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A Healthy Future

April 24, 2015

As stated in this space a week ago, the 2015-16 and 2016-17 school years complete an eight-year period during which we have addressed for two years each Health Histories, Heads, Heat and Hearts.

What will the following two years – 2017-18 and 2018-19 – bring? Here are some aspirations – some predictions, but not quite promises – of where we will be.

First, we will have circled back to the first “H” – Health Histories – and will be well on our way to universal use of paperless pre-participation physical examination forms and records.

Second, we will have made the immediate reporting and permanent recordkeeping of all head injury events routine business in Michigan school sports, for both practices and contests, in all sports and at all levels..

Third, we will have promoted more objectivity and backbone to removal from play decisions for suspected concussions at both practices and events where medical personnel are not present.

Fourth, we will have provided a safety net for families who are unable to afford no-deductible, no exclusion concussion care insurance that insists upon and pays for complete recovery from head injury symptoms before return to activity is permitted.

All of this is for all sports on all levels, both genders.

We should be able to do this, and more, without judicial threat or legislative mandate. We won’t wait for others to set the standards or appropriate the funds, but be there to welcome the requirements and resources when they finally arrive.

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.