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.”
Site Lines
April 17, 2017
It appears that everyone is talking about where the championship rounds of the Michigan High School Athletic Association basketball tournaments should be played.
This has become a topic because our traditional site, Michigan State University’s Breslin Student Events Center, is not available to host the Semifinals and Finals of the girls tournament in 2018 and 2020 or the boys tournament in 2019, in both cases because the facility must remain open for MSU’s women’s basketball team should it earn the privilege of hosting first and second round games of the NCAA Division I Women’s Basketball Tournament.
It is important that the people listening know that most of the people talking have little knowledge of what facilities are actually available in 2018 and beyond.
For example, The Palace of Auburn Hills, Little Caesars Arena in Detroit and Van Andel Arena are not available in 2018, nor is a sentimental favorite for the girls tournament, Central Michigan University.
By mid-May, the MHSAA will have announced decisions for 2018, and likely for that one year only. Between now and the end of 2017, the MHSAA will be evaluating site options for both tournaments, boys and girls, as well as potential scheduling changes for both the regular season and MHSAA tournaments that could alter what facilities are needed and when. This could increase opportunities to use NCAA Division I institutions, and/or this could reduce or eliminate the need for those facilities.
It would be unfortunate if we turn ourselves inside-out and upside-down to avoid NCAA conflicts. Some of the scheduling scenarios being studied would seriously stress District and Regional tournament sites and management as well as overwork the ranks of our tournament-ready basketball officials. Other scheduling scenarios would adversely affect other winter sports or increase overlap with fall sports or spring sports. We need to move carefully, and with broad consensus.
There is a desire to host the championships of the girls and boys tournaments at the same venue, but there is no legal obligation to do so. There is a desire to build on traditions established at Michigan State University, but conflicts and costs make that unlikely to continue. There is a desire to please everyone, but that won’t happen.