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Concussion Care Continuum

June 2, 2015

The concussion care continuum is of equal importance from start to finish, but some of the stops along the way are more in the MHSAA’s area of influence than others, so they are receiving more of our attention.

We would never say that removal-from-play decisions are more important than return-to-play decisions. However, because the removal decisions occur at school sports venues by school-appointed persons, while the latter are made at medical facilities by licensed medical personnel selected by students’ families, the MHSAA is giving the removal process more attention than the return.

This helps to explain why the MHSAA is orchestrating pilot programs where volunteering member schools will be testing systems during the 2015-16 school year that may assist sideline personnel at practices and contests when assessing if a concussion event has occurred and that player should be withheld from further activity that day. The buzz that these pilot programs is creating will increase everyone’s attention on improving sideline concussion management. For more information, click here.

The MHSAA has always believed it shared a role with local schools and health care facilities and professional organizations of coaches and school administrators in the education of coaches, athletes and parents. This remains our first and foremost focus on the concussion care continuum.

But the pilot programs, and more specific requirements beginning in 2015-16 to report head injury events, demonstrate that the MHSAA is moving further along the continuum to assist the entire concussion management team. As we do so, our focus is on all levels of all sports for both genders, grades 7 through 12, with attention to both practices and competition.

Don’t Look Back

November 23, 2011

In August of 1986, at the end of the one week of overlap between the previous MHSAA executive director, Vern Norris, and the start of my tenure, I found an envelope on my desk from Mr. Norris that read:  “No words of advice.  Just make your decisions and don’t look back.”  That’s Lesson No. 5 of six in this series of blogs.

In our work, time is of the essence.  We don’t have the luxury of long deliberations.  The next game may be today; the next round of the tournament tomorrow.

In our work, staff is limited.  We don’t have subpoena power.  We have few staff spread thinly over many responsibilities.

In our work, because it’s in a competitive arena, people are sometimes disingenuous.  Some have personal agendas, impure motives sometimes. They care who wins and loses; we don’t.

And most people have miserable memories.  I’m skeptical that people recall well the details of events; and people are even worse when recalling details of conversations.

So, in our work, we make one more call and then, with good intentions and reliance on rules, we get on with the decision and try not to look back.

It’s hard to do, but a good deal healthier if we can.