'Hearts' Focus Includes Action Planning

November 12, 2015

By Geoff Kimmerly
Second Half editor

As most of Michigan’s high school athletes move inside this month for the start of winter sports, many will take part in a program introduced to Michigan High School Athletic Association member schools this fall that assists coaches and students in preparing for the possibility of a health emergency during their after-school practices and events.

Prior to the start of this 2015-16 school year, the MHSAA sent every member school the “Anyone Can Save a Life” emergency action plan authored by the Minnesota State High School League and the Medtronic Foundation. The program instructs schools to assemble teams made up of coaches and their students that will act in the event someone suffers sudden cardiac arrest or another emergency medical situation.

“Anyone Can Save a Life” suggests a game plan that establishes four teams on every level of every sport in a school – a 911 Team, CPR (cardiopulmonary resuscitation) Team, AED (automated external defibrillator) Team and Heat Stroke Team. The groups are made up of coaches and their students who will be in close proximity to all after-school activities.

It’s another valuable tool as the MHSAA begins work on the fourth piece of its eight-year “4 H’s” health and safety emphasis. The next two school years focus on Hearts to go with efforts over the last six years centered on Health Histories, Heads and Heat issues faced by MHSAA athletes. This fall, for the first time, all varsity head coaches at MHSAA member schools were required to have CPR certification – another means by which athletic personnel can work to counter the random, unpredictable nature of sudden cardiac arrest.

“There is something we can do. We can be prepared. We can develop emergency plans, display AEDs and deliver CPR. And, like any good sports teams, we need to practice our preparations,” MHSAA Executive Director John E. “Jack” Roberts said. “’Anyone Can Save a Life’ can help schools revise or revitalize their existing emergency plans in ways that engage team members in planning, practice and execution. This could help save lives now and also convey important lifelong life-saving lessons to students involved on these teams.”

Students are a vital component to having a successful emergency action plan. They will be put in position to call 911, meet the ambulance at a pre-determined access point, locate the nearest AED, make sure immersion tubs are filled for hot-weather practices, and for those who are trained, to assist with CPR.  Coaches identify students at the beginning of the season and prior to an emergency taking place, and provide them with the details of the job they are assigned so they will be ready to assist in the event of an emergency. 

The “Anyone Can Save a Life” plan was sent to schools nationwide with assistance from the National Federation of State High School Associations and the NFHS Foundation. Click for information on "Anyone Can Save a Life."

“The ‘Anyone Can Save a Life’ initiative promotes the need to have and to practice planning for different kinds of emergencies,” Roberts said. “The result can be a fresh, comprehensive emphasis on preparing for emergencies well before they occur and then responding with more confidence when those emergencies inevitably happen. It is the perfect link between the last two years when we focused on heat illness and the next two years when we focus on sudden cardiac arrest.”

This fall’s focus on “Hearts” began in the wake of 122 Michigan schools receiving recognition this spring as HEARTSafe by the Michigan Department of Health and Human Services, Michigan Department of Education, American Heart Association, Michigan Alliance for Prevention of Sudden Cardiac Death of the Young and the MHSAA.

Public Act 12 of 2014 requires all schools (grades kindergarten to 12) to have a cardiac emergency response plan in place. This MI HEARTSafe School designation recognizes 122 schools that have taken steps above and beyond to prepare to respond in the event of a cardiac emergency, and is awarded for a period of three years.

In order for a school to receive MI HEARTSafe designation, it must perform at least one cardiac emergency response drill per year, have a written medical emergency response plan and team, have current CPR/AED certification of at least 10 percent of staff, have accessible, properly maintained and inspected AEDs with signs identifying their location, and ensure pre-participation sports screening of all student-athletes using the current physical and history form endorsed by the MHSAA.

Schools that meet all requirements are able to apply for the MI HEARTSafe School designation each year. Click for information and for a list of designated schools.

4 Thrusts: In Motion, On Track in 2013-14

December 20, 2013

By Jack Roberts
MHSAA Executive Director 

During the fall of 2012 at Update meetings across Michigan, we described “Four Thrusts for Four Years” – four health and safety emphases that would help us keep student-athletes healthier and also get a seat for Michigan’s policies and procedures for school sports on the train of best practices – an express train that is moving faster than we've ever seen it toward more cautious practice and play policies and more educational requirements for coaches.

At this December’s meeting, the MHSAA Representative Council examined a first quarter report card – what’s been accomplished during the first year.

It has been a remarkably strong start, but it’s only a start.

The first thrust, improving management of heat and humidity, received a boost last March when the Representative Council adopted a “Model Policy for Managing Heat and Humidity.” It has been promoted in print, online and at face-to-face meetings; and the response of schools has been nothing short of outstanding. 

