scholarly journals Assessment of Evidence-Based Health and Safety Policies on Sudden Death and Concussion Management in Secondary School Athletics: A Benchmark Study

2018 ◽  
Vol 53 (8) ◽  
pp. 756-767 ◽  
Author(s):  
William M. Adams ◽  
Samantha E. Scarneo ◽  
Douglas J. Casa

Context: Implementation of best-practice health and safety policies has been shown to be effective at reducing the risk of sudden death in sport; however, little is known about the extent to which these policies are required within secondary school athletics.Objective: To examine best-practice health and safety policies pertaining to the leading causes of sudden death and to concussion management in sport mandated at the state level for secondary school athletics.Design: Descriptive observational study.Setting: State high school athletic associations (SHSAAs), state departments of education, and enacted legislation.Patients or Other Participants: United States (including the District of Columbia) SHSAAs.Main Outcome Measure(s): A review of SHSAA health and safety policies for the 2016–2017 academic year, state department of education policies, and enacted legislation was undertaken to assess the polices related to the leading causes of sudden death and concussion management in sport. Current best-practice recommendations used to assess health and safety policies were specific to emergency action plans, automated external defibrillators, heat acclimatization, environmental monitoring and modification, and concussion management. The total number of best-practice recommendations required for each SHSAA's member schools for the aforementioned areas was quantified and presented as total number and percentage of recommendations required.Results: Four of 51 SHSAA member schools were required to follow best practices for emergency action plans, 7 of 51 for access to automated external defibrillators, 8 of 51 for heat acclimatization, and 3 of 51 for management of concussion.Conclusions: At the time of this study, SHSAA member schools were not required to follow all best-practice recommendations for preventing the leading causes of sudden death and for concussion management in sport. Continued advocacy for the development and implementation of best practices at the state level to be required of all secondary schools is needed to appropriately serve the health and well-being of our young student-athletes.

2014 ◽  
Vol 26 (2) ◽  
pp. 124-126 ◽  
Author(s):  
Riana R. Pryor ◽  
Robert A. Huggins ◽  
Douglas J. Casa

The aim of the recent Inter-Association Task Force held in Washington, D.C. at the 2013 Youth Safety Summit determined best practice recommendations for preventing sudden death in secondary school athletics. This document highlights the major health and safety practices and policies in high school athletics that are paramount to keep student athletes safe. The purpose of this commentary is to review the findings of the document developed by the task force and to provide possible areas where research is needed to continue to educate medical practitioners, players, coaches, and parents on ways to prevent tragedies from occurring during sport.


2017 ◽  
Vol 45 (2) ◽  
pp. 231-237
Author(s):  
Christine M. Baugh ◽  
Emily Kroshus ◽  
Kaitlyn I. Perry ◽  
Alexandra P. Bourlas

This study examined the extent to which concussion management plans at National Collegiate Athletic Association (NCAA) member schools were in line with NCAA Concussion Policy and best practice recommendations in absence of any process to ensure compliance. Most schools' concussion management plans were in compliance with 3 (60%) or 4 (25.6%) of the NCAA's 4 required components. Annual athlete education and acknowledgement was the requirement least often included, representing an area for improvement. Further, schools tended to more often include best practices that were more medically-oriented (e.g., including baseline examination), compared to best practices that were less medical in nature (e.g., avoiding flagrant head hits).


2021 ◽  
Vol 56 (4) ◽  
pp. 352-361
Author(s):  
William M. Adams ◽  
Yuri Hosokawa ◽  
Douglas J. Casa ◽  
Julien D. Périard ◽  
Sebastien Racinais ◽  
...  

Objective To provide best-practice recommendations for developing and implementing heat-acclimatization strategies in secondary school athletics. Data Sources An extensive literature review on topics related to heat acclimatization and heat acclimation was conducted by a group of content experts. Using the Delphi method, action-oriented recommendations were developed. Conclusions A period of heat acclimatization consisting of ≥14 consecutive days should be implemented at the start of fall preseason training or practices for all secondary school athletes to mitigate the risk of exertional heat illness. The heat-acclimatization guidelines should outline specific actions for secondary school athletics personnel to use, including the duration of training, the number of training sessions permitted per day, and adequate rest periods in a cool environment. Further, these guidelines should include sport-specific and athlete-specific recommendations, such as phasing in protective equipment and reintroducing heat acclimatization after periods of inactivity. Heat-acclimatization guidelines should be clearly detailed in the secondary school's policy and procedures manual and disseminated to all stakeholders. Heat-acclimatization guidelines, when used in conjunction with current best practices surrounding the prevention, management, and care of secondary school student-athletes with exertional heat stroke, will optimize their health and safety.


2018 ◽  
Vol 23 (1) ◽  
pp. 33-41 ◽  
Author(s):  
Cailee E. Welch Bacon ◽  
Gary W. Cohen ◽  
Melissa C. Kay ◽  
Dayna K. Tierney ◽  
Tamara C. Valovich McLeod

Available financial and personnel resources often dictate the specifics of concussion policies and procedures in the secondary school setting. The purpose of this qualitative study was to explore athletic trainers’ perceived challenges toward comprehensive concussion management in the secondary school setting. The findings indicate several challenges exist toward concussion management in the secondary school, including facility, personnel, and community resources, education levels of various stakeholders, and general perceptions of concussion and athletic trainers. It is important to identify challenges athletic trainers may face in order to develop strategies to align current concussion management procedures with current best practices.


2017 ◽  
Vol 52 (4) ◽  
pp. 384-400 ◽  
Author(s):  
Robert A. Huggins ◽  
Samantha E. Scarneo ◽  
Douglas J. Casa ◽  
Luke N. Belval ◽  
Kate S. Carr ◽  
...  

2008 ◽  
pp. 318-344 ◽  
Author(s):  
Asif Akram ◽  
David Meredith

This chapter shows how the WSDL interface style (RPC / Document), strength of data typing and approach to data binding and validation have important implications on application security (and interoperability). This is because some (common) bad-practices and poor implementation choices can render a service vulnerable to the consequences of propagating loosely bound or poorly constrained data. The chosen Web service style and strength of data typing dictate how SOAP messages are constructed and serialized, and to what extent SOAP messages can be constrained and secured during validation. The chosen approach to binding and validation dictates how and where the SOAP-body and SOAP-header (which includes the security constructs) are handled in the application, and also determines the reliability of message parsing. The authors show how these Web service styles and implementation choices must be carefully considered and applied correctly by providing implementation examples and best practice recommendations.


2019 ◽  
Vol 8 (1) ◽  
Author(s):  
John Pallister ◽  
Paolo Papale ◽  
John Eichelberger ◽  
Chris Newhall ◽  
Charles Mandeville ◽  
...  

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