Prevention Progression
June 28, 2015
The starting point for concussion care is prevention; and when we talk about prevention of concussions we must include education, equipment and enforcement.
Education is a shared responsibility of all who conduct and coach athletic programs; and the vital information about prevention, recognition, after-care and recovery needs to reach every player, their parents and all coaches.
Equipment is mainly the responsibility of those who make the protective gear and of those who make the rules specifications for that gear, but there are important responsibilities at more local levels. For example, to make sure what schools purchase and provide to players meets rules requirements, gets reconditioned as needed and fits properly. In football, for example, the fit of the helmet is much more important than its price ... fit at the start of the season and checked throughout the season.
As with education and equipment, enforcement is also a shared responsibility. In football it includes local enforcement of the 2014 football practice rules that have reduced collision practices; and in contests it means contest officials’ enforcement of the strongest set of safety rules in the game’s history.
In all sports, officials are to err on the side of safety; and when they do, the MHSAA will have their backs. Local school administrators and coaches should too.
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.
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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?
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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?
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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.