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.

Ready for Some Football

August 12, 2014

How seriously should we take public criticism of tackle football when that public promotes boxing or cage fighting? Or how seriously should we take public criticism of football played with helmets when that public allows motorcyclists to ride without any helmets at all?

This fickle if not hypocritical focus on football deserves to be exposed. 

However, and more importantly, this does not reduce our obligation to rise above the obvious questions of fair and balanced criticism and keep pressing for a safer environment for schools’ most popular participation sport.

In Michigan this has led to new limitations on head-to-head contact in football practices that began for more than 600 high schools this week. Specifically, no team or individual may participate in more than one collision practice per day before the first game, and no more than two collision practices per week after the first game.

The new policies promote instruction in proper blocking and tackling technique. It is full speed head-to-head contact that is further reduced, not full speed shoulder contact with sleds, shields and dummies nor slow speed contact between players.

Last month, and perhaps two years too late to be helpful, the National Federation of State High School Associations hosted a high-profile, high-powered summit to discuss practice policies of the kind that we developed, debated and adopted during the past school year to be ready for this 2014 season.