'Anyone Can Save a Life' Aims to Prepare
July 28, 2015
By Rob Kaminski
MHSAA benchmarks editor
It was 2008 when Jody Redman and staff at the Minnesota State High School League developed an emergency action plan to provide guidance and procedure in the event of sudden cardiac arrest during scholastic athletic competition.
The desired response from schools upon receipt of the plan was, well, less than enthusiastic.
“Only about 40 percent of our schools used the information and implemented the program,” said Redman, associate director for the MSHSL. “Our focus was completely on sudden cardiac arrest, that being the worst-case scenario regarding athletic-related health issues.”
The MSHSL asked the University of Minnesota to survey its member schools, and results showed that the majority of schools not on board simply felt a sudden cardiac arrest “would never happen at their school.” Naive or not on the schools’ parts, that was the reality – so Redman went back to revise the playbook.
“We expanded the plan to deal with all emergencies, rather than specific incidents,” Redman said. “Now it’s evolved so that we are prepared to deal with a variety of situations which put participants at risk. We shifted gears and got more schools to participate.”
Did they ever. And not just in Minnesota.
This summer, the “Anyone Can Save a Life” program, authored by the MSHSL and the Medtronic Foundation, is being disseminated to high schools nationwide with the financial support of the NFHS Foundation. The program will reach schools in time for the 2015-16 school year.
Once received, schools will find that there are two options for implementation, via in-person training or online.
“The in-person method is facilitated by the athletic administrator with the assistance of a training DVD” Redman said. “The important element is the follow through, ensuring coaches return their completed Emergency Action Plan (EAP). With the e-learning module on anyonecansavealife.org, individuals will complete an e-learning module that will walk them through the details of their specific plan, and as they answer questions, the information will automatically generate a PDF of the Emergency Action Plan (EAP) which they can edit at a later date as information changes.”
Schools will find five major components of the program to be received this summer: the first is an implementation checklist for the AD, explaining their role. Next are sections for in-person training, online training and event staff training. The last item contains a variety of resources that will ensure the successful implementation of a comprehensive emergency response to all emergencies.
Generally speaking, the program prompts schools to assemble preparedness teams, broken into four categories: a 911 team, a CPR team, an AED team and a HEAT STROKE team. The groups are made up of coaches and their students who will be in close proximity to all after-school activities.
“The reality about school sports is, at 3:30 every day the office closes and any type of medical support ceases to exist,” Redman said. “We then send thousands of students out to gyms, courts, fields and rinks to participate without systemic support for emergencies. This program puts into place that systemic support.”
Another stark reality is that the majority of schools in any state do not have full-time athletic trainers. Even for those fortunate enough to employ such personnel, it’s most likely the training “staff” consists of one person. That one body can only be in one place at one time, and on widespread school campuses the time it takes to get from one venue to another could be the difference between life and death.
“Athletic trainers can champion the program, but someone needs to oversee that every coach has a completed EAP in place,” Redman said. “For every minute that goes by when a cardiac arrest occurs, chance for survival decreases by 10 percent.”
Thus, it’s imperative to train and grant responsibility to as many people as possible, including student-athletes. In fact, students are a vital component to having a successful EAP. Students will be put in position to call 911, to meet the ambulance at a pre-determined access point, to locate the nearest AED, to make sure emersion tubs are filled for hot-weather practices, and for those who are trained, to assist with CPR. Coaches will identify students at the beginning of the season and prior to an emergency taking place. They will provide them with the details of the job they are assigned so they will be ready to assist in the event of an emergency.
“We have game plans for every sport, and for every opponent on our schedule,” Redman said. “But we don’t have a plan to save the life of a member of our team or someone attending a game at our school.
“This is about developing a quick and coordinated response to every emergency so we give someone in trouble a chance at survival, and then practicing it once or twice a season. We have ‘drop the dummy’ drills where we drop a dummy and evaluate how it went, and how everyone performed. In one scenario, it’s the coach that goes down, and then you have a group of 15- or 16-year-olds standing there. That’s why students have to take ownership of this, too.”
The key to an effective emergency action plan is to utilize and empower students in every sport and at every level to be a part of the response team. Following are brief descriptions of the teams.
The 911 Team
- Two students will call 911 from a pre-determined phone and provide the dispatcher with the location and details of the emergency.
- Two students will meet the ambulance at a pre-determined access point and take them to the victim.
- Two students will call the athletic trainer, if one is available, and the athletic administrator and alert them to the emergency.
The CPR Team
- The coach is the lead responder on this team and is responsible for attending to the victim and administering CPR, if necessary, until trained medical personnel arrive.
- One person is capable of providing effective CPR for approximately two minutes before the quality begins to diminish. Having several students trained and ready to administer CPR will save lives.
The AED Team
- Two students will retrieve the AED and take it to the victim.
- Two students will physically locate the athletic trainer, if one is available, and take him or her to the victim.
The Heat Stroke Team
- Two students identify locations of emersion tub, water source, ice source and ice towels.
- Two students prepare tub daily for practices and events.
For more information, visit anyonecansavealife.org or contact the MSHSL.
