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.”
Student-Centered Coaching
August 1, 2017
The November 1929 Bulletin of the Michigan High School Athletic Association includes this editorial reprinted from the Oct. 7, 1929 Grand Rapids Herald which invites discussion about what more we might do to promote leadership and sportsmanship in school-sponsored sports today.
“Football teams of Greenville and Ionia high schools Saturday introduced an innovation the nature of which challenges consideration of other Michigan schools. From the time the first whistle blew for Saturday’s game until its close the professional coaches employed by the two schools had no contact with players. Between the halves the usual harangue by the coach was dispensed with in favor of a review of play by players. * * * The result of such a policy is unsullied amateurism along the lines we often have urged. The players are on their own. They do their own thinking as well as playing. Under the system as usually followed the coach sits on the sidelines. If he sees an opportunity for a plan of play differing from that being followed he sends in a substitute who carries instructions: ‘Stick to forward passes. Bang away at their left end,’ etc. Between the halves the coach points out faults and emphasizes opportunities for the final half. In net effect the coach directs the play. The initiative of captain or quarterback is permitted only so long as the coach approves. Under the Greenville system the captain is the only recognized leader of the team. He directs substitutions, orders plays, advises players, etc. At Greenville school boys played against school boys. On other western Michigan gridirons a coach is the 12th member of every team. * * * The plan adopted at Greenville was suggested by President Angell of Yale in his annual report for 1927-28. He urged that, ‘There is a wide and well-grounded sentiment that the control of our games should be put back more fully into the hands of the players.’ Yale has not heeded Prexy Angell’s advice, but the New York State Public High School Athletic Association has adopted it as also have some Detroit high schools. It takes the sting of professionalism out of the scholastic game. The able coach still has ample opportunity to prove his worth in teaching the fundamentals of the game and in developing ‘football brains’; but when the whistle blows it is high school team against high school team. What’s the matter with trying that in Grand Rapids? What, if any, are the arguments against it?”