Dangerous Plays
February 26, 2013
The MHSAA’s fourth health and safety thrust for the next four years focuses on competition rules. It intends to locate the most dangerous plays in each sport and to try to reduce their frequency. For example:
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We know that kickoff returns, punt returns and interception returns – plays in the open field with a change in direction – are the most dangerous football game situations.
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We know that heading the ball in soccer is injurious, especially to younger athletes, and especially to females.
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We know that checking from behind is a cause of serious injury in ice hockey.
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We wonder if protective headgear has a place in soccer, or if protective head and face protection has a future role in softball.
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We know that ACL injuries in female basketball players and volleyball players is near epidemic and wonder if there is equipment or conditioning that can be mandated or recommended to save our players from what are serious and sometimes career-ending injuries.
We can make changes ourselves – through MHSAA sport committees – for the subvarsity level, but our committees can only make recommendations to national rules committees for varsity level play. Over the next four years, we will be asking our sport committees to give more time to the most dangerous plays in their sport – identifying what they are and proposing how to reduce that danger.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”