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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


  1. 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.
  2. 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. 

CAP Begins 2014-15 on Record Pace

By Geoff Kimmerly
MHSAA.com senior editor

August 22, 2014

Gretchen Mohney has come to recognize coaches who think they already know it all.

Then she begins a Coaches Advancement Program lesson by describing an orange banging around inside a fishbowl – a metaphor to explain the brain inside an athlete’s skull when he or she suffers a concussion.

Her most powerful lessons have moved pupils to tears. And it’s always gratifying to witness the “Aha” moments that make the CAP educational experience so powerful.

“My favorite is when they admit that they’ve done something wrong, and they want to know how to do something better,” said Mohney, a highly-respected trainer and strength and conditioning coach who also serves as an instructor for the athletic training program at Western Michigan University. “It’s a pretty awesome moment when they realize there’s more to learn.”

More current and aspiring coaches than ever before are taking advantage of that opportunity as the 2014-15 school year kicks off. 

Since this training year began July 25 at Battle Creek Lakeview, 273 current or aspiring coaches have completed CAP sessions – nearly twice as many coaches as this point a year ago and with the last session of August planned for Saturday at New Buffalo. That makes this the busiest start in CAP history, according to MHSAA assistant director Kathy Vruggink Westdorp, who joined the MHSAA staff in 2004, developed CAP for the 2004-05 school year and continues to oversee the program.

This first month’s total attendance also represents 33 percent of the 818 total CAP units completed at high schools and the MHSAA office during all of 2013-14.

“I think the big thing continues to be word of mouth that this is a quality program,” said Hamilton athletic director Jerry Haggerty, a CAP instructor for nine years. “It’s good for all coaches of all experience levels.”

Setting a standard

Since the program’s inception, nearly 6,300 coaches have completed at least the first-level unit. More than 1,000 have advanced through CAP 4.

The CAP program is broken into six levels, each addressing a set of topics:

  • CAP 1: Coaches Make the Difference, The Coach as Teacher, Sports Medicine and First Aid.
  • CAP 2: Effective Communication, Legal Responsibilities, Psychology of Coaching.
  • CAP 3: Additional Coaching Responsibilities, Effectively Working with Parents, The Coach as Performer.
  • CAP 4: Understanding Athletic Development, Strength and Conditioning, Preparing for Success.
  • CAP 5: Healthy Living, Teaching Emotional Toughness, Resolving Conflicts in Athletics.
  • CAP 6: Current Issues and Topics in Educational Athletics.

“Individuals who go through this have a better understanding of their philosophy, their school’s philosophy, their role and responsibility as well as the meaning behind MHSAA rules,” said Westdorp, a former principal, athletic director, teacher and coach in the Grand Rapids area who was named 2013 Coach Educator of the Year by the National Federation of State High School Associations (NFHS) for her work with the program.

She trains and evaluates all presenters and instructors, including those who last school year administered 1,238 CAP sessions at seven universities and colleges across both peninsulas.

The non-college CAP sessions are taught by 20 instructors who pride themselves on being available anywhere there’s interest. CAP has been presented at 10 Lower Peninsula schools over the last month, with Upper Peninsula sessions planned for this fall. August 9 was particularly busy – units were taught at Jonesville, Pontiac Notre Dame Prep and Riverview Gabriel Richard – but Westdorp sees the possibility of presenting at up to five sites on the same day.

Flexibility also is an option; a group of mostly non-school coaches took CAP 2 last week in Baldwin, and were able to complete the course over two days instead of one so they could do so without interrupting their fulltime jobs. For coaches working in schools, CAP units can qualify as continuing education credits with the State Department of Education.

Colleges and universities in Michigan are licensed to present up to five levels through their undergraduate or graduate studies, and the list of those who completed courses the last few years is filled with recognizable names of former high achievers on MHSAA courts and fields. Southwestern Michigan College in Dowagiac will offer courses for the first time this fall.

Certification in the program occurs after completion of CAP 1 and 2, and then after each subsequent unit, with those completing CAP 6 earning Masters Elite Certification.

The topics of CAP sessions “bleed” into each other, Mohney said, and come with plenty of first-person examples to make them relevant to coaches who then realize they aren’t alone facing issues most encounter.

“I talk to them because I’ve been there. … (I say,) ‘Now, let’s talk real.’ I place them in a real situation,” Mohney said. “’The biggest thing is you guys don’t have to know everything. You just need to coach, be aware of this, this and that. And these are some ideas to go about your plan so you can decrease your stress.’

“Any time a coach hears that, it’s a beautiful thing. Because I’m not sure what coach in high school is in coaching for the money.”

Raising the bar

Certainly, some of this month’s heightened CAP participation can be attributed to an MHSAA Representative Council action in March. Beginning Aug. 1, 2016, varsity head coaches hired for the first time at an MHSAA member school must have completed CAP 1 or CAP 2. Westdorp said some who wish to become head coaches in that near future are getting a jump by completing CAP courses now.

But that’s only a slice of the success story.

Haggerty has directed Hamilton’s athletic department for 15 years and said all of his coaches have taken either CAP 1 or 2. Many coaches take the courses on their own; others are required to do so by their athletic directors.

The Capital Area Activities Conference will offer CAP 1 three times this school year, with 100-150 coaches from their 20 member schools expected for each session. Others leagues and conferences are designing similar arrangements.

Michael Roy coached boys basketball at Lawton and girls hoops at Vicksburg and was certified under the predecessor to CAP – the MHSAA’s former Program for Athletic Coaches’ Education (PACE). He’s beginning his 13th year as Vicksburg’s athletic director, and after hosting several CAP classes over the years decided to begin the program himself this month.

“The need for knowledgeable and experienced coaches is greater than ever before. I thought if I was going to make it mandatory for my coaches to become CAP certified, that I needed to get CAP certified and lead by example,” Roy said. “The heart of any athletic team or program is its coaching staff.  CAP is the surest way for coaches to access everything they need to know how to be a good coach. They learn the art of effective coaching through one of the best-designed coaches education programs in the country. CAP is second to none.”  

Haggerty has spoken with athletic directors who have completed the program and then recognize when their coaches employ strategies learned at CAP sessions. An increasing pool of coaching candidates are heading into interviews with CAP certification in hand, and Westdorp has seen coaches bringing their CAP binders to practices to have those lessons available for quick reference. She’s also watched many CAP graduates using their skills at the highest level – the MHSAA Finals.

A comment by Duke men’s basketball coach Mike Krzyzewski sits at the front of those CAP binders: “A common mistake among those who work in sport is spending a disproportional amount of time on x’s and o’s as compared to time spent learning about people.” 

Haggerty starts each session telling his pupils, “I do this for two reasons; one because I think it’s important to look at the non-x and o coaching realms; and two, because this is great fun for me.’”

And those coaches who come into CAP thinking they know enough? Mohney said most finish the first unit looking forward to beginning the next.

“CAP has a lot to do with understanding what you’re about, understanding your role and responsibility in athletics and your leadership role,” Westdorp said. “When I start programs, I talk about my work roles in life, and then (I tell coaches), ‘I want to tell you where I felt I was more influential, and that was as a coach.

“’And don’t ever forget it..’”

Click for more on the Coaches Advancement Program.

PHOTOS: These coaches, counter-clockwise from top left, all have completed at least one CAP unit: Bay City Western softball coach Rick Garlinghouse, St. Ignace girls basketball coach Dorene Ingalls, Ypsilanti Community boys basketball coach Steve Brooks, Beal City baseball coach Brad Antcliff and Mattawan softball coach Alicia Smith.