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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. 

Catch These New Rules as Fall Kicks Off

August 7, 2014

By Geoff Kimmerly
Second Half editor

The first practices of 2014-15 begin next week for approximately 110,000 student-athletes taking part in eight sports in which the Michigan High School Athletic Association sponsors postseason tournaments, with nearly 41,000 football players practicing under a new policy in that sport aimed at continuing to improve player safety.  

The new practice policy was proposed by a Football Task Force made up of coaches, administrators and MHSAA staff which met during 2012 and 2013, and approved by the MHSAA’s Representative Council at its Winter Meeting on March 21.

The modifications are meant to promote heat acclimatization and limit helmet-to-helmet contact during practices. They include:

  • During the first week of practice, only helmets are allowed the first two days, only shoulder pads may be added on the third and fourth days, and full pads may not be worn until the fifth day of team practice.


  • Before the first regular-season game, schools may not schedule more than one “collision” practice in a day. A collision practice is defined as one in which there is live, game-speed, player-versus-player contact in pads involving any number of players.


  • After the first regular-season game, teams may conduct no more than two collision practice days in any week, Monday through Sunday.


  • No single football practice may exceed three hours, and the total practice time for days with multiple practice sessions may not exceed five hours. Neither strength/weight training activities nor video/classroom sessions are considered practice for the purposes of the three or five-hour limits.


Previously, schools were required to conduct at least three days of practice without pads before beginning contact. The change to four days for gradual addition of pads was added to assist athletes in acclimating to being physically active in hot weather. Guidelines reducing the amount of collision practice go hand in hand with rules changes that have been made to reduce helmet-to-helmet contact in game situations. The policies in detail can be found on the Football page of the MHSAA Website.

“We think these new policies, with respect to the number of collision practices there can be before the first game, and after the first game, really are where 85 to 90 percent of our coaches already were,” said John E. “Jack” Roberts, executive director of the MHSAA. “This new policy sends a signal to that 10 to 15 percent to get on board with the rest of us to make football just as safe as it can possibly be.”

Practice in football must begin on August 11 for all schools wishing to begin regular-season games the weekend of August 28-30. Schools must have 12 days of preseason practice at all levels before their first game, and those 12 days of practice may not occur before 16 calendar days.

Practice sessions for all other sports begin on Wednesday (August 13).  In golf and tennis, competition may commence no earlier than after three separate days of team practice, and not before seven calendar days. The first day competition may take place in golf and tennis is August 20. In all other fall sports, contests can take place after seven days of practice for the team and not before nine calendar days. The first day competition may take place in cross country, tennis, soccer, swimming and diving, and volleyball is August 22.

Only one football date precedes Labor Day, and most varsity games will take place on Thursday, August 28, that week. Subvarsity competition may begin on Wednesday, August 27. In Week 1, 255 games will be played on Thursday, 53 contests will be played on Friday, and five games will be played on Saturday. 

Continuing the focus on player safety, a number of rules changes were made in football for 2014:

  • Rules were added restricting targeting of opponent and illegal helmet contact with defenseless players, with both resulting in 15-yard penalties. Targeting is defined as taking aim at an opponent with the helmet, forearm, hand, fist, elbow or shoulder to initiate contact above the shoulders and with an intent beyond making a legal tackle or block, or playing the ball. A defenseless player can be considered one no longer involved in a play, a runner whose progress has been stopped, a player focused on receiving a kick or a receiver who has given up on an errant pass, or a player already on the ground.


  • Illegal contact to a quarterback now will be considered roughing the passer, and the offense will receive an automatic first down in addition to the previous 15 yards from the penalty.


  • On kickoffs, the kicking team must have at least four players on either side of the kicker, and no kicking team players except for the kicker may line up more than five yards behind the free-kick line. These changes were made to improve safety by balancing the kicking formation and shortening the potential run-up by kicking team players heading down the field to tackle the ball carrier.


A number of significant rules changes will go into effect for other fall sports:

  • In cross country, the ban on wearing jewelry has been lifted (and also for track and field in the spring). The National Federation of State High School Associations deemed the ban unnecessary in these two sports because there is little risk of injury with minimal contact between competitors. Elimination of the rule will allow officials to further focus on the competition.


  • In soccer, Michigan has adopted the National Federation rule stating home teams must wear solid white jerseys and socks, with visiting teams in dark jerseys and socks (dark defined as any color contrasting white). Also, officials may now wear green and blue shirts in addition to red and black as alternates to the primary yellow shirt with black pinstripes.


  • Also for soccer, both field players and goalkeepers must now leave the field when injured and the referee has stopped the clock. Previously, an injured goalkeeper was not required to leave the game when the referee stopped the clock; going forward, the keeper must be replaced.


  • In swimming and diving, one change affects the beginning of races and another impacts a specific event. The use of starter’s pistols is now prohibited; starters must use an alternative sounding device to start races. Additionally, in the backstroke, a swimmer may not submerge his or her entire body after the start except for during turns. The swimmer must remain on or above the water surface on the finish, eliminating the abuse of submerging well before touching the wall. This change also applies to the finish of the backstroke leg of the individual medley. 


The 2014 Fall campaign culminates with postseason tournaments beginning with the Upper Peninsula Girls Tennis Finals the week of Sept. 29, and wraps up with the 11-Player Football Playoff Finals on Nov. 28-29. Here is a complete list of fall tournament dates:

Cross Country:
U.P. Finals – Oct. 18
L.P. Regionals – Oct. 24 or 25
L.P. Finals – Nov. 1

11-Player Football:
Selection Sunday – Oct. 26
Pre-Districts – Oct. 31 or Nov. 1
District Finals – Nov. 7 or 8
Regional Finals – Nov. 14 or 15
Semifinals – Nov. 22
Finals – Nov. 28-29

8-Player Football:
Selection Sunday – Oct. 26
Regional Semifinals – Oct. 31 or Nov. 1
Regional Finals – Nov. 7 or 8
Semifinals – Nov. 15
Finals – Nov. 21

L.P. Girls Golf:
Regionals – Oct. 8 or 9 or 10 or 11
Finals – Oct. 17-18

Soccer:
Boys L.P. Districts – Oct. 13-18
Boys L.P. Regionals – Oct. 21-25
Boys L.P. Semifinals – Oct. 29
Boys L.P. Finals – Nov. 1
L.P. Girls Swimming & Diving
Diving Regionals – Nov. 13
Swimming/Diving Finals – Nov. 21-22

Tennis:
U.P. Girls Finals – Oct. 1 or 2 or 3 or 4
L.P. Boys Regionals – Oct. 9 or 10 or 11
L.P. Finals – Oct. 17-18

Girls Volleyball:
Districts – Nov. 3-8
Regionals – Nov. 11 & 13
Quarterfinals – Nov. 18
Semifinals – Nov. 20-21
Finals – Nov. 22

The MHSAA is a private, not-for-profit corporation of voluntary membership by more than 1,500 public and private senior high schools and junior high/middle schools which exists to develop common rules for athletic eligibility and competition. No government funds or tax dollars support the MHSAA, which was the first such association nationally to not accept membership dues or tournament entry fees from schools. Member schools which enforce these rules are permitted to participate in MHSAA tournaments, which attract more than 1.4 million spectators each year.