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.”
Representative Voices
April 4, 2017
The Michigan High School Athletic Association is governed by a Representative Council of 18 members and a designee of the State Superintendent of Public Instruction. It is important that this representative body actually be representative of the group it serves.
Of the 18 regular members of the Representative Council,
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16 have served as high school athletic directors, with an average tenure of 16.5 years. Eight have also served as junior high/middle school athletic directors, with an average tenure of 11.7 years.
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11 have served as high school assistant principals, averaging 6.2 years.
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5 have served as high school principals, averaging 6.4 years.
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3 have served as junior high/middle school principals, averaging 11.7 years.
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3 have served as superintendents or assistant superintendents, averaging 4.7 years.
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17 of the 18 have served as high school coaches, with an average tenure of 6.9 years. Seven have also served as middle school coaches, with an average tenure of 7.6 years.
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11 have been MHSAA registered officials. The average tenure has been 13.1 years, in an average of 2.1 sports.
To assure representation of both large and small schools in all parts of the state, the MHSAA Constitution requires that four Council members be elected from the Class A and B schools in four different geographic regions, and four be elected from Class C and D schools from those four geographic sections.
Five other Council members are elected by statewide votes, with two of those specifically designated persons serving junior high/middle schools, and one representing private and parochial schools. The public schools within the city of Detroit also have a representative.
To assure representation from females and minorities that might not occur through the election process, the MHSAA Constitution requires that the Council examine its makeup after each election and appoint up to a maximum of four persons at any one time to help address those deficiencies. The Council sometimes uses this appointment process to bring better representation to a part of the state that is underrepresented through the election process.
It goes almost without saying that nearly all of the Council members participated in competitive school sports and are the parents of participants in interscholastic athletics.
All in all, it’s a team with breadth and depth that touches most of the constituent bases of high school sports in Michigan.