standards high.
School sports are in competition for hearts and minds of young people. Our competition includes movies, jobs, cars, video games, boyfriends and girlfriends and club sports ... especially club sports. School sports needs to market itself better, and part of better is to be available earlier – much sooner in the lives of youth. More contests at the junior high/middle school level and more opportunities for 6th-graders should be parts of our marketing strategies on behalf of educational athletics generally.
For at least 50 years there have been predictions by people outside of our member schools that the system of school-sponsored sports that is almost unique to the United States would someday give way to the system of most countries where youth sports is provided by non-school community groups and private athletic clubs. Some people challenge school-sponsored sports on a program basis – for example, that competitive athletics creates a distraction to the core educational mission of schools. Others may challenge school-sponsored sports on a financial basis – that interscholastic athletics compete for the limited resources communities have to support their schools.
Today there also exists among our member schools a small percentage of administrators who have come to their leadership roles without involvement in school sports and who either desire and believe that interscholastic sports will be moved from schools to communities or who do not want but predict that such will occur as resources for schools continue to shrink.
I believe this is more likely to happen, or to happen sooner, if we do not change our approach to junior high/middle school sports. If we continue to restrict 7th- and 8th-graders to so few contests of such limited length compared to what those students have in non-school sports, and if we continue to offer nothing for younger students, we essentially and effectively force these students to non-school sports.
It is an often cited statistic that between 80 and 90 percent of all young people who ever begin playing competitive athletics stop playing before they reach the age of 13, meaning the vast majority of young people never, ever are involved in school programs. Thus, it is no mystery why people question the future of school sports. We’re doing nothing to make programs available to them. They have no experience in them.
Our restrictive and possibly outdated policies and procedures regarding contest limits and lengths and the age at which we begin to serve junior high/middle school students may assure that the dire predictions about school sports’ future will be accurate. We are doing too little, too late. It is marketing at its worst.
In my mind there is little doubt that we are doing too little too late with junior high/middle school students. Now the challenge before us is to think beyond “we can’t afford it” and make some necessary changes, while still avoiding a system that allows or even encourages schools doing too much too soon.