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.”
Future Thinking
August 11, 2017
The prolific author Thomas Friedman has written more than once that those who don’t invest in the future tend not to do well there.
What might it mean to invest in the future of interscholastic athletics? What are the things we should be doing now that may not show immediate results, but are essential for securing a future for school-sponsored sports?
Two things, I believe, most of all ...
One is the emphasis on serving and supporting junior high/middle school programs. Getting to students and their parents at this stage and even earlier with the meaning of educational athletics. With a definition of success and demonstrations of sportsmanship that differ from other programs. With encouragement to sample different sports and to eschew year-round practice and competition in a single sport. Feeding the roots of high school sports with the nutrients of educational athletics.
The second is the education of coaches, the delivery system of most of these important messages about school sports. What the MHSAA does season after season with rules/risk management meetings and week after week with the Coaches Advancement Program, and what local school administrators do day after day to manage, mentor and motivate coaches. These efforts may not show quick returns, but they are essential investments in the future of school sports.
We cannot expect to do well in the future if we do not pay attention to our foundation – junior high/middle school programs – and to our infrastructure – coaches.