Safety First

August 16, 2012

In the final chapter of A Moveable Feast, Ernest Hemingway writes:  “Skiing was not the way it is now, the spiral fracture had not become common then, and no one could afford a broken leg.  There were no ski patrols.  Anything you ran down from, you had to climb up.  That gave you legs that were fit to run down with.”

As motorized lifts carried less prepared people faster and with greater ease and comfort to higher and longer slopes, alpine skiing injuries became more frequent and serious.  Similar patterns can be found in many other sports as technological advancements have taken participants to extremes their physical bodies were unprepared or unsuited for.

The classic but far from unique example is football.  Improvements in helmets, mouth guards and face masks and the requirement of all three for head and face protection, encouraged coaches to teach and players to use blocking and tackling techniques that threatened their unprotected necks.  Catastrophic spinal cord injuries spiked in the early 1970s.  High school football rule makers countered with the prohibition of spearing in 1975, and then barring both butt-blocking and face tackling in 1976.  Certification of helmets was required in 1980.

New technologies created poles that catapulted pole vaulters to unexpected heights in the late 1960s; and high school rule makers responded with new requirements for poles and landing pits in 1975.  Risks of injuries and lawsuits were largely responsible for the pole vault being dropped at least temporarily from the schedule of events in some states.

The pursuit of profits by manufacturers and personal bests by athletes and their coaches will continue to push bodies to the extreme limits of what is safe; and rule makers will push back, often being labeled as out of date or out of step by those they are trying to protect.

Every four years the Olympics shine a spotlight on amazing dedication by athletes and alarming developments in equipment across the full spectrum of sports.  We are watching the 2012 Summer Games in awe of the participants, but on alert that some of the products they are utilizing will help, but others will harm, our high school programs.

We need to be certain that those who arrive at the top of our mountains have the legs to run down safely.

Concussion Care Continuum

June 2, 2015

The concussion care continuum is of equal importance from start to finish, but some of the stops along the way are more in the MHSAA’s area of influence than others, so they are receiving more of our attention.

We would never say that removal-from-play decisions are more important than return-to-play decisions. However, because the removal decisions occur at school sports venues by school-appointed persons, while the latter are made at medical facilities by licensed medical personnel selected by students’ families, the MHSAA is giving the removal process more attention than the return.

This helps to explain why the MHSAA is orchestrating pilot programs where volunteering member schools will be testing systems during the 2015-16 school year that may assist sideline personnel at practices and contests when assessing if a concussion event has occurred and that player should be withheld from further activity that day. The buzz that these pilot programs is creating will increase everyone’s attention on improving sideline concussion management. For more information, click here.

The MHSAA has always believed it shared a role with local schools and health care facilities and professional organizations of coaches and school administrators in the education of coaches, athletes and parents. This remains our first and foremost focus on the concussion care continuum.

But the pilot programs, and more specific requirements beginning in 2015-16 to report head injury events, demonstrate that the MHSAA is moving further along the continuum to assist the entire concussion management team. As we do so, our focus is on all levels of all sports for both genders, grades 7 through 12, with attention to both practices and competition.