Using Heads in the Heat of Competition

December 20, 2013

By Rob Kaminski
MHSAA benchmarks editor

With so much recent attention to the risks and recognition of concussions in collision sports, athletic leaders have put their heads together to address far more common – but often overlooked – threats to the health of our student-athletes: heat and sudden cardiac arrest.

The No. 1 killer of young athletes is sudden cardiac arrest, while heat stroke victims can surpass that during the year’s hottest months. While the moment of impact leading to a concussion is totally unpredictable, athletic trainers, coaches and administrators have the ability to diminish the occurrences of cardiac arrest and heatstroke. Typically, there is a pre-existing condition, or family history suggesting probabilities for sudden cardiac arrest, which can be treated when detected. And, the perils associated with hot weather – heat stroke, prostration – are almost always completely preventable.

The MHSAA has addressed both issues recently. With assistance from numerous medical governing bodies, the annual pre-participation physical form was revamped and expanded prior to the 2011-12 school year to include comprehensive information regarding participants’ medical history.

In May, the Representative Council adopted a Model Policy for Managing Heat & Humidity (see below), a plan many schools have since adopted at the local level. The plan directs schools to monitor the heat index at an activity site once the air temperature reaches 80 degrees and provides recommendations when the heat index reaches certain levels, including ceasing activities when it rises above 104 degrees.

The topic of heat-related illnesses receives a lot of attention at the start of fall when deaths at the professional, collegiate and interscholastic levels of sport occur, especially since they are preventable in most cases with the proper precautions. In football, data from the National Federation of State High School Associations shows 41 high school players died from heat stroke between 1995 and 2012.

“We know now more than we ever have about when the risk is high and who is most at risk, and we’re now able to communicate that information better than ever before to administrators, coaches, athletes and parents," said Jack Roberts, executive director of the MHSAA. “Heat stroke is almost always preventable, and we encourage everyone to avail themselves of the information on our website.

“Schools need to be vigilant about providing water during practices, making sure that students are partaking of water and educating their teams about the need for good hydration practices.”

All of which is not to say concussions aren’t a serious matter; they are. In fact, leaders in sport safety can take advantage of the concussion spotlight to illuminate these additional health threats.

A recent New York Times story (May 2013) by Bill Pennington featured a February 2013 gathering in Washington organized by the National Athletic Trainers Association. In the article, Dr. Douglas J. Casa, professor of kinesiology at the University of Connecticut and Chief Operating Officer of the Korey Stringer Institute (founded in the late NFL offensive lineman’s name to promote prevention of sudden death in sport), suggests just that.

“All the talk about head injuries can be a gateway for telling people about the other things they need to know about, like cardiac events and heat illness,” said Casa in the article. “It doesn’t really matter how we get through to people as long as we continue to make sports safer.”

Education and prevention methods need to find a permanent place in school programs if those programs are to thrive and avoid becoming targets at which special interest groups can aim budgetary arrows.

Dr. Jonathan Drezner, the president of the American Medical Society for Sports Medicine, said in the New York Times piece that sudden cardiac arrest is “so incredibly tragic and stunning that people aren’t comfortable putting it into the everyday conversation. I do wish, to some extent, it was something people talked more about because we are getting to a place where we could prevent many of these deaths.”

When it comes to heat-related deaths or illnesses, the prevention efforts can be even more successful by educating the masses. And, these efforts can be done at minimal cost to schools.

“That’s the thing about curtailing exertional heat illness: it’s 100 percent preventable, and unlike other health threats to athletes, the solutions can be very low-tech and inexpensive,” said Dr. Michael F. Bergeron, the director of the National Institute for Athletic Health & Performance at the University of South Dakota’s Sanford Medical Center, in the New York Times story.

To assist with cost and data maintenance, the MHSAA has teamed with Sports Health to provide schools with psychrometers (heat measurement instruments) at a discounted rate, and has built online tools to track heat and humidity conditions.

Managing heat and humidity policy

  1. Thirty minutes prior to the start of an activity, and again 60 minutes after the start of that activity, take temperature and humidity readings at the site of the activity. Using a digital sling psychrometer is recommended. Record the readings in writing and maintain the information in files of school administration. Each school is to designate whose duties these are: generally the athletic director, head coach or certified athletic trainer.
  2. Factor the temperature and humidity into a Heat Index Calculator and Chart to determine the Heat Index. If a digital sling psychrometer is being used, the calculation is automatic.

