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The Other Side of Safety

August 13, 2013

One of our newest sports – girls lacrosse – is today presenting one of the oldest conundrums in competitive athletics.

On one side of the complex issues are many moms and dads who cite the dangers their daughters confront from contact to the head and face by other players’ sticks or the ball. They want hard helmets with face masks required in girls lacrosse. Many coaches and administrators agree.

On the other side of the issues are the “purists,” including the official position of US Lacrosse, who are concerned that by increasing head and face protection the rule makers would invite the kind of hard and high contact that would fundamentally alter the nature of the game and lead to more serious injuries in girls lacrosse.

This is the classic dilemma that the leadership and playing rules bodies of sports organizations have faced many times over many years for many sports.  Justifiably.

When football added helmets, then face masks and then mouth protectors to the list of required equipment, there was a significant reduction in broken noses and chipped teeth, but techniques of blocking and tackling changed. The protected head and face became much more of a target and weapon than it had been before, and the unprotectable neck and spine became more at risk.

Some would argue that ice hockey’s experience is similar to football’s history. The discussion in the soccer community regarding hard helmets for goalkeepers and soft helmets for all other players often revolves around similar questions. Will required protective equipment change the game? And will one of the changes be that the game becomes still rougher and even more injurious, trading “moderate” injuries for more catastrophic?

While the debate continues over additional head protection requirements for girls lacrosse, and other sports, both sides seem to agree that the burden of the rule makers to be out-front in the search for ways to improve the rules is matched by the in-the-trenches responsibility of coaches to teach the game and officials to administer the contests in accordance with existing rules which already place a premium on participant safety.

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.