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.”
Football's Status
June 16, 2017
Football has enjoyed a status within our schools that is unmatched by any other sport.
It attracts more participants than any other interscholastic sport.
Unlike many other sports (think especially of ice hockey, lacrosse and soccer), football began in the high school setting and was not imported from community programs.
And until the past decade, football has not had to cope with out-of-season programs run by non-school groups and commercial entities that are so troublesome – think especially of basketball, ice hockey, soccer and volleyball, but really all sports except football, until recent years.
The growth of 7-on-7 passing leagues and tournaments is the most obvious concern as commercial interests move in to profit from a mostly unregulated summer environment, as began to occur in basketball 30 years ago and has spread to many other sports since.
The Olympic movement has fueled some of this as national governing bodies have engineered programs for younger athletes in efforts to increase medal counts on which the U.S. Olympic Committee bases funding.
The quixotic pursuit of college scholarships is another powerful stimulant; and while the NCAA could have banned its coaches from recruiting away from school venues, it has not done so; and non-school entities have begun to tailor their events toward convenient although costly recruiting venues.
We can expect these events to spread like an invasive species through football unless, learning from the past, the NCAA makes these events off-limits to its coaches, and/or organizations like ours across the country will not only regulate but also conduct programs during the summer.