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.”
Imperfect Patriots
July 12, 2017
Perhaps the most loyal thing a patriot can do for his or her country is to point out its flaws.
Even before this country’s Independence Day, people were at work to form a union that was imperfect at its start and remains so today. Some of its many flaws have been corrected, even as new flaws have been revealed.
We have imperfect patriots to thank for forming this nation and for helping this nation improve itself. Flawed people of conscience and courage have helped a young nation see itself as it was and also as it could become.
Some patriots have been famous, a few infamous, but most unrecorded in any historical account as they lived and labored in ways that improved their local community and, unknowingly, contributed to change they might not have imagined possible, improving everything from race relations to recycling to renewable energy.
This nation’s patriots are not merely those who lived at the birth of this nation. Every generation has had patriots who have been as important for nation-building as those in the 1700s. Patriots are found in and out of government. In homes and places of worship. They are found in the for-profit business world and in nonprofit organizations.
When, out of sincere loyalty, a person brings constructive criticism to a cause, that person helps to build and better the enterprise. It is as true of this imperfect organization as it is of our nation.