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.”
Teachable Moments
April 1, 2017
Winter tournaments have ended and, weather permitting, spring sports are underway in Michigan junior high/middle schools and high schools.
We usually think of these programs as opportunities for kids to shine; and that they do provide. But more important are the opportunities these programs provide for kids to stub their toes.
In fact, one of the principal purposes of a competitive interscholastic athletic program is to provide a place for students to make mistakes in a safe and supportive environment.
People most often learn more from their mistakes than their successes. Failure leads to more useful reflection than success. Getting knocked down (either physically or metaphorically), but getting up, gathering yourself and trying again with awareness of what did not work the first time, is a learning process as profound as it is efficient.
The principal purpose of school sports is to help young people learn life lessons. The more ways schools can facilitate failure and lift up the abundant lessons imbedded in those moments, the better they fulfill the mission of student-centered, school-sponsored competitive athletics.