This rapid acceptance by school administrators and coaches reflects their appreciation for a clear policy that identifies the precise conditions that call for adjustments in activities, and lists specific actions to be taken when temperature and humidity combine to reach un-safe levels. Gut and guesswork are gone.

The second thrust, raising expectations for coaches’ preparedness, is being advanced in three ways.

In May, the Representative Council adopted the requirement that by the 2014-15 school year, schools must attest that, prior to established deadlines, all assistant and subvarsity coaches at the high school level have completed annually the same MHSAA rules meeting required by all varsity head coaches or, in the alternative, one of the free online sports safety courses posted on or linked to MHSAA.com and designated to fulfill this requirement. This popular change is only the first component of this critically important second thrust.

The second component is this. The Representative Council voted in December to require by 2015-16 that MHSAA member high schools certify that all of their varsity head coaches of high school teams have a valid (current) CPR certification, with AED training as a recommended component.

As this requirement was discussed at constituent meetings, the question was frequently raised: “Why just head coaches?”

“Why indeed,” is our response. If a school has the will and resources, it most certainly should make CPR a requirement of all its coaches, as some school districts have required for many years.

CPR training is conveniently available near almost every MHSAA member school in Michigan. Still, the MHSAA will begin offering CPR certification (with AED training) on an optional basis as an extension of Level 1 of the Coaches Advancement Program (CAP) during 2014-15.

The third component of this thrust is scheduled to go before the Representative Council in March. The proposal is that all individuals hired for the first time as a varsity head coach of a high school team, to begin those coaching duties after July 31, 2016, must have completed the Coaches Advancement Program (CAP) Level 1 or 2.

The MHSAA will track compliance and prohibit varsity head coaches from attending their teams’ MHSAA tournament contests if they fail to complete this requirement, beginning in the 2016-17 school year.

In cases of very late hiring, schools may substitute two online courses of the National Federation of State High School Associations – “Fundamentals of Coaching” and “First Aid, Health and Safety.” However, that coach must complete CAP Level 1 or 2 within six months of the hiring date.

These feel like big steps to some people in MHSAA member schools – “too expensive” or “another obstacle to finding qualified coaches,” some say; but these are baby steps. 

This barely keeps pace with national trends. Michigan’s tradition of local control and its distaste for unfunded mandates has kept Michigan schools in neutral while schools in most other states have made multiple levels of coaching education, and even licensing or certification, standard operating procedure.

The three initiatives to upgrade coaches education in this critical area of health and safety over the next three years only nudges Michigan to a passing grade for what most parents and the public expect of our programs. We will still trail most other states, which continue to advance the grading curve.

And for a state association that is among the national leaders by almost every other measure, it is unacceptable to be below average in what is arguably the most important of all: promoting athlete health and safety by improving the preparation of coaches.

The third health and safety thrust is a focus on practice policies to improve acclimatization and to reduce head trauma; and the fourth thrust is a focus on game rules to reduce head trauma and to identify each sport’s most injurious situations and reduce their frequency.

Because of the critical attention to football on all levels, peewee to pros, our first focus has been to football with the appointment of a football task force which has effectively combined promotion of the sport’s safety record at the school level and its value to students, schools and communities with probing for ways to make the sport still safer.

The task force proposals for practice policies are receiving most attention and will receive Council action in March (and will be published on Second Half over the next few weeks). But the task force also has assisted MHSAA staff in developing promotional materials that are already in use, and the task force pointed MHSAA staff to playing rules that need emphasis or revision to keep school-based football as safe as possible.

During 2013-14, all MHSAA sport committees will be giving unprecedented time to the topics of the third and fourth thrusts and, when necessary, a task force will be appointed to supplement those sport committee efforts.

Frequently Asked Questions About CPR Certification 

Q. Who is authorized to provide CPR certification?
A. The MHSAA does not dictate which organization must provide the CPR education and certification. However, the Michigan Department of Human Services lists the following organizations that are approved to provide CPR training:

  • American CPR Training: www.americancpr.com
  • American Heart Association: www.americanheart.org
  • American Red Cross: www.redcross.org
  • American Safety and Health Institute: www.hsi.com/ashi/about
  • American Trauma Event Management: www.atem.us
  • Cardio Pulmonary Resource Center: 517-543-9180
  • Emergency Care and Safety Institute: www.ecsinstitute.org
  • EMS Safety Services: www.emssafety.com
  • Medic First Aid: www.medicfirstaid.com
  • National Safety Council: www.nsc.org
  • Pro CPR: www.procpr.org


Q.

How expensive is the certification?
A.  $0 to $75.
 
Q. How long does certification take?
A. Two to five hours.
 
Q. How long does the certification last?
A. Generally, two years.
 
Q. Does the MHSAA specify the age level for the CPR training?
A. No. Generally, the course for adults alerts candidates of the necessary modifications for children and infants, and vice versa.