Using Heads in the Heat of Competition
December 20, 2013
By Rob Kaminski
MHSAA benchmarks editor
With so much recent attention to the risks and recognition of concussions in collision sports, athletic leaders have put their heads together to address far more common – but often overlooked – threats to the health of our student-athletes: heat and sudden cardiac arrest.
The No. 1 killer of young athletes is sudden cardiac arrest, while heat stroke victims can surpass that during the year’s hottest months. While the moment of impact leading to a concussion is totally unpredictable, athletic trainers, coaches and administrators have the ability to diminish the occurrences of cardiac arrest and heatstroke. Typically, there is a pre-existing condition, or family history suggesting probabilities for sudden cardiac arrest, which can be treated when detected. And, the perils associated with hot weather – heat stroke, prostration – are almost always completely preventable.
The MHSAA has addressed both issues recently. With assistance from numerous medical governing bodies, the annual pre-participation physical form was revamped and expanded prior to the 2011-12 school year to include comprehensive information regarding participants’ medical history.
In May, the Representative Council adopted a Model Policy for Managing Heat & Humidity (see below), a plan many schools have since adopted at the local level. The plan directs schools to monitor the heat index at an activity site once the air temperature reaches 80 degrees and provides recommendations when the heat index reaches certain levels, including ceasing activities when it rises above 104 degrees.
The topic of heat-related illnesses receives a lot of attention at the start of fall when deaths at the professional, collegiate and interscholastic levels of sport occur, especially since they are preventable in most cases with the proper precautions. In football, data from the National Federation of State High School Associations shows 41 high school players died from heat stroke between 1995 and 2012.
“We know now more than we ever have about when the risk is high and who is most at risk, and we’re now able to communicate that information better than ever before to administrators, coaches, athletes and parents," said Jack Roberts, executive director of the MHSAA. “Heat stroke is almost always preventable, and we encourage everyone to avail themselves of the information on our website.
“Schools need to be vigilant about providing water during practices, making sure that students are partaking of water and educating their teams about the need for good hydration practices.”
All of which is not to say concussions aren’t a serious matter; they are. In fact, leaders in sport safety can take advantage of the concussion spotlight to illuminate these additional health threats.
A recent New York Times story (May 2013) by Bill Pennington featured a February 2013 gathering in Washington organized by the National Athletic Trainers Association. In the article, Dr. Douglas J. Casa, professor of kinesiology at the University of Connecticut and Chief Operating Officer of the Korey Stringer Institute (founded in the late NFL offensive lineman’s name to promote prevention of sudden death in sport), suggests just that.
“All the talk about head injuries can be a gateway for telling people about the other things they need to know about, like cardiac events and heat illness,” said Casa in the article. “It doesn’t really matter how we get through to people as long as we continue to make sports safer.”
Education and prevention methods need to find a permanent place in school programs if those programs are to thrive and avoid becoming targets at which special interest groups can aim budgetary arrows.
Dr. Jonathan Drezner, the president of the American Medical Society for Sports Medicine, said in the New York Times piece that sudden cardiac arrest is “so incredibly tragic and stunning that people aren’t comfortable putting it into the everyday conversation. I do wish, to some extent, it was something people talked more about because we are getting to a place where we could prevent many of these deaths.”
When it comes to heat-related deaths or illnesses, the prevention efforts can be even more successful by educating the masses. And, these efforts can be done at minimal cost to schools.
“That’s the thing about curtailing exertional heat illness: it’s 100 percent preventable, and unlike other health threats to athletes, the solutions can be very low-tech and inexpensive,” said Dr. Michael F. Bergeron, the director of the National Institute for Athletic Health & Performance at the University of South Dakota’s Sanford Medical Center, in the New York Times story.
To assist with cost and data maintenance, the MHSAA has teamed with Sports Health to provide schools with psychrometers (heat measurement instruments) at a discounted rate, and has built online tools to track heat and humidity conditions.
Managing heat and humidity policy
- Thirty minutes prior to the start of an activity, and again 60 minutes after the start of that activity, take temperature and humidity readings at the site of the activity. Using a digital sling psychrometer is recommended. Record the readings in writing and maintain the information in files of school administration. Each school is to designate whose duties these are: generally the athletic director, head coach or certified athletic trainer.
- Factor the temperature and humidity into a Heat Index Calculator and Chart to determine the Heat Index. If a digital sling psychrometer is being used, the calculation is automatic.
