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Life Saving Lessons

June 24, 2015

In 2015-16, we enter the fourth quarter of a heightened eight-year health and safety emphasis. We began with Health Histories in 2009-10 and 2010-11; the second quarter focus in 2011-12 and 2012-13 was Heads; the third quarter focus in 2013-14 and 2014-15 was Heat. In 2015-16 and 2016-17, it’s Hearts that we bring in focus ... especially addressing sudden cardiac arrest which is the No. 1 cause of death to youth during exertion.
Sudden cardiac arrest seems to us to have a random, unpredictable nature; and medical experts tell us that screening is somewhat unreliable, often missing some likely candidates even as the tests identify many false positives. There are symptoms of sudden cardiac arrest, but they often reveal themselves too late to be of much help, like sudden collapse, no pulse, no breathing and loss of consciousness.
Nevertheless, there is something we can do. We can be prepared. We can develop emergency plans, display AEDs and deliver CPR. And, like any good sports teams, we need to practice our preparations.
Through the energy of the Minnesota State High School League and the generosity of Medtronic and the NFHS Foundation, the MHSAA has sent to every MHSAA member high school athletic director this month the ANYONE CAN SAVE A LIFE Emergency Action Planning Guide for After-School Practices and Events. This publication suggests a game plan that establishes four teams on every level of every sport in a school – a 911 Team, CPR Team, AED Team and Heat Stroke Team.
This resource can help schools revise or revitalize their existing emergency plans in ways that engage team members in planning, practice and execution. This could help save lives now and also convey important lifelong lifesaving lessons to students involved on these teams.

Internal Medicine

March 20, 2018

When I express concerns for the health of high school basketball, I’m not confusing our problems with the corruption of major college men’s basketball that is under investigation by the Federal Bureau of Investigation. Yes, there are some tentacles that reach us, and taint us; but the problems that plague us most are more basic and local.

The concerns I have for high school basketball are captured in scenes that play out much too often across the membership of the Michigan High School Athletic Association. For example:

  • Declining participation, with JV and varsity rosters too small to practice 5-on-5 at either level.

  • Increasing forfeits.

  • Ugly mismatches, with scores so lopsided that it is hard to imagine much teaching or learning can occur.

  • Starters transferring; reserves dropping out.

  • Confrontations between parents and coaches.

  • Faculty coaches becoming a vanishing breed.

These kinds of concerns do not flow from the top down – we can’t blame these issues on the NCAA and NBA. No, our more persistent and perplexing problems percolate up from the youth level.

Often the students who come to our programs have participated in youth sports programs for five to 10 years before they join a school team. They arrive with expectations that often differ from what is intended for school-based programs. They’ve been in a different environment; they have different expectations.

And much of what is coming with youth sports begins to infect school sports. 

There is no vaccination that will be 100 percent effective in immunizing us. There is no single solution that can quickly reverse these negative trends in school-based basketball and other school sports. The efforts must be systemic and long-term. And among the efforts that must be made are these

  • More attention to coaches education – every coach, every year – where the ethics of educational athletics and the meaning of success in school sports provide the core of the curriculum; and

  • More attention to junior high/middle schools – more opportunities for 6th- through 8th-graders to sample school sports and to savor an experience that puts team before individual and learning ahead of winning.