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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.

Small Steps

November 3, 2015

“You can’t cross a chasm in two small jumps.” I believe it was former British Prime Minister David Lloyd George who said this when advocating for a big leap forward for his country during the early 20th century.

Indeed, taking two small jumps when one giant leap is necessary is an ill-fated strategy.

However, I have found that a series of smaller steps to solve large problems is very often the most practical and politically-expedient approach.

For example, as we have enhanced coaching requirements, especially related to health and safety, we didn’t insist that all of the changes occur simultaneously, or immediately. One thing at a time, phased in over several years, made these changes possible.

My MHSAA colleague Rob Kaminski, our webmaster and publications coordinator who is also an MHSAA registered football and basketball official, once remarked, “Not all football plays are designed to score touchdowns; some are just intended to move the ball forward or to set up a bigger play later.”