Play it Safe: Basics of Proper Helmet Use

If you or your child plays sports or participates in physically risky activities, wearing a helmet could be lifesaving. While no helmet is concussion-proof, wearing one can help reduce the risk of serious head injuries.

"Helmets are made with materials that help reduce impact to the head, protecting the skull from damage," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "You should be wearing a helmet whether you're playing a contact sport or riding something on a hard surface, such as a bike, scooter, skateboard or rollerblades."

Head Injury Prevention 101: Helmet Buying Basics

All helmets are certified at the same level for multi-use recreational activities. So there's no need to search for a specific seal or rating. Instead, when you're purchasing a helmet — or getting one second-hand — focus on these four factors:

How you’ll use it:

Pay attention to the risks involved with the activity you're doing. If you're biking, skiing or snowboarding, for example, you're wearing a helmet in case you get hit, not because you'll get hit.

There are two types of helmets: single-impact and multiple-impact. Single-impact helmets are made with foam materials that break down when hit as part of their force mitigating strategy. These helmets work well for bicycling, skateboarding, skiing or snowboarding. Multiple-impact helmets, such as those designed for sports like football, hockey and lacrosse, can withstand many hits over an entire season. The materials in these helmets don't break down, but rather compress and regain their original form.

"A helmet may perform better in the lab — for example, the dummy brain will experience 98Gs of force instead of 100Gs — but 2Gs of force probably won't make enough of a difference with a one-time injury," Dr. Kutcher says. "But 2Gs less force per hit for a linebacker who suffers multiple blows on a daily basis for many years? That could make a big difference.”

If football is your sport, the National Football League provides a helmet rating system that assesses helmets based on their ability to mitigate force over time.

How it fits:

Helmets fit differently depending on the make, style and type of sport they’re made for. "The key is making sure the helmet covers the entire skull and doesn't move around when in use," Dr. Kutcher says. The helmet should sit on the head without falling forward or backward. If you're relying only on a chinstrap to keep it in place, you don't have the right fit.

How comfortable it is:

Not all helmet brands fit every head. Helmet designs vary just like running shoes do. When you're shopping for a helmet, make sure it's snug, but not tight or uncomfortable. Comfort is critical, especially for kids. "You don't want a child to develop a negative association with wearing a protective helmet," Dr. Kutcher says.

What condition it’s in:

To get the most protection, your helmet should be in top condition. Do not wear a cracked or broken helmet, or one that has been involved in a crash or similar event (unless it's a multiple-impact design). An impact can crush foam materials. And don't allow the helmet to get too hot or cold — that can cause the materials to break down over time.

Get the Best Helmet Fit for Your Head

Properly wearing a helmet provides the greatest defense against injury — more than any style or brand. To make sure your helmet is secure, follow these rules:

· Measure head circumference: Every helmet brand provides a size chart, along with instructions about how to select the best fit. To get the best measurement, use a cloth tape to measure your head circumference. Place the tape about an inch above the eyebrows, keeping it level from front to back. If the measurement falls between sizes, select the smaller size.

· Pay attention to hairstyles: Make sure to try the helmet on with the hairstyle you'll have during the activity. A long-haired bike rider who gets a short haircut may require a helmet adjustment.

· Watch your vision: The helmet should not block your vision. You should be able to see straight ahead and side to side.

To Wear a Helmet or Not To Wear a Helmet: When to Play It Safe

There are several sports that don't require wearing a helmet. But if you or your child is involved in rugby or soccer, or another sport where helmets are optional, that doesn’t mean you're in the clear.

"It's important to base any decision about whether or not to wear a helmet in conjunction with your sports neurologist," notes Dr. Kutcher. "Your past medical history and current health status may still warrant the use of a helmet."

Unsure whether you're at risk of sustaining a head injury? Get a brain health baseline evaluation. Proper consideration of your brain health includes a physical examination, along with a personal and family medical and neurological history. It also offers you an opportunity to learn how to best protect your head.

Dr. Jeffrey Kutcher is a sports neurologist at the Henry Ford Concussion and Sports Neurology Clinic and the global director of the Kutcher Clinic.

Want to learn more? Henry Ford Health System sports medicine experts are treating the whole athlete, in a whole new way. From nutrition to neurology, and from injury prevention to treatment of sports-related conditions, they can give your athlete a unique game plan.

Visit henryford.com/sports or call (313) 972-4216 for an appointment within 24 business hours.

Hastings' Life-Saving Response Reinforces Vital Importance of Being Prepared

By Geoff Kimmerly
MHSAA.com senior editor

August 23, 2022

HASTINGS – Preseason silence, mixed with anticipation, made Hastings High School’s gym feel especially pristine last week.

Mid-MichiganThe raucousness is returning soon as the school’s volleyball teams are into their first matches of a new season, with winter sports bringing everyone inside in a few months. This is a place where big-game memories are made – but one from a scrimmage June 14 certainly will stick with many who were at Hastings High that day.

That evening, Potterville junior Da’Marion Hicks was playing in a basketball scrimmage when he suffered a heart attack due to a valve that later required open-heart surgery.

During a period of just a few minutes that could have meant his life, Hastings staff, students and a doctor who fortunately happened to be watching his son’s team from the stands, responded to assist Hicks before it was too late. In fact, he’s expected to be cleared to return this upcoming basketball season.

It’s a situation everyone hopes will never happen, but very occasionally it does. And when it did this time, Hastings – with crucial assistance coming out of the bleachers – showed what can be done to assure a best-possible result.

