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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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Push Pause
May 2, 2017
For the past 15 months, the Michigan High School Athletic Association has focused more of its precious resources of time and money on these four priorities:
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Define and Defend Educational Athletics
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Promote Participant Health and Safety
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Serve and Support Junior High/Middle School Programs
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Recruit and Retain Contest Officials
These topics were brought into focus by making time for the MHSAA staff and Representative Council to pause from the frenetic pace of everyday duties to talk about constituents’ current needs and to think about the next big things that are just down the road and perhaps around a metaphorical corner.
It is time to ignore the tyranny of the urgent, push “pause,” and engage the MHSAA staff and Representative Council once again in a time of research into and reflection about the current and near-future needs and wants of the constituents they serve. This discussion could lead anywhere, but these topics will get things started:
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What’s next for kids that could/should involve us – e.g., Robotics? E-Games? Water Polo? Girls Field Hockey? Boys Volleyball? Girls Flag Football? Road Racing? Snowboarding? Weightlifting?
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What’s our role with respect to special programming for students with cognitive or physical disabilities?
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If given a windfall, how would we best spend $50,000? $250,000? $500,000?