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.”
Not Right for Us
March 7, 2017
The proposal to utilize KPI Rankings to seed the District and Regional rounds of the MHSAA Boys and Girls Basketball Tournaments should not be adopted by the Michigan High School Athletic Association.
This is no criticism of KPI Rankings per se, or of its creator who is assistant athletic director at Michigan State University; but it’s not the right thing to do for our statewide high school basketball tournaments.
The KPI rankings is one of a half-dozen means used by the NCAA to seed its Division I Men’s Basketball Tournament. But the proposal before us is that KPI rankings become the one and only system for seeding the MHSAA’s tournaments. There would be no other criteria and no human judgment.
The result would be seeding that misses important details, like which teams are hot and which are not at season end, and which teams have recently lost players to injuries or ineligibilities and which have had players return.
KPI ranks teams on a game-by-game basis by assigning a value to every game played. A loss to an opponent with a poor record is considered a “bad loss” and has a negative point value. A win over an opponent with a good record is considered a “good win” and earns a positive point value. Margin of victory is a factor.
This is a nice tool for the NCAA to use, along with a variety of other tools and considerations that its billion-dollar budget can accommodate, but none of which is proposed for seeding the MHSAA tournaments. KPI Rankings is not sufficient as the one-and-only seeding criterion for MHSAA tournaments.
Moreover, dependence on a seeding system owned by a single individual, who is outside the MHSAA office, and who has the potential to move from MSU to anywhere across the USA, is a poor business strategy.
If there is to be seeding, there are more appropriate ways to do it for the high school level. But first there needs to be clearer consensus that seeding is a good thing to do, philosophically and practically. In the MHSAA we do this sport by sport, and level by level. And the jury is still out for seeding in Michigan high school basketball.