Logo

Medical Mystery

September 4, 2015

Each year in MHSAA member schools there are approximately 200,000 student-athletes who complete a pre-participation physical examination for which an MD, DO, Nurse Practitioner or Physician’s Assistant will sign a form certifying the fitness of the student for one or more interscholastic sports.

That massive number of physical exams will produce a minimal number of complaints – mostly from medical personnel – regarding the “burden” of MHSAA procedures. But if there is one group for whom I have little sympathy, it’s for these medical offices.

During the past half-year I have had personal appointments at a half-dozen different medical offices. On each occasion of a first visit, I was required to complete a half-dozen or more forms, including information regarding my medical history. I became increasingly unimpressed with the antiquated operations of our health care system. This is a mystery to me.

  • Why is it that I must answer the same questions at every medical office to which I’m referred? Why, for example, don’t the orthopedic specialist and the physical therapist receive electronically my medical history from my primary physician?

  • Why is it that my primary physician does not receive a complete record of my immunizations from the county health department or any one of several pharmacies that has given me shots?

  • Why is it necessary to rely on the memory of the patient? Why isn’t there a medical database for me, accessible with my permission to every health care provider I see?

I expect that within three years, the MHSAA will follow a handful of other state high school associations to promote (and some state associations may require) electronic pre-participation medical history/physical exam forms which will not require parents to complete entirely new medical histories each and every year their child participates in school sports. 

While we may follow a few states by a year or two, it appears we will precede the medical establishment by many years in modernizing procedures. This will tend to assure that student-athlete medical histories are more complete and accurate; it will be a greater convenience to both parents and medical providers; and it will promote greater participant health and safety.

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.