Schools Continue to Manage the Heat

July 16, 2015

By Rob Kaminski
MHSAA benchmarks editor

It certainly was not the MHSAA’s intent to spur the most historically frigid back-to-back winters the state has seen. Nor did the Association wish for one of the mildest summers in recent memory during 2014.

Seemingly, it’s just Mother Nature’s way of reading into MHSAA efforts for managing heat and humidity and acclimatizing student-athletes for warm-weather activities.

Since guidelines were put in place (recommended for regular-season sessions and required for postseason tournaments) before the 2013-14 school year, there have been relatively few days during which psychrometers have had to be implemented.

“The key is, we’ve got plans in place for when the climate returns to normal trends for return-to-school practices and contests in August and September, as well as early June events,” said MHSAA Executive Director Jack Roberts. “It is a bit ironic that there have been relatively few days since the guidelines were established that they’ve actually come into play.”

In a nutshell, the guidelines provide instruction for four ranges of heat index: below 95 degrees; 95-99 degrees; 99-104 degrees, and heat indexes above 104 degrees, with increasing precautions in place as heat indexes rise. An index above 104 calls for all activity to cease.

Certified athletic trainers Gretchen Mohney and James Lioy agree that recent requirements in heat and hydration guidelines are a step in the right direction and encourage that – when possible – an athletic trainer oversee the implementation. Simply taking a reading from just outside the AD’s office or at home does not simulate on-site conditions.

“This doesn’t take into account the radiant heat at the site, which can drastically affect the conditions that athlete plays in. It is essential that all parties involved in making decisions to play collaborate with one another,” Mohney said.

Heat-related deaths in athletics rank only behind cardiac disorders and head and neck injuries, but such fatalities might lead the way in frustration for families and communities of the victims. The reason? Heat-related illness is totally preventable.

Another source of mild frustration is the lack of recording within the state for those practice and game situations which warrant heat protocols.

When the Representative Council was formulating the Heat and Humidity Policy, it was also mindful of ways in which the MHSAA could assist schools in putting the plan into practice. Coaches, athletic directors and trainers needed a method to record information for athletic directors to view and for the MHSAA to track. The MHSAA developed interactive web pages on MHSAA.com which allow registered personnel to record weather conditions as practices and contests are taking place, using psychrometers.

Additionally, discounted Heat and Humidity Monitors and Precision Heat Index Instruments are offered to schools through a partnership between the MHSAA and School Health.

Yet, since the availability of such tools came to fruition two years back, fewer than 1,000 entries have been recorded, and many are multiple entries from the same schools.

Of the 772 entries, only 15 took place when the heat index was in excess of 104, while just 21 indicated an index of greater than 100. Cooler temperatures could be playing a factor in the overall number of participation, particularly in the northern areas of the state.

Nearly all of the responses came during fall practices, with a few isolated cases coming during the spring.

As Mohney pointed out, all resources must be properly used in concert with one another to achieve desired results.

Reminders of the tools available to schools are disseminated throughout the state each summer.

'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.