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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.

Heads and Heat

August 16, 2012

We are engaged in very serious discussions. They’re not only complicated, with unintended negative consequences possible from what are thought to be positive actions; they’re also a matter of life and death.

The topic is football – the high school sport under most scrutiny today and suffering from the most criticism it’s seen since the 1970s when catastrophic neck injuries spiked, liability awards soared, many insurers balked, and most helmet manufacturers abandoned the business altogether.

During recent years we have learned about the devastating long-term effects of repeated blows to the head; and we’re trying to reduce such hits.  We’ve learned that 70 percent of concussions in football result from helmet-to-helmet contact, and we’re trying to have coaches teach blocking and tackling differently and have officials penalize “high hits” consistently and rigorously.

During the past several years we’ve learned that serious heat illness and heat-related deaths are 100 percent preventable, yet nationwide there were 35 heat-related deaths in high school football alone from 1995 to 2010; and we’re promoting practices that acclimatize athletes more gradually than “old school” traditionalists might advocate.

As we simultaneously address issues of heads and heat in football, some coaches may think we’re being overbearing, while many in medical fields say we’re out of date, citing higher standards of the American Academy of Pediatrics, National Athletic Trainers Association and National Federation of State High School Associations, as well as many of our counterpart organizations across the country.

As we consider in-season changes to improve athlete acclimatization and reduce blows to the head, we should be open to making out-of-season changes that work toward rather than in opposition to those objectives.  There can be no sacred cows.  The topic is too serious.

Ultimately, if we err in the outcome of this year’s discussions about heads and heat in football, it must be on the side of safety, on minimizing risks for student participants.  They deserve it and, once again, the sport of football needs it.