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 Most Important Decisions

October 13, 2015

During the course of contests, coaches and officials make many mistakes – not as many as spectators might think, of course – but mistakes certainly do happen. In the heat of competition, most are quickly forgotten.

Those mistakes that occur near the end of games or are caught on camera can live longer than dozens of more consequential decisions earlier in the event that might later be determined to be incorrect in the 20/20 hindsight of “Monday morning quarterbacking.” But it is extraordinarily rare that any decision during a contest defines a career, or ends it.

No, the decisions that do most to damage, detour or destroy a coaching or officiating career are those made away from the contest. A bad impulse during a social outing, indiscreet comments or conduct caught on video and sent worldwide overnight, or an inappropriate email or website search ... these are the decisions that end up defining the career.

The stakes may be higher for decisions made away from the sport by coaches and officials than the decisions they make in the athletic arena. Every week’s sports news tells me this is correct. Hundreds or even thousands of people may witness a judgment call during a contest, while millions upon millions will be exposed to poor judgment exercised away from the contest.