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.)

Championship Team Builder Ingalls Named WISL Honoree

By Geoff Kimmerly
MHSAA.com senior editor

March 22, 2021

Krista Clement played for high-caliber basketball programs at St. Ignace High School and University of Michigan. Then, after a few years of teaching, she decided to start her own team.

In 2013, Clement founded Helper Helper – a digital platform that provides tracking and coordination for community service efforts across the country and counts the NCAA among partners.

At first, Clement’s team was a team of one – herself. But as she started to build the company, her thoughts turned to her high school coach Dorene Ingalls – one of the most successful team builders in MHSAA history. 

“Although we aren’t playing basketball on the Helper team, so much of what I do was through what I’ve learned from Dorene’s leadership,” Clement said. “My attempt to create a culture on my team – similar to a Saints basketball team – has come from Dorene. I now find myself trying to connect with my team the way Dorene connected with me – making my teammates feel valued and inspired to put their best foot forward every day.”

Over the last 22 years, Ingalls has built one of the most respected high school basketball programs in Michigan and become one of the most successful coaches in MHSAA history. She also has been one of the state’s most impactful advocates for girls basketball, and a presence in her adopted hometown that literally earned her the title of “ambassador” from the local chamber of commerce.

To celebrate her many and continuing contributions, Ingalls has been named the 34th recipient of the MHSAA Women In Sports Leadership Award, presented annually by the MHSAA’s Representative Council to “women coaches, officials and athletic administrators affiliated with the MHSAA who show exemplary leadership capabilities and positive contributions to athletics.”

And as with Clement, those contributions continue impacting many long after graduation.

“To have the confidence to overcome when people say you can’t do something,” Ingalls said, boiling down what she’s hoped to pass on over two decades. “We still always are like the ‘Hoosiers’ coming down (to a state championship game) – we go with that flow a little bit. We’re not going under the radar too often, but usually we don’t have as many DI (college) people as the teams we play. We try to make sure (our athletes learn) that hard work, dedication, positive attitude and don’t ever give up, fight through your adversities and just keep going, keep going, keep going.

Dorene Ingalls“I get letters from kids that went to boot camp that said, ‘Oh my gosh, the only way I survived this is because of our practices and our tryouts. All these other kids are stopping, and I keep going.’ … Other ones go on to be doctors and nurses in the field. That’s what it’s all about, when kids are fighting through stuff. If they have all-nighters, they can figure that out and they know they have that inner strength they haven’t tapped into yet, that willingness to keep going. I think that’s what high school sports are about – teaching them the skills they need in life, to fight through things, that you’re capable of more, you just have to sometimes dig deep, shake it off and step it on up. … It’s just kind of a thing that sticks with some of these kids, and when you see them or get invited to weddings or whatever, it has nothing to do with records or scoreboards. It’s continuing in their life, watching them have families and successes in careers – that’s when it’s fun.”

Ingalls has provided two decades of experiences on and off the court her Saints will never forget.

Through the end of this regular season, she has led the St. Ignace girls basketball varsity to a 464-80 record since taking over the program prior to the 1999 season. Her wins are the 18th-most among girls basketball coaches in MHSAA history, and she has led teams to five Finals championships and four runner-up finishes – or a championship game berth to conclude nearly half of those seasons as head coach. Her teams have reached at least the MHSAA Semifinals 11 times, and won 16 conference, 18 District and 14 Regional championships.

Ingalls also has served 20 years as a board member for the Basketball Coaches Association of Michigan (BCAM), including a three-year term as part of the executive board serving as president-elect, president and past president, and she continues to serve as chairperson of the Miss Basketball Award committee. She also has served on the MHSAA Basketball Committee.

“Dorene is someone who has been passionate for years about providing opportunities for young women,” MHSAA Executive Director Mark Uyl said. “That's easily seen in the work she's put in not just with her program but as a strong voice of leadership for the Basketball Coaches Association of Michigan. She's been one of the strongest advocates for girls basketball in our state over the last 20 years.”

There’s some necessary context behind all of those on-court win-loss numbers. St. Ignace has only about 200 students and generally plays in Division 3 (or formerly Class C) or Division 4 – yet during the regular season the Saints frequently line up games against much larger opponents from all over the state. They’ve had their share of stars, especially for such a small schools, but the success is also a testament to how Ingalls works to find specific roles for as many players as possible – whether it’s for a minute here or there to grab a rebound or get a steal, many play at least some little part in keeping the team moving forward.

And the memories made off the court have meant just as much, if not more.

Clement, who became the Upper Peninsula’s first Miss Basketball Award winner in 2003 and then a four-year captain at U-M, recalled how much she and her teammates laughed with their coach and how Ingalls has a talent for connecting with her players.

“Her record by itself could garner consideration for this award, but that is not the primary reason I write this letter,” wrote St. Ignace superintendent Don Gustafson in nominating Ingalls for the WISL Award. His daughter Linnie played for Ingalls four seasons before graduating in 2018.

“She teaches basketball, but she teaches much more than basketball. The characteristics that Dorene models for the athletes who have played under her tutelage are dedication, perseverance, teamwork and life lessons, to name a few. The players she has coached in the past stay connected with Dorene long after that graduate, as (she) continues to provide guidance and advice even after the student athlete’s playing days have concluded.”

Like many families, cancer has impacted the Ingalls – both she and her husband Doug lost their mothers to the disease when those women were only in their 50s. St. Ignace’s trips to East Lansing, or Grand Rapids to play at Calvin College, or last year to Detroit to play in the Motor City Roundball Classic, included trips to medical facilities.

