Emergency Care
September 7, 2012
As stated in our last posting, preparticipation physical examinations are imperative; but their practical limitations will not permit every heart defect to be discovered prior to participation.
So if sudden cardiac arrest is not 100 percent preventable within the modest means of school sports, the following measures represent the standard that parents would expect – reasonable or not – for the children they put in the care of those administering school sports:
1. There should always be a staff person nearby who holds current certification in CPR.
2. There should always be an AED nearby and in working order, and a staff person nearby who has demonstrated proficiency in its use.
3. There should always be an emergency plan in place with which coaches and trainers are familiar because they not only were presented it, they also practiced it.
Time is of the essence when sudden cardiac arrest occurs; and these three measures combine to deliver competent care quickly.
One Concussion Conclusion
August 25, 2017
After both the first and second years of collecting head injury reports from all Michigan High School Athletic Association member high schools for all practices and events in MHSAA sports, we cautioned people to refrain from making too many conclusions.
It’s too soon. We now have a baseline, but we will need several years before we can be certain that we’ve spotted trends or trouble spots.
Nevertheless, one observation screams out. Girls report two to three times the number of concussions that boys do. In basketball, soccer, and in softball compared to baseball, girls report two to three times as many concussions. That was true in year one; it remained true in year two.
It may be that girls sustain more concussions than boys, or that girls are more forthcoming in reporting than boys are, or both. In the past, researchers have published both conclusions.
In either case, it means we need to coach boys and girls differently, and we need to prepare coaches differently for boys and girls teams, as we are doing in the MHSAA Coaches Advancement Program.