“We debriefed after this whole thing, and we actually had six people from our school (there) trained in CPR and AED use. Enough people felt comfortable enough to take some action to cause it to have a good outcome,” Hastings athletic director Mike Goggins said. “I think more times than not in a situation like this, bad results don’t come from people trying to help. Bad results come from people being afraid to help. What was great about this situation was … lots of people took the initiative to jump in.”

As another school year begins, Hastings’ ready response should continue to reinforce the importance of being prepared for the scariest of situations. (The Grand Rapids Press spoke with Hicks as he was beginning his recovery; click here to read.)

Emergency planning for sports venues has emerged as an important topic especially over the last decade, and the National Federation of State High School Associations (NFHS) and National Athletic Trainers’ Association (NATA) detail how these should work, with the “Anyone Can Save A Life” plan provided to all member schools by the MHSAA at the start of the 2015-16 school year.

Goggins said that while Hastings doesn’t necessarily have a “formal” plan like those linked above, what his department does is “saturate” his teams’ coaches and athletes with knowledge of where to find AEDs – and Hastings also has created a setup whereby a person is never more than one minute from an AED while on school property.

That evening, four boys basketball teams were playing on adjacent courts – including Potterville against Wyoming Tri-unity Christian. Goggins himself wasn’t at the school at the time (although he quickly arrived after being notified of the situation), but the following is the collection of information he has gathered over the last two months.

  • Hicks had felt especially fatigued that evening and actually had mentioned to a few Hastings players during their scrimmage earlier that night that he was having a hard time catching his breath – definitely rare for a three-sport athlete who had run the 400 meters at an MHSAA Track & Field Finals a few weeks earlier.
  • Hicks went to his bench for a break during the Tri-unity scrimmage, and laid down. Goggins said Potterville teammates thought Hicks was just gassed, but then noticed his eyes rolling back into his head. They started yelling for help.
  • Hastings boys basketball coach Rich Long sprang into action, running over to the Potterville bench and then calling into the crowd to see if anyone with medical expertise could help a student in distress. Meanwhile, Long was joined by Hastings’ strength coach (and U.S. Marine) James Avery – who was training athletes in the weight room in the balcony overlooking the gym – and Dr. Luke Van Klompenberg, an emergency medicine physician at Holland Hospital who was there watching his son play for Tri-unity.
  • Long sent an athlete to retrieve the closest AED, located on the wall just outside the gym doors. He also sent a parent to call 9-1-1, and Saxons boys track & field coach Lin Nickels sent multiple athletes to set up a relay near the school’s doors to direct paramedics when they arrived.
  • Van Klompenberg, meanwhile, couldn’t find Hicks’ pulse, and the athlete’s breathing was shallow. Avery had begun chest compressions, the AED was used, and as the ambulance arrived Hicks was beginning to regain some consciousness. He was transported to the local Spectrum Health Pennock hospital, then to Helen DeVos Children's Hospital in Grand Rapids.

“It was one of those things where it just worked,” Goggins said. “My message, if nothing else, is we all practice it for a time that may never come – but the more you can saturate your people with the idea of A, being prepared, and B, don’t be afraid to take action … that’s really I think the key.”

Strength coach James Avery emerged from the balcony weight room to assist in Hicks’ care that evening. Beginning this year, the MHSAA is requiring all head coaches at the varsity, junior varsity and freshman levels to have CPR certification. That training almost always includes direction in the use of an AED.

Hastings has been on this track for a while. The MHSAA’s first CPR requirement for coaches was added for the 2015-16 school year, just for varsity head coaches – but Goggins made it a requirement for all of his coaches at all levels at that time.

Hastings also has taken AED prep to another level. There are 16 throughout the district – one each at the four elementary schools, two at the middle school and 10 at the high school – and they represent an even bigger investment in the life-saving technology as the district’s school board purchased those 16 a year ago to replace 12 that were nearing their expirations.

Goggins said doctors have told him that if Hicks had not received care for even 4-5 more minutes, he would not have survived because of the damage done to his heart and brain. Potterville athletic director and boys basketball coach Jake Briney said surgeons have broken things down to a 45-second window that made the difference between a good result and a sad one.

Coincidentally, Briney had scheduled a game this upcoming season against Wyoming Tri-unity Christian;  Potterville should be tough, and Tri-unity is last season’s Division 4 runner-up. But the events of June 14 will make the events of this upcoming Jan. 14 much more meaningful.

Briney said Potterville also has formed a close relationship with Hastings. Multiple Saxons administrators have checked in, including Goggins almost daily during the first weeks after the incident.

Briney is filled with nothing but praise for Hastings’ preparation. And both athletic directors noted a similar effect at their schools as another school year begins.

“It really, really made the training, made you look at it through a different lens,” Briney said.

“Our fall coaches are now like, ‘You know, if Heather (Coipel, Hastings’ trainer) wanted to stop by and run through the AED procedure again, that would be great,’” Goggins said. “(Or) ‘Where is the AED? We have one at the fieldhouse, right? Where’s the closest one for me again?’ They’re just doublechecking.”

Geoff Kimmerly joined the MHSAA in Sept. 2011 after 12 years as Prep Sports Editor of the Lansing State Journal. He is a senior editor of  MHSAA.com's editorial content and has served as MHSAA Communications Director since January 2021. Contact him at [email protected] with story ideas for the Barry, Eaton, Ingham, Livingston, Ionia, Clinton, Shiawassee, Gratiot, Isabella, Clare and Montcalm counties.

PHOTOS (Top) An AED, located just outside the doors to Hastings’ gymnasium, was used to save Da’Marion Hicks’ life June 14. (Middle) Strength coach James Avery emerged from the balcony weight room to assist in Hicks’ care that evening. (Photos by Geoff Kimmerly.)