If the Heat Index is below 95 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Optional water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
If the Heat Index is 95 degrees to 99 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Optional water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
Contact sports and activities with additional equipment:
- Helmets and other possible equipment removed while not involved in contact.
- Reduce time of outside activity. Consider postponing practice to later in the day.
- Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.
If the Heat Index is above 99 degrees to 104 degrees:
All Sports
- Provide ample amounts of water. This means that water should always be available and athletes should be able to take in as much water as they desire.
- Mandatory water breaks every 30 minutes for 10 minutes in duration.
- Ice-down towels for cooling.
- Watch/monitor athletes carefully for necessary action.
- Alter uniform by removing items if possible.
- Allow for changes to dry T-shirts and shorts.
- Reduce time of outside activity as well as indoor activity if air conditioning is unavailable.
- Postpone practice to later in the day.
Contact sports and activities with additional equipment
- Helmets and other possible equipment removed if not involved in contact or necessary for safety.
- If necessary for safety, suspend activity.
Recheck temperature and humidity every 30 minutes to monitor for increased Heat Index.
If the Heat Index is above 104 degrees:
All sports
- Stop all outside activity in practice and/or play, and stop all inside activity if air conditioning is unavailable.
Note: When the temperature is below 80 degrees there is no combination of heat and humidity that will result in need to curtail activity.
PHOTO: The Shepherd volleyball team includes hydration during a timeout in a match this fall.
Przystas Helps 'Shape' Fitness for Future
By
Geoff Kimmerly
MHSAA.com senior editor
December 20, 2016
By Geoff Kimmerly
Second Half editor
Scott Przystas had plans earlier this week to “crash” a Grand Haven schools party with vegetables grown in his classroom’s hydroponic garden. It may be winter outside, but in his physical education class, it’s time to harvest.
But the Michigan chill doesn’t mean his students – ranging from Young 5’s to fourth grade – will be restricted to the gym for the next three months. When they return in 2017, they’ll head outside and give snow-shoeing a try.
Teaching includes a lot more than daily dodgeball or rolling out the basketballs for Przystas, a member of the MHSAA Multi-Sport Task Force and this fall’s honoree as Michigan Physical Education Teacher of the Year by the state’s chapter of Society of Health and Physical Educators (SHAPE).
The task force over its first few months has determined that the message on the many benefits of participating in multiple sports must be delivered to students and their families long before these students reach high school and even junior high – making passionate educators like Przystas especially key. He passes on a perspective that “PE is the most important thing we can teach kids, how to be physically active for life” while teaching students at Grand Haven’s Mary A. White and Rosy Mound elementary schools.
“That’s our goal with the elementary PE department in Grand Haven, to make it relevant again,” Przystas said. “Because it’s really easy in our profession (to say) here’s the ball kids, do you want to do. But it’s not gratifying at all. It’s not satisfying to the kid or the teacher.”
Przystas brings the MHSAA task force a wealth of experience as a coach – he’s in charge of the high school’s girls cross country team, serves as freshman coach and varsity assistant for girls basketball and leads the middle school track & field teams. But he also provides an important voice for physical education, an area the task force considers crucial to growing interest in playing many sports instead of specializing in one – which studies have shown can lead to chronic injuries when playing that one sport while leading those children to become adults who are less likely to be physically active and fit. He is in his eighth year in the Grand Haven district and has taught in nine buildings at the elementary, middle, high school and alternative education levels.
“Scott has been instrumental in leading changes to the PE program in Grand Haven,” Mary A. White principal Valerie Livingston said in a report for the Grand Haven Tribune. “His excitement about life-long fitness and nutrition is contagious in the school. Under Scott's direction we have students who look forward to smoothie bars at lunch and are excited to see our new tower garden grow.”
Many teachers
Przystas’ philosophy is deeply-rooted in the positive experience he had growing up in Gladwin, a much smaller community than Grand Haven located north of Midland and Mount Pleasant.
His father Ronald – who formerly worked at the Lansing State Journal and Cadillac Evening News before becoming a reporter, editor at later publisher at the Gladwin County Record – died in a car crash in 1996. But he left his then 10-year-old son a love for sports photography – Scott minored in journalism at Michigan State University – and also plenty of familiarity with athletics. A track & field meet hosted by Gladwin Junior High School bears Ron’s name.
Sports provided an outlet during that tough time. During middle school, Scott would go from a basketball game to hockey practice that same night, filling his time with those sports, golfing and a variety of other like activities.
