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.”
5 Questions for 8-Player Football
April 10, 2017
The 2017 8-Player Football Playoffs will be conducted over four weeks in two divisions of 16 teams each for the 60-plus teams sponsored by Michigan High School Athletic Association Class D schools.
That much was decided by the MHSAA Representative Council on March 24.
There are five questions (at least) that the Council still must answer:
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How should teams qualify? Since the first 8-player tournament in 2011, teams have qualified by playoff point averages – the 16 highest qualified for the tournament. Should this be changed to a system of automatic qualifiers on the basis of wins, plus additional qualifiers on the basis of playoff points to complete the field – like the 11-player tournament operates?
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When should divisions be determined? Should it be in late March when division breaks for other “equal divisions” tournaments are set? Or should divisions be determined nearer the start of the season – say, September 1 – so all late additions, deletions, and cooperative program changes can be factored in before the two divisions, based on enrollment, are determined?
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Where will the championship games be played? Should the Council designate a doubleheader at the Superior Dome in Marquette so the MHSAA can focus all its resources on one climate-controlled facility? Or should two sites be designated now (perhaps the Superior Dome in Marquette and Legacy Field in Greenville), and the specific games and times assigned as the playoffs progress in an attempt to reduce travel times for teams and spectators?
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Should the maximum enrollment for the 8-player tournament be the moving target of the Class D maximum (203 in 2017) or a fixed number – for example, 215, the Class D maximum in 2011 when the 8-player tournament began? This decision could be deferred to the Council’s meeting in December.
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Should there be a “grace period” for schools that are eligible for the 8-player tournament one year but have enrollments that exceed the 8-player limit the next year – for example, eligible only the following year and only if the enrollment does not exceed the 8-player enrollment limit by more than 12 students? This decision could also be delayed to the December meeting of the Council.
As our excitement builds for the expanded 8-player tournament, so do the questions.