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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. 

Nurturing Our Lower Level Programs

May 15, 2014

By John E. “Jack” Roberts
MHSAA Executive Director

When I’ve been faced with the most difficult choices as to different courses of action for the MHSAA, I’ve tried to face up to this reframing of the issue: “If we were creating the MHSAA for the first time today, would we do this, or would we do that?”

For example, would we or would we not limit coaches’ contact with athletes out of season? Would we have a 90-day period of ineligibility for transfer students or would it be 180 days?

There are other examples of such “either, or” questions I could provide, but none is as difficult or defining as this: Should school sports under the MHSAA’s auspices provide more opportunities for 7th- and 8th-graders and new opportunities for even younger students?

I won’t be coy about what I think our answer should be. I haven’t always felt this way, and I recognize it is a different opinion than some who are quoted in this publication; but today it’s my belief that if we were creating the MHSAA for the first time in 2014, the MHSAA would allow more contests and longer contests for 7th- and 8th-graders, and the MHSAA would have competition policies and programs for younger middle schoolers too.

I believe this is what parents want for their children and what students want for themselves; and I believe, within reason, that the better we serve these students in their junior high/middle school years, the stronger high school sports will be and the better these programs will support the educational missions of schools.

I believe we must begin to serve middle school students more comprehensively, and that our doing so today is the best hope we have for retaining comprehensive programs for high school students tomorrow. Not only does the lower profile and pressure of lower level programs nurture the highest ideals of educational athletics, they provide our highest hope for preserving those ideals at the high school level.

The Lasting Impact of First Impressions

The over-arching question before us is how to maintain policies that encourage multiple sport experiences for students at the junior high/middle school level while at the same time adjusting those policies in terms of grade level served and the numbers and lengths of contests allowed in order to be more attractive to junior high/middle school parents and to school districts which desire additional competition opportunities in the school setting for students prior to high school.

There is a good healthy discussion in our midst about the scope of junior high/middle school athletics – how much should occur and how young it should commence; and the result of these discussions may have long-lasting effect on students, schools and the MHSAA.

Here are two central issues:

1.  Contest Limits

Many people over many years have contributed to developing the current season limitations for the number of contests permitted by MHSAA member junior high/middle schools. These good people have believed in a philosophy of sports at this level that encourages students to try multiple sports.

“Kids haven’t fully matured yet,” they say. “Kids haven’t been exposed to some sports yet. They don’t know what they might like or be good at. So let’s have policies and programs that encourage new opportunities and experiences at this level.”

The season limits that have been put in place allow some junior high/middle schools, or their entire leagues, to fit four distinct seasons in a nine-month school year, consistent with this over-arching philosophy to encourage these students to try new things and learn.

There is another educationally grounded and equally astute group of administrators and coaches who are concerned that the current limits are too severe in comparison to non-school youth sports programs. For example, community/club basketball or soccer programs may schedule 15 or 18 or more games per season versus the MHSAA limit of 12 at the junior high/middle school level.

These folks think these restrictive limitations create a disincentive for kids to play school sports, and that many of those who have no place in junior high/middle school sports have no interest later in high school sports.

2.  6th-Graders

Historically, the popular opinion among educators has held that 7th and 8th grade is early enough for schools to provide competitive athletics, early enough to put youth into the competitive sports arena, and early enough to pit one school against another in sports.

Today, however, many educators and parents point out that such protective philosophies and policies were adopted about the same time “play days” were considered to be the maximum exertion females should experience in school sports. Some administrators and coaches argue that both our severe limits on contest limits at the junior high/middle school level, and our refusal to serve 6th-graders, are as out of date and inappropriate as play days for females.

Today, in nearly four of five school districts with MHSAA member schools, 6th-graders go to school in the same building with 7th- and 8th-graders. But MHSAA rules don’t allow 6th-graders to participate with and against 7th- and 8th-graders. In fact, the MHSAA Constitution doesn’t even acknowledge that 6th-graders exist.

Today, in many places, 6th-graders have aged-out of non-school, community sports, but they are not permitted to play on MHSAA junior high/middle school teams.

Last school year, 50 different school districts requested this rule be waived for them, and the MHSAA Executive Committee approved 46 of 50 waivers, allowing 6th-graders to compete on 7th- and 8th-grade teams. During 2011-12, 37 of 40 requests for waiver were approved, in all cases for small junior high/middle schools. Many of these schools want, and some of them desperately need, these 6th-graders to fill out junior high/middle school teams.

Young people are starting sports much younger today than 100 years ago when the MHSAA was created. Younger than even 50 years ago when the MHSAA was incorporated. If the MHSAA were created today to serve any students before 9th grade, I’m certain it would not leave out 6th-graders who are walking the same halls with 7th- and 8th-graders, and who have been playing competitive sports almost since the first day they started walking at all.

Eyes on the future

The most important thing we can do to enhance high school sports is to grow junior high/middle school sports programs. The earlier we disconnect young people from non-school sports and engage them in school-sponsored sports, the better our chances are of keeping high school athletic programs healthy, and the better our prospects are of keeping both participation rates and conduct standards high.

School sports are in competition for hearts and minds of young people. Our competition includes movies, jobs, cars, video games, boyfriends and girlfriends and club sports ... especially club sports. School sports needs to market itself better, and part of better is to be available earlier – much sooner in the lives of youth. More contests at the junior high/middle school level and more opportunities for 6th-graders should be parts of our marketing strategies on behalf of educational athletics generally.

For at least 50 years there have been predictions by people outside of our member schools that the system of school-sponsored sports that is almost unique to the United States would someday give way to the system of most countries where youth sports is provided by non-school community groups and private athletic clubs. Some people challenge school-sponsored sports on a program basis – for example, that competitive athletics creates a distraction to the core educational mission of schools. Others may challenge school-sponsored sports on a financial basis – that interscholastic athletics compete for the limited resources communities have to support their schools.

Today there also exists among our member schools a small percentage of administrators who have come to their leadership roles without involvement in school sports and who either desire and believe that interscholastic sports will be moved from schools to communities or who do not want but predict that such will occur as resources for schools continue to shrink.

I believe this is more likely to happen, or to happen sooner, if we do not change our approach to junior high/middle school sports. If we continue to restrict 7th- and 8th-graders to so few contests of such limited length compared to what those students have in non-school sports, and if we continue to offer nothing for younger students, we essentially and effectively force these students to non-school sports.

It is an often cited statistic that between 80 and 90 percent of all young people who ever begin playing competitive athletics stop playing before they reach the age of 13, meaning the vast majority of young people never, ever are involved in school programs. Thus, it is no mystery why people question the future of school sports. We’re doing nothing to make programs available to them. They have no experience in them.

Our restrictive and possibly outdated policies and procedures regarding contest limits and lengths and the age at which we begin to serve junior high/middle school students may assure that the dire predictions about school sports’ future will be accurate. We are doing too little, too late. It is marketing at its worst.

In my mind there is little doubt that we are doing too little too late with junior high/middle school students. Now the challenge before us is to think beyond “we can’t afford it” and make some necessary changes, while still avoiding a system that allows or even encourages schools doing too much too soon.