Health Histories
September 4, 2012
Eighteen months ago we completed two new preparticipation physical examination forms: (1) a two-sided card delivered without charge to schools in whatever quantity they need; and (2) a four-page form that is downloadable at MHSAA.com.
Both are improved from the previous card in that they ask more about family and student health history which, more than any cursory exam, helps identify potential health risks before participation. Both were developed with the cooperation and consensus of a diverse panel of medical experts assembled by the Michigan Department of Community Health.
At schools’ requests, the MHSAA has distributed more copies of the two-sided card than there are students enrolled in MHSAA member schools; so we know the form has widespread use. But still, this particular form is not required, which allows schools with a special local resource to utilize something they like better, and this also allows families with special needs to use the documents that best meet their child’s circumstances.
The take-away on this topic is that today’s standard of care is a comprehensive physical with detailed family history prior to first participation in school sports and, thereafter, more cursory annual exams, except when the student has had an injury or illness that requires more review.
Raising Expectations for Managing Heat and Humidity
February 19, 2013
The MHSAA Representative Council is scheduled to vote on March 22, 2013, to approve a “Model Policy for Managing Heat and Humidity” that would appear in the 2013-14 MHSAA Handbook.
The policy, patterned after a mandatory policy of the Kentucky High School Athletic Association, requires that temperature and humidity readings be taken at the site of activities 30 minutes before the start of the practice or competition and again 60 minutes after the start of that activity. The readings must be recorded in writing and kept in the files of school administration. Inexpensive devices may be used that automatically calculate the “heat index.”
If the heat index is below 95 degrees, only normal precautions are required. However, readings of 95 to 99 degrees and then 100 to 104 degrees require additional precautions; and all activity must be postponed or suspended if the heat index climbs above 104 degrees.
When the air temperature is below 80 degrees, there is no combination of heat and humidity that will result in need to curtail activity.
This is being proposed as a model policy for 2013-14. The MHSAA will monitor school districts’ acceptance of this policy or adoption of similar policies before considering a mandate of this or similar policies.
The model policy will be mandatory for MHSAA tournaments.