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.”
It’s Not Where, But How
April 28, 2017
As happens from time to time, but too often, the urgent has crowded out the important for the Michigan High School Athletic Association this spring. For example ...
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A flooded soccer field at Michigan State University has forced relocation of the MHSAA Girls Soccer Finals in June.
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The extravagant demise of The Palace of Auburn Hills following the relocation of the Detroit Pistons to the new Little Caesars Arena in Detroit is forcing relocation of the 2018 MHSAA Individual Wrestling Finals.
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Lack of availability at MSU‘s Breslin Student Events Center on the dates of the three-day MHSAA Girls Basketball Semifinals and Finals in 2018 and boys championships in 2019 is forcing changes for those tournaments.
When, after countless hours of study and discussion, these and other venue changes are announced, they generate many media reports and considerable constituent comment – in fact, much more attention than two years ago when the MHSAA announced three actions that were unprecedented nationally to promote participant health and safety: mandated concussion reporting, free concussion care gap insurance, and two sideline concussion detection pilot programs.
Where MHSAA championships are staged is not inconsequential, but it is infinitely less important than how interscholastic athletic programs are conducted during practices and contests at the local level all season long.
When we are consumed with where we play, we divert valuable time and energy away from necessary attention to what we should be doing and how we should be doing it.