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Life Saving Lessons

June 24, 2015

In 2015-16, we enter the fourth quarter of a heightened eight-year health and safety emphasis. We began with Health Histories in 2009-10 and 2010-11; the second quarter focus in 2011-12 and 2012-13 was Heads; the third quarter focus in 2013-14 and 2014-15 was Heat. In 2015-16 and 2016-17, it’s Hearts that we bring in focus ... especially addressing sudden cardiac arrest which is the No. 1 cause of death to youth during exertion.

Sudden cardiac arrest seems to us to have a random, unpredictable nature; and medical experts tell us that screening is somewhat unreliable, often missing some likely candidates even as the tests identify many false positives. There are symptoms of sudden cardiac arrest, but they often reveal themselves too late to be of much help, like sudden collapse, no pulse, no breathing and loss of consciousness.

Nevertheless, there is something we can do. We can be prepared. We can develop emergency plans, display AEDs and deliver CPR. And, like any good sports teams, we need to practice our preparations.

Through the energy of the Minnesota State High School League and the generosity of Medtronic and the NFHS Foundation, the MHSAA has sent to every MHSAA member high school athletic director this month the ANYONE CAN SAVE A LIFE Emergency Action Planning Guide for After-School Practices and Events. This publication suggests a game plan that establishes four teams on every level of every sport in a school – a 911 Team, CPR Team, AED Team and Heat Stroke Team.

This resource can help schools revise or revitalize their existing emergency plans in ways that engage team members in planning, practice and execution. This could help save lives now and also convey important lifelong lifesaving lessons to students involved on these teams.

School Sports’ Influence

June 20, 2017

As I sat a year ago in an audience consisting of my colleagues from across the U.S., I shared the general frustration – or perhaps it was exhaustion – when a veteran member of our national sports medicine advisory committee discussed the role of high school sports leaders in addressing what he said posed the greatest threat to students.

That threat was nothing we had been working on so very hard for so very long. It wasn’t heads, heat or hearts. Not extreme weight loss in wrestling or, increasingly, in other sports. Not communicable diseases, especially in wrestling. It wasn’t specialization. Not performance enhancing drugs.

He reported that the greatest threat is accidents. Away from the practice and competition venues, and especially traffic accidents. He wondered what our role should be.

He acknowledged much we’ve done regarding so many issues in the past, and all the newer issues – such as opioid addiction, depression and suicide – that are pressing for our attention; but he said it was the same issue today that it has been for decades that most threatens students. Accidents. Especially automobile accidents.

He admitted that the time and place of this threat was not under the control of athletic coaches and administrators. But his point was that the time and place is still under the influence of coaches and administrators.

Say all you want that school sports is irrelevant in this age of video games and ubiquitous non-school sports. This physician knows the score. He knows that school sports still matters mightily to kids, and that those in charge of local school sports programs still yield great power over young people.

Pick a problem – almost any problem – and people want school sports to address it. From bullying to bulimia, from obesity to overuse injuries. It is unfair to ask us to do all this, especially when funding for school sports is considered a frill in so many places.

But it’s a heck of an honor to work in an area where people think we’re the solution, or at least a deterrent. So we keep trying.