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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.)
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Coaches Get U-M Concussion Training
July 24, 2012
Already administering a strong set of protocols addressing the removal and return to play of young athletes suspected of sustaining concussions in competition, the Michigan High School Athletic Association is further ramping up its concussion education efforts of coaches, student-athletes and parents as the 2012-13 school year approaches.
In partnership with the University of Michigan’s NeuroSport and the Pediatric Trauma Program at C.S. Mott Children’s Hospital, required online rules meetings for coaches and officials will include an education component illustrating the serious nature of concussions; recognition of the signs and symptoms; a review of return to play protocols; applicable MHSAA regulations; and downloadable co-branded resources from NeuroSport, as well as materials produced by a joint effort of the Brian Injury Association of Michigan, the Detroit Lions, the Center for Disease Control and the MHSAA.
This is the second year the MHSAA has included concussion education in its online rules meetings, which are annually viewed by nearly 20,000 coaches and game officials. This year, the Michigan NeuroSport Concussion Education - High School Coach edition, endorsed by the American Academy of Neurology last fall, has been modified for the MHSAA audience. The MHSAA will also promote the availability of the NeuroSport concussion education modules offered specifically for parents and coaches.
“These educational efforts, coupled with protocols addressing concussions when they take place on the field of play, put our schools in the best possible position to minimize the risk to young people,” said John E. “Jack” Roberts, executive director of the MHSAA. “We’re pleased to have our new partnership with University of Michigan NeuroSport and our ongoing partnership with the Brian Injury Association of Michigan which put our state at the forefront of addressing the critical health issue for interscholastic athletes.”
Roberts added that the same educational materials the Association has co-branded with its partners will also be used to help raise concussion awareness in other youth sports by other sponsors in the state.
“We are proud to partner with MHSAA and bring the most up-to-date concussion education to those on the frontline of athletics. Education is a vital component to improving player safety,” says Amy Teddy, injury prevention program manager at C.S. Mott Children’s Hospital. “We believe that ‘It takes a team to keep concussions on the sidelines.’ Parents, coaches, teammates, officials and athletic trainers all have a role in protecting athletes from serious injury.
“In addition to our coach modules, we recently launched our parent edition to help another member of the ‘team’ better recognize and understand concussion.” added Teddy, who also is director of education for Michigan Neurosport.
The NeuroSport online programs for parents, high school coaches and youth sports coaches is now available at http://www.MichiganNeuroSport.com. An online program for athletes will be available soon.
NeuroSport has also produced a 60-second public service announcement in which one of the state’s all-time winningest football coaches – John Herrington of Farmington Hills Harrison – talks about concussions. This video, along with a 30-second PSA recently updated by the MHSAA, “No Such Thing As Just Getting Your Bell Rung,” will be made available to media outlets in time for the coming sports season, and will be shown during MHSAA programming online and on cable television.