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.

School Overload

January 29, 2016

I don’t know how school administrators and local boards of education do it. Every year, pressure increases on them to improve student performance in core subjects, while every year, lawmakers and government agencies try to make schools the place to solve, or at least respond to, more of society’s problems.

Expanding definitions of disabilities have required expanding public school responses. School employees now must be trained to respond to a myriad of student allergies. Schools have been made the place to address drug abuse, bullying, sexting, drunk driving, sudden cardiac arrest, seat belt use and much more.

This would be okay – in fact, it would be really good because it would solidify that the local school is the center of each and every community. But if schools are not given the resources to both improve student academic performance and address every threat to student health and safety, then no more should be asked of schools.

Right now our Michigan Legislature has dozens of bills that would make new demands on local schools. Most of these bills, on their own and in a vacuum, would be good – like the requirement that schools provide curriculum and professional development in warning signs for suicide and depression, and the requirement that students be certified in CPR before they graduate high school.

But until schools are given more time and money to perform current mandates, it’s time for legislators to put new bills in their back pockets and for government agencies to back off.