St. Ignace girls basketball 2At the cancer center in East Lansing, the Saints inadvertently crossed paths with a St. Ignace resident undergoing treatment, and Dorene still is brought to tears retelling how they connected with that patient and were able to give her tickets to come watch them play that weekend. The Grand Rapids center was where Ingalls went through rehabilitation after suffering paralysis during childbirth in 2005; she remains partially paralyzed and uses a wheelchair.

Last season, before COVID-19 grounded the Saints’ chances to win another title, the team visited Karmanos Cancer Center in Detroit, including the room where one of the player’s mothers had fought for her life just a year before. That mother was part of the visit and, as Ingalls recalled, “to have that, and not the state championship, that’s probably more important. … That was pretty special. They’re learning the lessons that you’re hoping they do.”

This season’s team hasn’t enjoyed the “changing life” speeches that are part of usual bus trips, because right now the Saints aren’t taking buses to away games. But the pandemic has provided other opportunities – like when the team did workouts in the snow before full-contact practice was allowed to resume, or spent one practice performing skits for each other from the 1970s and 80s just to “break up the uncertainty and negativity.” Ingalls called it making the most of what you’ve got – and those are the memories she knows won’t be forgotten.

There has been recognition. She was inducted into the Upper Peninsula Sports Hall of Fame in 2016 and received the Michigan Sports Hall of Fame’s Treasure Award in 2017 – in addition to various Coach of the Year awards both for the Upper Peninsula and statewide over the years. She was named the Prep Person of the Year by the Detroit Free Press in 2011 and received BCAM's Tom Hursey Distinguished Service Award in 2018.

All are proud moments. But perhaps the proudest is another effort that keeps on building. Mining a connection to Lowell High School and its Pink Arrow cancer awareness games – St.  Ignace alum Nate Fowler is Lowell’s superintendent – Ingalls hatched the annual Hooping for a Cure basketball game in 2009. Cedarville, Cheboygan and Mackinaw City have joined in the fundraising game since, and the event became a doubleheader this season with the girls and boys teams both playing.

The event raised a record $35,000+ in 2020, and more than $25,000 this season despite attendance restrictions. That brought the total to more than $245,000 – funds that at first were donated to the oncology department at Mackinac Straits Hospital in part for the purchase of specialized examining tables and chemotherapy treatment infusion recliners. Once the equipment needs were met and a new hospital – Mackinac Straits Health System – was built, the money went into a No Cancer Patient Left Behind fund that provides financial support for patients who have to travel outside of the area for further treatment.  

St. Ignace girls basketball 3“This benefit game and ensuing experiences for the team have taught us about being grateful for every day we do have and to have the courage to fight through adversity,” Ingalls said. “These vital lessons will carry on in all of us for a lifetime. 

“In fact I recently received a photo from a former player sitting in one of the infusion chairs getting treatment for an autoimmune disease that really struck me deeply. Talk about full circle.”

Ingalls is a 1986 graduate of New Baltimore Anchor Bay High School, where she played basketball, volleyball and softball. She attended Lake Superior State University, earning a bachelor’s degree in geology in 1991, and she then moved to St. Ignace to begin six years as a geologist before starting a screen printing and embroidery business.

She had earned 10 letters playing four sports at LSSU – volleyball, basketball, softball and tennis – and soon after moving to St. Ignace she joined the Saints’ coaching ranks, first as a junior high and assistant junior varsity basketball coach in 1992-93, then junior varsity girls head coach from 1994-98 until she took over the varsity position. She also has coached softball and subvarsity boys basketball.

Ingalls and husband Doug have two sons, Jackson and Jonathan.

The first Women In Sports Leadership Award was presented in 1990. 

Past recipients

1990 – Carol Seavoy, L’Anse 
1991 – Diane Laffey, Harper Woods
1992 – Patricia Ashby, Scotts
1993 – Jo Lake, Grosse Pointe
1994 – Brenda Gatlin, Detroit
1995 – Jane Bennett, Ann Arbor
1996 – Cheryl Amos-Helmicki, Huntington Woods
1997 – Delores L. Elswick, Detroit
1998 – Karen S. Leinaar, Delton
1999 – Kathy McGee, Flint 
2000 – Pat Richardson, Grass Lake
2001 – Suzanne Martin, East Lansing
2002 – Susan Barthold, Kentwood
2003 – Nancy Clark, Flint
2004 – Kathy Vruggink Westdorp, Grand Rapids 
2005 – Barbara Redding, Capac
2006 – Melanie Miller, Lansing
2007 – Jan Sander, Warren Woods
2008 – Jane Bos, Grand Rapids
2009 – Gail Ganakas, Flint; Deb VanKuiken, Holly
2010 – Gina Mazzolini, Lansing
2011 – Ellen Pugh, West Branch; Patti Tibaldi, Traverse City
2012 – Janet Gillette, Comstock Park
2013 – Barbara Beckett, Traverse City
2014 – Teri Reyburn, DeWitt
2015 – Jean LaClair, Bronson
2016 – Betty Wroubel, Pontiac
2017 – Dottie Davis, Ann Arbor
2018 – Meg Seng, Ann Arbor
2019 – Kris Isom, Adrian
2020 – Nikki Norris, East Lansing

PHOTOS: (Top) St. Ignace girls basketball coach Dorene Ingalls embraces one of her players after their team finished Class C runner-up in 2014. (Middle) Ingalls talks things over with her team during a game at the Breslin Center. (Below) Ingalls coaches her team during a Semifinal win at Calvin College's Van Noord Arena in 2019.