If the Heat Index is below 95 degrees: 

All Sports

  • Provide ample amounts of water.  This means that water should always be available and athletes should be able to take in as much water as they desire.
  • Optional water breaks every 30 minutes for 10 minutes in duration.
  • Ice-down towels for cooling.
  • Watch/monitor athletes carefully for necessary action.

If the Heat Index is 95 degrees to 99 degrees: 

All Sports

  • Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
  • Optional water breaks every 30 minutes for 10 minutes in duration.
  • Ice-down towels for cooling.
  • Watch/monitor athletes carefully for necessary action.

Contact sports and activities with additional equipment:

  • Helmets and other possible equipment removed while not involved in contact.
  • Reduce time of outside activity. Consider postponing practice to later in the day. 
  • Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.

If the Heat Index is above 99 degrees to 104 degrees: 

All Sports

  • Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
  • Mandatory water breaks every 30 minutes for 10 minutes in duration.
  • Ice-down towels for cooling.
  • Watch/monitor athletes carefully for necessary action.
  • Alter uniform by removing items if possible.
  • Allow for changes to dry T-shirts and shorts.
  • Reduce time of outside activity as well as indoor activity if air conditioning is unavailable.
  • Postpone practice to later in the day.

Contact sports and activities with additional equipment

  • Helmets and other possible equipment removed if not involved in contact or necessary for safety.
  • If necessary for safety, suspend activity.

Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.

If the Heat Index is above 104 degrees: 

All sports

  • Stop all outside activity in practice and/or play, and stop all inside activity if air conditioning is unavailable.

Note: When the temperature is below 80 degrees there is no combination of heat and humidity that will result in need to curtail activity.

PHOTO: The Shepherd volleyball team includes hydration during a timeout in a match this fall. 

Jack Roberts, on Tom Rashid: One More Call

By John E. (Jack) Roberts
MHSAA Executive Director, 1986-2018

December 9, 2021

More than a decade ago, with his knowledge, I placed in my “Will & Instructions Upon Death” that Tom Rashid was to be the one and only person to speak at my funeral or memorial service. A short number of years later, Tom told me that I was to do the same for him. Obviously, we knew that we could not both keep our promise to the other. But I must say, if Tom does not actually show up for my funeral, that will be the first time he has not kept a promise to me.

I understand there will be a time in the future, when the weather warms and COVID wanes, when school administrators across Michigan can gather in force to show their respects to Tom, and when I will provide the eulogy that Tom asked of me. But Tom’s recent death reminds us how uncertain life can be and suggests that I say some things now, before it’s too late.

Tom was the unparalleled master of award presentations; and for more than a dozen years he wrote and delivered polished praise on award recipients at the annual conference of the Michigan Interscholastic Athletic Administrators Association. My tribute now isn’t an awards presentation or hall-of-fame induction, so I won’t recount the particulars of Tom’s career; but what you will see here is the importance of Tom’s life … the themes that distinguish him from any other person I’ve known.

Tom comes from a large, complicated and compassionate family of parents, aunts, uncles, brothers, sisters, nephews and nieces who mourn his loss at levels few of us can fathom. Over the years, and for many years, he was the caretaker for several family members; and he was generous with all of them. My hope for each family member now – and for many days, weeks and months to come – is that you are at peace. Tom’s pain is over; and his place in eternity is secure. Tom purchased a reserved seat.

Tom often joked that his only good habit was prayer. That’s not really true, of course. But for as long as I’ve known Tom, he talked to God many times a day; and I’ve always had the feeling that he talked to God the same way he talked to us: bluntly, forcefully, passionately, honestly, loudly, making very plain what he had on his mind.

Tom was a rigorous practitioner of his devout Catholic faith; and, the God whom Tom believed in is a big God … the president, general manager and head coach of a huge, diverse team whose game plan is a large, loving Gospel of limitless parameters and possibilities. I have no doubt that, both in times of need and not, members of the Roberts family – including both my parents, my sister, my wife and our children and grandchildren – have been specific in his petitions to God. I have no doubt that Tom’s daily prayers included many of you, and your loved ones as well.

In addition to Tom’s immediate family is the even larger and even more complicated family Tom developed through a long, illustrious career in Michigan school sports administration: a full 25 years with the Archdiocese of Detroit, until 2003, when I invited him to join me at the MHSAA office in East Lansing.