A League of Their Own in Illinois
May 20, 2014
By Rob Kaminski
MHSAA benchmarks editor
Imagine the scene: thousands of spectators roaring their approval as hundreds of cross country runners hit the finish line. A couple thousand others cascade applause on the wrestling mats as referees raise the hands of 19 champions.
Now, here’s the kicker, imagine this is taking place during postseason play for junior high/middle school student-athletes.
Again, that’s postseason, and junior high/middle school.
“I guess when you see a kid cross the finish line in first place and 5,000 people are cheering, or watch a student run a race, throw the shot, or pole vault in front of that many at our track & field series, the proof is in the pudding,” said Steve Endsley, executive director of the Illinois Elementary School Association.
“The environment, the feedback we get; it’s the greatest thing in the world to some who experience our tournaments. But, I temper that in saying this is not the Olympics, the pros, or even high school. Success at our level doesn’t guarantee future success. We want you to do your best, we want to prepare you to do your best, but understand this is junior high.”
If understanding that is difficult for some athletes and parents involved in IESA athletics, it’s also a foreign language to state high school associations across the country. The IESA is the only organization in America which exclusively governs interscholastic activities for grade levels 7-8.
Most states include junior high/middle schools in their rules and regulations, but few, if any, conduct tournaments.
“We’ve been doing it for so long, it’s accepted. Schools know that at the end of the regular season, they enter Regional play. The payoff is we have state series, a culminating activity, and it’s a good thing that’s going on,” Endsley said.
From the organization’s first postseason event in 1930 during which boys basketball tournaments took place in a lightweight (boys less than 100 pounds) and a heavyweight division, the IESA has grown to sponsoring more than 20 boys and girls activities.
Measures have been taken in recent years to alleviate travel concerns at the end of the season. The IESA has added classifications in some sports, while keeping the number of teams which advance to the Finals the same. So, for instance, where 16 teams might have gone to two different sites in the past, now four different sites host eight schools.
Admittedly, Endsley adds that the tournament series might add to some competitiveness, but since all schools enter the tournament, there might be less emphasis on winning during the regular season, and thus, heightened participation for those of all skill levels.
“If you don’t want the win-at-all-cost mentality, then step up to the plate at your member school and handle it that way,” Endsley said.
The refrain from association leaders around the country is that success in conveying the values and ideals of school sports is totally dependent on those in charge at the local level. Beginning with the 2012-13 school year, the IESA put more of that load squarely on the individual schools by making it a local decision as to whether students could participate with the school team and a club team in the same sport during the same season.
“From an association standpoint, it seemed like only people we were penalizing when had the limitations were the honest schools which self-reported,” Endsley said. “It was difficult to penalize those schools while everyone else knew the school down the street didn’t report.
“In a perfect world, the participation rule would be in place. But, it’s not a perfect world. Club sports schedule in accordance with high school seasons, but disregard our level when it comes to non-school activity. It’s year-round. So it’s practically impossible to equitably enforce it from a state level.”
There are more than 800 member schools in the IESA, which is an affiliate member of the National Federation of State High School Associations, but a separate entity from the Illinois High School Association.
Endsley estimates the IESA comprises 50-60 percent of eligible schools in Illinois, bolstered by unique membership options which differ from the IHSA and many state associations.
“We offer a la carte membership. A school can offer activities and maybe not participate in our state series. It’s only in those activities in which schools participate in the IESA state series that they must abide by our rules and regulations. Schools want some control. I think a la carte way is the way to go.
“If they join the IESA for one sport, they receive all mailings and information, so maybe one sport gets them in, but they may later add activities. If they are not a member, they don’t know about us.”
Yet, while separate bodies, the IESA and IHSA work hand-in-hand in many respects since nearly 100 percent of the IESA’s students will matriculate into IHSA schools.
“We attend the IHSA activity advisory meetings so we can keep a finger on the pulse of topics they are discussing and items they are considering. From the student standpoint, we will take our champions and introduce them in ceremonies at the IHSA Finals when our calendars line up,” Endsley said. “They get tickets, halftime introductions, pictures in the program, and it’s well-received recognition.”
Such activities are possible because the IESA seasons are different than the IHSA’s in some sports, or end sooner. For instance, the IESA plays baseball and softball in the fall, so its champions are recognized at the IHSA Finals in the spring.
“These activities create exposure and help build interests and aspirations for our schools,” Endsley said. “It’s nice P.R. for both associations.”
Whether different seasons or same seasons, the multitude of events throughout Illinois provides ample opportunity for the state’s contest officials as well. That’s another area in which the IESA and IHSA work together.
“We don’t license officials in the IESA, but we require our schools to use IHSA officials,” Endsley said. “We get great cooperation from the IHSA, it’s a good situation for our schools, and it’s a really good thing for officials. There are always plenty of games, and new officials gain valuable experience.”
Now in the midst of its ninth decade, the IESA continues to expand, adding boys and girls bowling and golf to its roster of activities in 2011.
The Association sponsors athletics for 7th- and 8th-graders, but 5th- and 6th-graders enrolled in a member school may participate with 7th-and 8th-grade teams within that building without a waiver. If such students are in an elementary school which feeds a member school, waivers are necessary.