Injecting Sports Medicine
May 13, 2014
We are receiving the proper dosage of sports medicine advice in Michigan.
The Sports Medicine Advisory Committee of the National Federation of State High School Associations advises the NFHS and its member associations on medical and safety issues and conditions as they relate to interscholastic athletics. With nationwide expertise representing a broad range of sports medicine disciplines, the SMAC meets over three days, two times each year. It issues advisories and position statements and publishes a comprehensive manual which is provided without charge to each member high school in Michigan.
The MHSAA has had direct representation on the SMAC for two separate four-year terms; and we depend on the SMAC to monitor, evaluate, filter and disseminate current sports medicine information that is of practical use at the interscholastic level.
The SMAC and the Michigan Department of Community Health are the voices the MHSAA listens to most in the often over-hyped cacophony of sports medicine opinion. What makes the SMAC even more unique than its prestigious panel of experts is that it has direct input into the rules-making process of the NFHS which dominates the publishing of high school playing rules. The MHSAA adopts those rules in every MHSAA sport for which rules are prepared by the NFHS.
The MHSAA has sometimes been criticized for not having its own sports medicine committee. However, we believe there is no need to create another committee to duplicate the work of the NFHS Sports Medicine Committee. And when we have needed extra attention to a unique in-state topic, we have found the Michigan Department of Community Health to be a willing and able partner.
More Than X’s & O’s
April 17, 2015
It’s nearly the fourth quarter. We are just completing year six of eight years in which we have been addressing four important health and safety issues that, for ease of conversation, we call the “Four H’s.” These are much more important than the X’s and O’s of sports.
During the 2009-10 and 2010-11 school years, the first quarter, our focus was on Health Histories. During this time we made enhancements in the pre-participation physical examination form, stressing the student’s health history, which we believe was and is the essential first step to participant health and safety.
During the 2011-12 and 2012-13 school years, the second quarter, our focus was on Heads. We were an early adopter – before state law mandates – of removal-from-play and return-to-play protocols, and our preseason rules/risk management meetings for coaches included information on concussion prevention, recognition and aftercare.
Without leaving that behind, during the 2013-14 and 2014-15 school years, the third quarter, our focus was on Heat – acclimatization. We adopted a policy to manage heat and humidity – it is recommended for regular season and it’s a requirement for MHSAA tournaments. The rules/risk management meetings for coaches during these years focused on heat and humidity management. At the mid-point of this two-year period, the MHSAA adopted policies to enhance acclimatization at early season football practices and to reduce head contact at practices all season long.
Without leaving any of the three previous health and safety “H’s” behind, during the 2015-16 and 2016-17 school years, the fourth quarter, our focus will be on Hearts – sudden cardiac arrest and sudden cardiac death. Coinciding with this emphasis is the requirement that all high school level, varsity level head coaches be CPR certified starting this fall. Our emphasis will be on AEDs and emergency action plans – having them and rehearsing them; and this summer we are expecting to deliver to every high school free of charge the “Anyone Can Save a Life” program developed in Minnesota and being distributed nationwide with the assistance of the National Federation of State High School Associations.