During my 32 years as the executive director of the MHSAA, I never saw another like Tom … never, anywhere. He talked to anybody, anytime of the day or night, about any question or problem they might have. Usually, Tom didn’t need to give me notes reviewing his telephone conversations. From my adjacent office, and given his forceful voice, I could hear Tom’s every word, very clearly.

Tom had the ability to anticipate what I might need and take care of it without my asking. It is no exaggeration to say that Tom would do anything for me. For example, Tom’s reluctance to travel and his fear of flying are well known to many of you. I believe the one and only time that Tom flew in an airplane was in 2003, when I ordered him to fly to Texas so that he might receive the highest award of the National High School Coaches Association. He had never flown before; he has never flown since.

Most remarkable was not merely Tom’s unselfish, unlimited, legendary availability to athletic administrators at any hour of the day or night, nor his experienced, learned grasp of the subject matter in answering their calls. What was more remarkable was his effort to help school administrators through their hard times. On many occasions these callers had made an error of commission or omission. They had made a mistake or an oversight; and Tom was supremely compassionate in guiding them through the local fallout from disappointed athletes and disgruntled adults. Secure in himself and our mission to be servant-leaders, Tom very often shared or completely shouldered unjustified blame so others would not. He gave cover to countless local school administrators every year of his MHSAA career so that those administrators might survive and even thrive in their careers.

Among my remarkably loyal MHSAA staff, Tom still stands out. And he earned the enduring loyalty of those with whom he worked. I think especially of his successor at the Archdiocese of Detroit, Vic Michaels: I doubt that more than two days ever passed between their almost daily telephone conversations … usually in the morning … for the full 15 years that my office was next to Tom’s at the MHSAA. I have never, ever been witness to anything like that; and I know there is no one in our good work who misses our dear colleague more than Vic.

But most remarkable of all was Tom’s ability to turn an adversary into an ally. He could have a knock-down, drag-out argument with a person one day, and by the next day, and for years to come, that person was Tom’s greatest advocate and admirer.

Well … maybe second-greatest advocate and admirer. Because no one in athletic administration – no one – loved Tom more than I. And no one in our work told him this more than I did.

I have written often about my admiration and affection for Tom. I have spoken both publicly and privately of it, on many occasions. But let me say it one more time, here, as we celebrate his life, and mourn our loss …

Tom and I provide proof that opposites attract, and we tag-teamed MHSAA’s leadership. One of us was very outgoing and vocal, the other more reserved and reticent. One of us was loud, the other more subdued. One of us was more comfortable on the phone, the other with the pen. One of us had no idea what to do with apostrophes, while the other would put them in the correct places. One of us was more spontaneous and extemporaneous, the other a more detailed planner and measurer of consequences. One of us hated to travel, the other sent messages to him from distant oceans and continents every year on Christmas or New Year’s Day to thank him for his life and service. But in our hearts, where one’s core values are harbored, we were almost identical twins.

I doubt that any two people who were side-by-side in the workplace for 15 years expressed their gratitude for each other more than we did, nor any two co-workers who said “I love you” to one another as often as we did. We each felt in deep debt to the other for myriad gifts and gestures that improved our careers and our lives.

Over the years, Tom and I developed the strategy of making one more telephone call before we made a final decision in a difficult matter … making one more call that sometimes made a difference in the controversial decision we had to make or in how that decision was accepted by those it affected. Tom loved to be the one to make those calls. And, sometimes, that “one more call” made all the difference.

Throughout my adult life, whenever I’ve attended a funeral or memorial service, I’ve found myself asking what it is I should learn and try to emulate from the life of the deceased. If you should find your mind and heart doing anything like that now, may I suggest these two answers.

First, Tom’s life and death remind us that we should not delay a single day in telling those with whom we work that we appreciate them and are grateful for what they do. And, if it is true and you are able, say you love them. Tom did this more often than anyone I’ve known.

And the second message is this. Tom’s life stands for faithfulness … faithfulness to his God, faithfulness to his family, faithfulness to his colleagues and friends, and faithfulness to his work and the mission of not just amateur athletics, but particularly school-operated, educational athletics. His was a steadfast faithfulness, never-a-day-off faithfulness, you-come-first faithfulness. 

So Tom, my dear friend, once again I say, “I love you.”

And, “Rest in peace, Tom. God knows, you rarely rested in life.”

I would give anything for just one more call.