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.”
The Other Mr. Forsythe
August 8, 2017
The modern world is quick to dismiss pioneers who paved our way, but it would be wrong to diminish the accomplishments of those who gave form and function to school-sponsored sports in Michigan.
It was a time when travel was arduous and communications were slow. A time when the fundamentals of sports we take for granted today were being determined. A time when the basic rules of competition and eligibility we have today were being developed.
No single person has done more than L. L. Forsythe to shape school sports in Michigan, and the nation. This is Lewis L. Forsythe, not Charles E. Forsythe, the first and longest-serving executive director of the Michigan High School Athletic Association.
In 1918-19 and again in 1923-24, L. L. Forsythe served as president of the MHSAA’s predecessor organization, the Michigan Interscholastic Athletic Association, which operated from 1910 to 1924. He served on its board of control from 1921 to 1924.
When the MIAA gave way to the MHSAA in 1924, L. L. Forsythe was elected president of its Representative Council, and he served unpaid in that position for 18 consecutive years (1924 to 1942).
L. L. Forsythe served on the Executive Committee of the newly forming National Federation of State High School Associations from 1922 to 1940, and was the young national organization’s vice-president for 15 of those 18 years.
During these years, the MHSAA commenced state tournaments in seven sports and the National Federation ended national high school tournaments in all sports. Playing rules moved from a local hit-and-miss process to a national system that emphasized standardization and safety. Much that we do routinely now was a matter of first impression then.