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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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Summer Football Safety
June 23, 2017
Across the U.S. this summer, school-age football players are flocking to camps conducted by colleges and commercial interests. They get outfitted in full gear and launch themselves into drills and skills work.
Unlike the start of the interscholastic football season, the players usually do this without several days of acclimatization to avoid heat illness, and without limits on player-to-player contact to reduce head injuries.
Required precautions of the school season are generally ignored at non-school summer camps.
One notable exception to this foolish behavior is found in Michigan where the Michigan High School Athletic Association prohibits member schools’ student-athletes from using full equipment and participating in full-contact activities outside the high school football season. This is not a recent change; it’s been the MHSAA’s explicit policy for more than four decades.
And it’s a policy that has never been more in style and in favor than it is today.