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.”
MHSAA Tournament Sports
April 25, 2017
It is far from a rare occasion that the Michigan High School Athletic Association receives correspondence from a constituent – and most frequently from students – to provide an MHSAA-sponsored and conducted tournament for a sport they love, but which is not yet among the 14 sports for girls and 14 for boys which the MHSAA currently serves and supports with a statewide tournament.
The most recent additions to MHSAA tournament sports were boys and girls bowling and boys and girls lacrosse tournaments during the 2004-05 school year. In each case the MHSAA joined a small list of states with tournaments in those sports and quickly became one of the leading states in terms of the number of sponsoring schools and participating students, even as the sports spread to an increasing number of states across the U.S.
In neither case has the assimilation of the sport been problem-free. Lacrosse has struggled with travel limitations, and bowling with rules related to amateur status. Lacrosse has experienced issues related to game officials, and bowling has had to overcome venue challenges.
At the end of each school year the MHSAA asks its member high schools to report what sports they officially sponsored on a competitive interscholastic basis and how many students participated. This is one of the indicators of what might be added next to the lineup of MHSAA tournament sports. The most popular non-MHSAA tournament sports on last year’s survey (2015-16) were as follows:
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For girls . . . |
For boys . . . |
MHSAA policy advises the Representative Council to consider serving and supporting sports that are sponsored by 64 or more member high schools. It’s always a two-way street. Do those involved in the sport desire an MHSAA tournament and all the services and restraints that entails, and does the Representative Council believe the MHSAA can provide unique and necessary guidance and assistance? That mutual agreement occurred with bowling and lacrosse; it did not occur with equestrian; and there have been no conversations as yet regarding weightlifting.
We know that MHSAA tournament sponsorship gives a sport a bump – it leads to more schools sponsoring the sport. We know that students benefit – and with that, so does society – when schools provide a broad array of sports with which to engage students. But we also know there are limits – time, money, facilities, personnel – which are local realities that moderate our idealism.