NFHS Voice: We Must Act on Vaping
September 13, 2019
By Karissa Niehoff
NFHS Executive Director
The issue of vaping has reached a crisis stage across the United States, and leaders in our nation’s schools must take immediate steps to stop the use of these electronic cigarette products by our nation’s youth – particularly the more than 12 million participants in high school athletics and performing arts programs.
On Tuesday, CBS News reported that Kansas health officials confirmed the first death in that state linked to vaping. The CBS News release stated that last week, officials in Indiana, California and Minnesota reported deaths in their states linked to vaping. Previous deaths had been reported in Illinois and Oregon.
Also this week, The Associated Press reported that public health officials confirmed two people in Idaho had developed a serious lung disease linked to vaping. The outbreak of vaping-related lung disease has sickened about 450 people in at least 33 states, according to the Centers for Disease Control and Prevention (CDC), causing the CDC to urge people to consider stopping vaping as the number of cases of severe lung illnesses continues to rise.
In February 2019, the CDC reported a 78-percent increase in high school students vaping from 2017 to 2018. Youth e-cigarette use has been called an epidemic by major public health officials.
Students in our nation’s schools have been sold a false bill of goods that vaping is a safe alternative to cigarette smoking – particularly by industry giant JUUL, which held a 76-percent share of the e-cigarette market at the end of 2018 and has wooed the youth market with its products that contain flavors such as cotton candy, chocolate, gummy bear, strawberry and many others.
While the U.S. Food and Drug Administration (FDA) is giving e-cigarette companies until sometime next year to demonstrate that their products can help people stop smoking cigarettes, leaders in our nation’s school activities programs must do everything possible to stop the use of these products by our nation’s youth now – not in 2020.
One educational tool that schools can use immediately is the online course “Understanding Vaping and E-Cigarettes” created by the NFHS with support from the Office of the U.S. Surgeon General. The free course is available on the NFHS Learning Center at www.NFHSLearn.com.
Several articles related to vaping will appear in the September issue of High School Today, which will be posted on the NFHS website.
Dr. Karissa L. Niehoff is beginning her second year as executive director of the National Federation of State High School Associations (NFHS) in Indianapolis, Indiana. She is the first female to head the national leadership organization for high school athletics and performing arts activities and the sixth full-time executive director of the NFHS, which celebrated its 100th year of service during the 2018-19 school year. She previously was executive director of the Connecticut Association of Schools-Connecticut Interscholastic Athletic Conference for seven years.
Concussion Care: Signs & Symptoms to Watch
October 27, 2020
Henry Ford Health System
When you experience a blow to the head, knowing whether you've suffered a concussion isn't always clear cut.
Head injuries have a range of physical, psychological and intellectual effects — and only a small number of people lose consciousness.
"It's critical for parents, coaches, players and trainers to recognize the potential signs and symptoms of a concussion," says Jeffrey Kutcher, M.D., a sports neurologist who treats athletes at the Henry Ford Kutcher Clinic for Concussion and Sports Neurology. "The basic rule is that a concussion can affect any aspect of brain function."
Signs of Concussion
The Latin root of the word "concussion" means "to shake violently" — which makes sense. Concussions happen when there's a combination of movement and impact. So, any injury that involves a hit to the head — a fall, collision or hard hit by a heavy object — could cause one. So could a hit to the body that causes the head to move quickly.
"But every brain injury is different," Dr. Kutcher says. "Some symptoms show up right away while others develop gradually over days."
Here are common concussion symptoms to watch for — both immediately following a head injury and in the hours and days after:
Physical Concussion Symptoms
- Changes in sleep patterns
- Difficulty with balance
- Dizziness or lightheadedness
- Fatigue
- Headache
- Light sensitivity
- Nausea
- Numbness or tingling
- Sensitivity to sound
- Visual problems
- Vomiting
Emotional Concussion Symptoms
- Anxiety
- Depression
- Irritability
- Mood swings
Cognitive Concussion Symptoms
- Confusion
- Difficulty concentrating
- Feeling "slow" or "foggy"
- Memory problems
Diagnosing Concussion: Getting It Right
One reason concussions are frequently misdiagnosed is because they're assessed on the field or courtside during game play or practice. Coaches, trainers and parents often make lightning fast decisions about whether symptoms, such as headache, nausea and light sensitivity, are signs of concussion.
"Unfortunately, it’s more complicated than completing a concussion checklist. Everyone — and every concussion — is different. So, observers shouldn’t be diagnosing a head injury on the spot, but rather making a triage decision for safety. They should leave the diagnosis to the medical professionals," Dr. Kutcher says. In fact, those in-the-moment assessments are wrong about half of the time.
People should focus instead on getting immediate, emergency care for anyone who displays the following signs and symptoms right after a hit:
- Difficulty walking
- Weakness on one or both sides
- Not waking up
- Repeated vomiting
- Persistent confusion
- Seizures
- Unconsciousness
No matter how hard (or lightly) you think you've been hit, it's important to take head injury symptoms seriously. Even a seemingly minor blow could have a major impact. A complete evaluation by a medical professional will not only determine whether you have a concussion, it can also identify more serious, or even life-threatening, concerns.
"In every case, medical professionals are better equipped to assess the extent of the damage if you have a comprehensive baseline evaluation on file," Dr. Kutcher says. This thorough evaluation with a sports neurologist, including a complete family and neurological history, can act as a critical point of reference when trainers and medical professionals are trying to diagnose or manage a concussion.
Dr. Jeffrey Kutcher is a sports neurologist and the medical director of the Henry Ford Kutcher Clinic for Concussion and Sports Neurology.
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.