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.
Using Heads in the Heat of Competition
December 20, 2013
By Rob Kaminski
MHSAA benchmarks editor
With so much recent attention to the risks and recognition of concussions in collision sports, athletic leaders have put their heads together to address far more common – but often overlooked – threats to the health of our student-athletes: heat and sudden cardiac arrest.
The No. 1 killer of young athletes is sudden cardiac arrest, while heat stroke victims can surpass that during the year’s hottest months. While the moment of impact leading to a concussion is totally unpredictable, athletic trainers, coaches and administrators have the ability to diminish the occurrences of cardiac arrest and heatstroke. Typically, there is a pre-existing condition, or family history suggesting probabilities for sudden cardiac arrest, which can be treated when detected. And, the perils associated with hot weather – heat stroke, prostration – are almost always completely preventable.
The MHSAA has addressed both issues recently. With assistance from numerous medical governing bodies, the annual pre-participation physical form was revamped and expanded prior to the 2011-12 school year to include comprehensive information regarding participants’ medical history.
In May, the Representative Council adopted a Model Policy for Managing Heat & Humidity (see below), a plan many schools have since adopted at the local level. The plan directs schools to monitor the heat index at an activity site once the air temperature reaches 80 degrees and provides recommendations when the heat index reaches certain levels, including ceasing activities when it rises above 104 degrees.
The topic of heat-related illnesses receives a lot of attention at the start of fall when deaths at the professional, collegiate and interscholastic levels of sport occur, especially since they are preventable in most cases with the proper precautions. In football, data from the National Federation of State High School Associations shows 41 high school players died from heat stroke between 1995 and 2012.
“We know now more than we ever have about when the risk is high and who is most at risk, and we’re now able to communicate that information better than ever before to administrators, coaches, athletes and parents," said Jack Roberts, executive director of the MHSAA. “Heat stroke is almost always preventable, and we encourage everyone to avail themselves of the information on our website.
“Schools need to be vigilant about providing water during practices, making sure that students are partaking of water and educating their teams about the need for good hydration practices.”
All of which is not to say concussions aren’t a serious matter; they are. In fact, leaders in sport safety can take advantage of the concussion spotlight to illuminate these additional health threats.
A recent New York Times story (May 2013) by Bill Pennington featured a February 2013 gathering in Washington organized by the National Athletic Trainers Association. In the article, Dr. Douglas J. Casa, professor of kinesiology at the University of Connecticut and Chief Operating Officer of the Korey Stringer Institute (founded in the late NFL offensive lineman’s name to promote prevention of sudden death in sport), suggests just that.
“All the talk about head injuries can be a gateway for telling people about the other things they need to know about, like cardiac events and heat illness,” said Casa in the article. “It doesn’t really matter how we get through to people as long as we continue to make sports safer.”
Education and prevention methods need to find a permanent place in school programs if those programs are to thrive and avoid becoming targets at which special interest groups can aim budgetary arrows.
Dr. Jonathan Drezner, the president of the American Medical Society for Sports Medicine, said in the New York Times piece that sudden cardiac arrest is “so incredibly tragic and stunning that people aren’t comfortable putting it into the everyday conversation. I do wish, to some extent, it was something people talked more about because we are getting to a place where we could prevent many of these deaths.”
When it comes to heat-related deaths or illnesses, the prevention efforts can be even more successful by educating the masses. And, these efforts can be done at minimal cost to schools.
“That’s the thing about curtailing exertional heat illness: it’s 100 percent preventable, and unlike other health threats to athletes, the solutions can be very low-tech and inexpensive,” said Dr. Michael F. Bergeron, the director of the National Institute for Athletic Health & Performance at the University of South Dakota’s Sanford Medical Center, in the New York Times story.
To assist with cost and data maintenance, the MHSAA has teamed with Sports Health to provide schools with psychrometers (heat measurement instruments) at a discounted rate, and has built online tools to track heat and humidity conditions.
Managing heat and humidity policy
- Thirty minutes prior to the start of an activity, and again 60 minutes after the start of that activity, take temperature and humidity readings at the site of the activity. Using a digital sling psychrometer is recommended. Record the readings in writing and maintain the information in files of school administration. Each school is to designate whose duties these are: generally the athletic director, head coach or certified athletic trainer.
- Factor the temperature and humidity into a Heat Index Calculator and Chart to determine the Heat Index. If a digital sling psychrometer is being used, the calculation is automatic.
If the Heat Index is below 95 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Optional water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
If the Heat Index is 95 degrees to 99 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Optional water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
Contact sports and activities with additional equipment:
- Helmets and other possible equipment removed while not involved in contact.
- Reduce time of outside activity. Consider postponing practice to later in the day.
- Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.
If the Heat Index is above 99 degrees to 104 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Mandatory water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
- Alter uniform by removing items if possible.
- Allow for changes to dry T-shirts and shorts.
- Reduce time of outside activity as well as indoor activity if air conditioning is unavailable.
- Postpone practice to later in the day.
Contact sports and activities with additional equipment
- Helmets and other possible equipment removed if not involved in contact or necessary for safety.
- If necessary for safety, suspend activity.
Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.
If the Heat Index is above 104 degrees:
All sports
- Stop all outside activity in practice and/or play, and stop all inside activity if air conditioning is unavailable.
Note: When the temperature is below 80 degrees there is no combination of heat and humidity that will result in need to curtail activity.
PHOTO: The Shepherd volleyball team includes hydration during a timeout in a match this fall.