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.”
Planning Period
June 27, 2017
When I was a teacher, I cherished my planning period – that nearly 60 minutes of quiet time every day when, while most other teachers in our school were in class, I could pause to plan for the classroom duties ahead of me.
In a somewhat similar way, I have come to count on and enjoy three times of the year which serve as the major planning periods for my work at the Michigan High School Athletic Association. These three periods are the several weeks late each fall, winter and spring when other MHSAA staff are consumed with the administration of MHSAA tournaments.
I hate to distract these busy tournament directors as they handle countless communications with coaches, athletic directors, officials and local tournament managers. Instead, I look ahead to what is next for the MHSAA and how to frame subjects to help facilitate some progress.
During the recent planning period (aka, the MHSAA’s spring season tournaments in baseball, softball, golf, lacrosse, soccer, tennis and track & field), I was looking down the road and around the corner regarding these topics especially:
-
Basketball tournament scheduling, Finals sites and District seeding.
-
Alternative approaches to regulating transfers.
-
Tangible outcomes from the Task Force on Multi-Sport Participation.
-
Re-energized efforts to promote good sportsmanship.
-
Strategies to turn around declining football participation.
-
Continued expansion of services for junior high/middle school programs.
-
Next steps needed to improve participant health and safety.
-
Innovations for recruiting and retaining contest officials.
-
Guiding and governing participation by “special” student populations.
-
And always ... how next (and every day) to better define and defend educational athletics.
These are the topics I hope to study, survey and discuss with my MHSAA colleagues and others during the next 10 months.