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.”
Eight-Player Options
March 10, 2017
Put this in the category of “No good deed goes unpunished.”
In 2011, the MHSAA provided an additional playoff for Class D schools sponsoring 8-player football. This helped save football in some schools and helped return the game of football to other schools. But now that the number of 8-player programs has expanded from two dozen in 2011 to more than 60, there are complaints:
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Some complaints come out of a sense of entitlement that all final games in both the 8-player and 11-player tournament deserve to be played at Ford Field.
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Some complaints come from Class C schools whose enrollments are too large for the 8-player tournament. Class C schools which sponsor the 8-player game have no tournament at all in which to play, regardless of where the finals might be held.
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Some complaints come from Class D schools which protest any suggestion that Class C schools – even the smallest – be allowed to play in the 8-player tournament.
There are now three scenarios emerging as the most likely future for 8-player football:
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The original plan ... A five-week, 32-team tournament for Class D schools only, with the finals at a site to be determined, but probably not Ford Field.
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Alternative #1 ... Reduce the 11-player tournament to seven divisions and make Division 8 the 8-player tournament with 32 Class D teams in a five-week tournament, ending at Ford Field.
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Alternative #2 ... Conduct the 8-player tournament in two divisions of 16 Class D teams, competing in a four-week playoff ending in a double-header at the Superior Dome on the Saturday before Thanksgiving.
The pros and cons of these options are being widely discussed. Sometimes the discussions have a tone that is critical of the MHSAA, which comes from those who forget that it was the MHSAA itself which moved in 2011 to protect and promote football by adding the 8-player playoff tournament option for its smallest member schools. That Class D schools now feel entitled to the Ford Field opportunity and Class C schools want access to an 8-player tournament is not unexpected; but criticism of the MHSAA’s efforts is not deserved.