Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.
Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.
Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.
Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.
Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.
We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

The Limitation of Rules – Part 1

September 2, 2016

From the age of 10 to 20, my position as a baseball player was catcher. Sometime during that decade I was taught to return the ball to the pitcher with authority, with a snap throw from my ear, targeting the glove-side shoulder of the pitcher.

I caught every inning of every game, including doubleheaders. In those years, there was less concern than today for protecting the arms of pitchers, and there was no thought given to the throwing arms of catchers.

Today, the shoulder of my throwing arm is shot; I cannot throw a ball overhand with any force.

But here’s the thing. I didn’t ruin my throwing arm in youth and school baseball; I wrecked it as an adult doing silly things with a tennis ball on the beach with my teenage son. We had a blast for a summer afternoon, and I’ve paid for it the rest of my life.

The point of this brief baseball bio is to demonstrate an example of the limitations of rules.

We can identify dozens of risks to student-athletes and we can promulgate an equal number of rules to help them avoid injuries in our programs; but we cannot protect them against a lack of common sense in our programs or accidents in other aspects of their lives.

Even if we implement new rules to limit the number of pitches by a player, what good is that if, after reaching the limit, the pitcher and catcher switch positions? Do we need a rule to address that coaching decision too?

Do we need rules that prohibit large students from practicing against small, or experienced players from competing against inexperienced? How would we ever monitor or enforce such rules? Where do rules leave off and common sense take over?

Even if we put players in bubble wrap for sports, what do we do about their decisions away from sports, perhaps in vehicles, with their friends and their cell phones? Where do laws and rules stop, and personal responsibility start?