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.”
Hurry Up and Wait
May 16, 2017
I work so far in advance of events that I’m the subject of some ribbing by my colleagues on staff of the Michigan High School Athletic Association.
I prepare agendas for winter meetings during the previous summer – to help us plan. I draft minutes of those meetings before they occur – a device I’ve found helps to expose gaps in preparation for those meetings. I keep an ongoing file of possible questions for future surveys. I have bulging files that will help us address important topics when interfering urgent matters get out of the way.
So, it feels odd that I write to suggest athletic directors and officials assigners delay some planning for the 2018-19 school year.
You may have read in MHSAA communications or elsewhere that changes in policies of the NCAA Division I Women’s Basketball Tournament have made MSU’s Breslin Student Events Center unavailable to host the MHSAA girls Finals in 2018 and 2020-2022 and the boys Finals in 2019, that the MHSAA will conduct the 2018 girls Finals in Van Noord Arena at Calvin College, and that we will use the upcoming summer and fall to consider alternative venues, season calendars and tournament schedules for 2018-19 and beyond.
Decisions may be made that affect the season starting and/or ending dates of girls basketball, boys basketball or both, as well as other winter sports. Decisions could affect the end of the girls volleyball season as well.
Rather than consider this as a huge disruption, we are choosing to look at this as an opportunity to review how and when we do things, both regular season and MHSAA tournaments. Possibly there are some improvements that can be made.
On the other hand, we may find it inappropriate to upset sound scheduling and many valued traditions because of changes made in a college basketball tournament, and that we should use NCAA Division I facilities less or not at all, if necessary, to continue with our current schedules.
Nevertheless, the fact of these discussions and the potential for changes might cause leagues and local schools to delay in finalizing 2018-19 schedules and officials assignments.