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.”
Prime the Pump
July 24, 2017
Even the awkward or aggravating moments in life – perhaps especially those moments – have the redeeming value of offering metaphors for these messages. Times like this ...
Country dwellers and cottage owners know that the pump which brings water to their residences is a precious apparatus. When it works, it’s taken for granted; when it fails to work, it ruins almost everything planned.
So it’s prudent for those who don’t live on a community water line to know how to prime their own water pump; and some of us have had to learn the hard way to keep jugs of water on hand to prime the pump. As my local well expert told me, “You can’t prime the pump with water that’s already run down creek.”
That’s wisdom on many levels. It reminds us to have emergency plans. But more than that, it suggests we should take advantage of opportunities as they arise, not try to do so after they’ve passed by. It suggests boldness ... a degree of aggressiveness.
In our current situation, it suggests that we assess what is trending, but not take forever to do so; and seize the day in order to shape the future.
This is when I think, for example, of conducting regional junior high/middle school meets and tournaments across Michigan and 7-on-7 football leagues in the summer. When I think of mandating MHSAA camps for officials during their first three to five years of registration. When I think of adding a co-ed Ryder Cup format to the MHSAA Golf Tournament and a co-ed team tennis format to the MHSAA Tennis Tournament. When I think of adding flag football for girls, volleyball for boys and both water polo and weightlifting for both genders. This is when I want to take a chance with the exploding e-sports world, and the emotional tug of Special Olympics unified sports.
I have zero motivation for increasing the number of contests or the distance of travel for high school athletics, but I get very excited when I think of expanding the number of students who might get engaged if we would prime the pump before the water runs away from us.