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
- 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.
- 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.
UP Schools Big & Small Find Multi-Sport Success
January 10, 2020
By Dennis Grall
For the Second Half
ESCANABA – It should not come as a surprise that the Class A school with the highest percentage of multi-sport athletes has an athletic director who lived that life.
Alex Tiseo, athletic director at Marquette High School, received 15 varsity letters while he was a student at the school, including as a three-sport participant for two years in the fall alone. Tiseo played soccer for four years while running cross country for three years and playing football for two. He also played basketball and ran track.
He is not taking any credit for the excess of multi-sport athletes at his alma mater. "It is the foundation of the thing, the culture of the coaches," Tiseo said of all the school's coaches supporting and encouraging all-around athletic participation.
"It is the benefit and mentality of getting away from (athletic) specialization," Tiseo said, noting an athlete may be "a leader in one sport and just a role player" in another.
He also pointed out athletes are not penalized when they have to miss practices or events because of their heavy extracurricular participation.
According to the most recent multi-sport participation survey conducted by the Michigan High School Athletic Association, Marquette had the highest percentage of multi-sport athletes among all Class A schools in 2018-19 with a whopping 85.9 percent. Grand Rapids Northview, at 83.1 percent, was the only other large school above 80 percent.
Four Class B schools and six Class C schools topped the 80-percent mark while 14 Class D schools surpassed 80 percent, including three topping 90 percent, led by Gaylord St. Mary (93.2).
Marquette, unlike many larger schools, does allow students to participate in more than one sport in the same season. Many small schools, simply because of the lower enrollment, also allow students to compete in more than one sport during the same season.
"It is near and dear to my heart," Tiseo said of seeing multi-sport participation. Students must pick a priority sport if practices or games would conflict on the same date. "For me, it was cross country," Tiseo said, noting his soccer and football coaches knew he was getting plenty of running in that primary sport. In football, he was a place-kicker, which made it easier if he had to miss a practice.
He would often kick with his dad, he said, agreeing that a primary position player may have found it harder to miss a practice or game.
He also pointed out that in fall sports, "one-third of the season comes before school starts" and fall sports ended in mid to late October, reducing the number of potential conflicts.
Tiseo said multi-sport athletes work closely with their coaches to arrange practice schedules: "If coaches have difficulty with the kids in putting the schedule together, there is a caveat there where I can help." To date he has not needed to assist.
Students and coaches alike "reinforce the importance of academics," Tiseo said. "Multi-sport athletes are definitely among our highest academic achievers."
Athletes realize, he said, the importance of staying academically eligible so they can compete in their athletic endeavors.
Tiseo also has noticed student-athletes in general maintain better attitudes, which permeates the hallways and classrooms and benefits the general student body.
Success in athletics can generally bolster improved spirit and attitude in school. He said there is a general attitude of wanting to participate in something "when you see your peers having fun." The long Upper Peninsula winters also help encourage students to participate in athletics to help the time speed along. "It also correlates with the success of the teams," he said.
Two other Upper Peninsula schools have also found outstanding multi-sport participation, with Class B Gladstone at 86.7 percent and Class D Watersmeet with 90.3 percent during 2018-19.
First-year Gladstone athletic director Dave Lindbeck said "I strongly promote for kids to go to the next level. When I hire a new coach, I ask them how they feel about (multi-sport participation)."
Like Tiseo, Lindbeck also encourages athletes to get involved in programs for lifting weights and nutritional growth. Tiseo said proper conditioning and nutrition "help lessen the risk of injury" and playing multiple sports allows students to use different sets of muscles in those various activities. "You don't see over-use injuries" he said.
Lindbeck said "a good strength and conditioning program involves everything, including in-season and off-season workouts and help them maintain strength. We're not asking kids to bulk up. There is a lot of strength and flexibility (training), working (various) muscle groups, strengthen(ing) ligaments."
Lindbeck said the Braves' coaches are encouraged to attend games in the wide selection of activities, which shows students they care.
He also said it is easy to see how students grow in athletics and socially as they raise their participation levels. "You see how they communicate, you see it in the hallways," he said.
He also noted it has a big impact on their classroom work. "Those who don't participate don't do as well," he said, noting B-C students tend to improve their grade-point averages as they increase their involvement. "Kids seldom have issues with their grades.
"It is so crucial to be involved with sports," Lindbeck added. "The ones who do it really value it. We use it as a carrot, a motivator. It also keeps the structure and holds each other accountable."
Watersmeet has only 44 students this school year – up from 36 last year – but the Nimrods definitely are a school and community-oriented program.
Pizza parties, camping trips and cook-outs are among projects to encourage students to participate in sports, and fund-raisers are used to buy warm-ups for players in grades 6-12. "We dress them up so they look special," said long-time administrator-coach George Peterson.
"We work hard to get them to enjoy all the sports."
The board of education uses the Nimrod Fund to help students "dress up and be a part of it," said Peterson, who indicated much of that financial opportunity comes from the memorable 2003-04 season when ESPN coined the "Nimrod Nation" program.
That spring the boys basketball team appeared on The Tonight Show, and the Sundance Channel did a series on the school/town in 2006.
Peterson said the school realized $500,000 in gross revenue as a result of that national exposure and still averages $10-13,000 a year in profits. "I still pinch myself. I still can't believe it happened," Peterson said of that exposure and financial benefit.
Watersmeet has girls volleyball and offers cross country country, basketball, track and golf for boys and girls. "They are proud to be out there," said Peterson. "They have to conduct themselves in a respectful manner.”
The MHSAA study revealed nearly 43 percent of state prep athletes participated in two or more sports in 2018-19. It also indicated "early and intense sport specialization has become one of the most serious issues related to health and safety at all levels of youth sports, with overuse injuries and burnout among athletes tied to chronic injuries and health-related problems later in life."
The survey found 45.1 percent of boys and 40.4 percent of girls participated in more than one sport.
Denny Grall retired in 2012 after 39 years at the Escanaba Daily Press and four at the Green Bay Press-Gazette, plus 15 months for WLST radio in Escanaba; he served as the Daily Press sports editor from 1970-80 and again from 1984-2012 and currently is in a second stint as the interim in that position. Grall was inducted into the Upper Peninsula Sports Hall of Fame in 2002 and serves as its executive secretary. E-mail him at [email protected] with story ideas for the Upper Peninsula.
PHOTOS: (Top) Marquette's Maria Millado (40) works to get a pass past a Traverse City West defender last season; Millado also runs track for the Redettes. (Middle) Gladstone's Luke Van Brocklin crosses the finish line to finish second in the 400 meters at last spring's Upper Peninsula Division 1 Track & Field Finals; he played football this fall. (Photos by Cara Kamps.)