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Health & Safety Journey

September 30, 2014

The Michigan High school Athletic Association is a bit more than halfway through an eight-year effort to shine the light on, and provide leadership for, four health and safety issues for school sports.

Four and five years ago our health and safety focus was adding more health history to the preparticipation physical examination process and printed forms. With the essential assistance of the Michigan Department of Community Health, this was done, and it earned widespread, positive reaction from Michigan’s diverse medical community.

Two and three years ago our focus was the head; and our early adoption of an all-sports return-to-play protocol after concussion symptoms became a national model.

Last year and this, heat and hydration has been the focus. The MHSAA imposed on its own tournaments, and recommended for member schools’ practices and contests, policies to manage heat and humidity that include a reduction or modification of activities when the heat index reaches a certain level and cessation of all activities when the heat index reaches an even higher level.

Next school year and in 2016-17 the focus will be the fourth “H”: hearts. Tests for heart defects are expensive and results are often misleading, and the triggers of sudden cardiac arrest are unpredictable. Therefore, we will be pointing to the two actions medical authorities appear to agree upon most: (1) the need for planned and practiced emergency procedures, and (2) the need to have AEDs nearby, in good working order.

We urge MHSAA member schools not to wait for the MHSAA focus to make this a local school focus, and we recommend the MI HEARTSafe Schools initiative. See the HeartSafe Action Plan or the HeartSafe School information for details.

Bubble Wrap

October 28, 2014

We must do everything we can do to minimize serious injuries in school sports; but because the benefits of school sports participation are so universal and serious injuries so unusual, we should accompany our continuing campaigns for safety with constant appeals for common sense.

It is a compliment to school sports that each and every one of the very rare number of school sports-related deaths carries with it great sorrow and scrutiny. Nationwide there are so few tragedies that schools treat all of them with tenderness; and we try to learn from each of them how to have fewer of them.

But the attention we give to increased safety should not outshout the safety record we already have in school sports, especially compared to activities that lead to far more deaths with far less attention. For example, each year . . .

  • 20 skateboarding deaths;
  • 40 skiing deaths;
  • 400 youth drownings; and
  • 700 bicycling deaths.

Compared to school sports, these numbers are epidemics; and compared to school sports, these epidemics are ignored.

Our world is not bubble wrapped, nor should it be. School sports is not 100 percent injury-free, nor can it be. We should work to make school sports still safer, and work almost as hard to explain how safe school sports already is.