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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.

Data is Due

December 4, 2015

Allow me to wander way outside my expertise for a moment … to quantum physics. I believe this is the discipline where it is said that “something doesn’t exist until it is described and measured.”

This statement embodies one of the reasons the MHSAA has mandated that, beginning this school year, member schools must report all possible head injuries in the practices and events of school sports. We want to get at least a general description and approximate measurement of our story here as we listen to the nationwide narrative about health and safety in school sports.

Early returns – that is, preliminary numbers for fall sports – are being presented to the MHSAA Representative Council today. A public release will follow before the end of the year. A more complete report – based on fall, winter and spring sports – will be provided after the conclusion of the 2015-16 school year. And in the future, year-to-year comparisons of the numbers will provide a more meaningful story.

The MHSAA is also gathering data from two pilot programs that are intended to increase attention on sideline concussion detection and recordkeeping, and also from the concussion care insurance the MHSAA has purchased for all participants in all MHSAA member junior high/middle schools and high schools beginning this school year.

Data from all three initiatives may help those who make the equipment and prepare the rules of play in the ongoing campaign to make our good school sports programs even better.