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.

Emergency Care

September 7, 2012

As stated in our last posting, preparticipation physical examinations are imperative; but their practical limitations will not permit every heart defect to be discovered prior to participation.

So if sudden cardiac arrest is not 100 percent preventable within the modest means of school sports, the following measures represent the standard that parents would expect – reasonable or not – for the children they put in the care of those administering school sports:

    1. There should always be a staff person nearby who holds current certification in CPR.

    2. There should always be an AED nearby and in working order, and a staff person nearby who has demonstrated proficiency in its use.

    3. There should always be an emergency plan in place with which coaches and trainers are familiar because they not only were presented it, they also practiced it.

Time is of the essence when sudden cardiac arrest occurs; and these three measures combine to deliver competent care quickly.