A few years after his dad’s death, Przystas became a manager for the Flying G’s boys basketball varsity coached by Kirk Taylor, who had gotten to know Ron well over the years. Ron had made sure Kirk understood the importance of Gladwin beating county rival Beaverton – they play for a trophy dating back to 1937 – and so it was memorable when Scott, as a senior during the 2005-06 season, scored a career-high 25 points to help the Flying G’s beat the Beavers despite the fact he really wasn’t a scorer as much as a solid all-around player.
“Scott was part of the best group of captains I have had here at Gladwin in the past 23 years,” Taylor said. “One of his co-captains was quiet and out-worked everybody. Another of his tri-captains was very direct with players. Scott was a little of both, but he always delivered the message with the most positive manner.
“I did not know that Scott would become a teacher and/or a coach, but I did know that he would be very successful at whatever profession he chose.”
Przystas made the all-Jack Pine Conference second team as a senior in 2004 while also earning all-league honors in golf and serving as a pinch-runner in baseball for a couple of seasons – but that was just a start on his athletic endeavors. At MSU, as he was studying toward a degree in kinesiology, Przystas played on the practice scout team that daily took on the women’s basketball team as the Spartans prepped for multiple NCAA Tournament runs. He knew he wanted a career in sports, and that experience got him interested in coaching. He also participated on the MSU triathlon club team, which got him into endurance sports.
He graduated from MSU and before the fall of 2009 latched on at Grand Haven. His first call was to Buccaneers girls hoops coach Katie Kowalczyk-Fulmer, and he was on her bench as an assistant for the program’s back-to-back Class A championships in 2012 and 2013 – while also for a time living in her basement before marrying his wife Renee.
Przystas also inherited the high school’s girls cross country program, which he coaches with Renee, and which has made the MHSAA Finals 17 straight seasons. In addition, he became the Lakeshore Middle School track & field coach – and he sees all of these as being related.
“At a Class A school like this, I’d like to say having most (students) participating in high school sports is because of the elementary PE teachers rocking it,” Przystas said. “Our numbers in cross country are up there (50-60 athletes the last few seasons), our numbers in track are getting up there, and the kids are seeing a familiar face and enjoying the process and sticking with it.”
Passing those lessons on
In addition to Taylor and Kowalczyk-Fulmer, Przystas credits his high school golf coach Ben Ball and Gladwin’s former girls varsity and boys subvarsity boys basketball coach Andy Miceli among those who helped shape his growing up. He also gained valuable experience during his student teaching as an assistant with the Bath High School girls under Craig Poppema, and retired longtime Grand Haven boys hoops coach Craig Taylor – Kirk’s dad – has provided plenty of mentoring.
Przystas – who has served a two-year term on the Governor’s Council on Physical Fitness, Health and Sports – teaches from a philosophy based on a pyramid. The bottom level is health and knowing how to take care of oneself, with the middle level physical literacy and the body’s ability to solve movement problems to avoid injury. The top of his pyramid is adventure, and that’s what he’s trying to deliver to his students.
But to do so, he also has to be able to relate and communicate with them.
“Scott makes it fun. He’s just very organized – and he connects with whatever age group, whether it’s kindergarten kids or high school girls,” said Kowalczyk-Fulmer, recalling how excited her 5-year-old son was to have “Coach P” as a teacher. “Freshman girls can sometimes be an interesting group to coach … but he never changes who he is. I’ll stand in the locker room after games and listen to the things he says. Just the quality of person he is, he’s a role model, he and his assistant Kelly Kieft. He’s just a good, positive role model for young people.”
Przystas noted how SHAPE America is pushing for the generation of children being born now becoming an “active” next generation, and as a newer father this hits home – and also helps fuel his desire to help.
He said it’s harder to plant that seed when students are older – but that’s where his responsibility as a cultivator at the elementary level comes in.
“I had a great childhood experience,” Przystas said. “That was the big thing. I fully remember all of the pickup games we had in our neighborhood, the outdoor adventures exploring, playing ping-pong on a chipped-up table.
“(That’s why) I promote to kids in middle school, elementary school, to go check out a lacrosse game. Go to swim camp. Be active this summer. Don’t just be sitting around. We’ve just got to get them outside more and have kids be active.”
PHOTO: (Top) Teacher Scott Przystas (kneeling) works with one of his elementary school classes in Grand Haven. (Middle) Przystas (back row, second from left) has been an assistant on two Class A girls basketball championship teams. (Top photo courtesy of the Grand Haven Tribune.)