Attitude Adjustment
January 12, 2016
As an everyday, every hour observer of what’s happening to school sports and within school sports, I can get into a negative rut.
But if I step back, and then step out to a local school event – especially at the subvarsity level – my attitude changes. This is where I get a “fix.” This is where I discover the antidote for creeping cynicism.
Here I see coaches teaching, more than screaming. Here is where I watch an official not only make a call but explain it to the participant. Here is where I see athletes smile. And I do too.
Many years ago my son told me how much more he liked coaching at the middle school level than at the high school level. At the younger level, appreciative parents saw him as the one tapping into new talents. At the higher level, overbearing parents said he was missing or misusing their child’s talent.
The subvarsity level – the arena of discovery and development – is underappreciated. In fact, it is often where the best of what we call “educational athletics” occurs.
Cardiac Screening
October 31, 2014
Sudden death among 12 to 25-year-olds is “a low event rate occurrence.”
“There is insufficient information to support the view that ECGs in asymptomatic young people for cardiac disease is appropriate or possible on a national basis for the United States, in competitive athletics or in the general population.”
“At present, there is no mechanism available in the United States to effectively create national programs of such magnitude, whether limited to athletics or including the wider population of all young people.”
“There is insufficient evidence that particularly large-scale/mass screening initiatives are feasible or cost effective within the current US healthcare infrastructure . . .”
“The ECG . . . cannot be regarded as an ideal or effective test when applied to large healthy populations.”
“An additional, but unresolved, ethical issue concerns whether students who voluntarily engage in competitive athletic programs should have advantage of cardiovascular screening, while others who choose not to be involved in such activities (but may be at the same or similar risk) are in effect excluded from the same opportunity.”
The AHA’s Sept. 14 AHA writing group “does not believe the available data support significant public health benefit from using the 12-lead ECG as a universal screening tool. The writing group, however, does endorse the widespread dissemination of automated external defibrillators which are effective in saving young lives on the athletic field and elsewhere.”