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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.”
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Hat Trick
July 31, 2017
When asked recently to identify the most important work of the Michigan High School Athletic Association at this particular time in the history of school sports in Michigan, I paused only briefly, because there is one initiative that scores a hat trick. It’s the MHSAA Task Force on Multi-Sport Participation.
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It is a forum for helping us define and defend educational athletics.
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It is helping us focus on the future of school sports – on the junior high/middle school level, and even younger athletes and their parents, where attitudes are being formed and decisions are being made.
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It is helping us focus on THE most serious health and safety issue in all of youth sports, which is specialization in one sport that is too early, too intense and too prolonged, leading to overuse injuries that tend to cause a lifetime of chronic injuries and related health problems.
The Task Force has convened five times over 15 months. It is moving now from the phase of identifying issues and challenges to developing tools for administrators and coaches to promote the multi-sport experience for young people.