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.”
Basketball Tournaments on the Move?
March 3, 2017
It is uncertain where the Michigan High School Athletic Association Boys and Girls Basketball Tournaments, currently at the Breslin Center of Michigan State University, will be conducted in 2018 and 2019; and after that, there are questions of when they will be conducted.
The most serious of several concerns is that MSU can no longer guarantee Breslin’s availability for the MHSAA Semifinals and Finals. This is the result of a change in the format of the NCAA Division I Women’s Basketball Tournament that assigns its 16 regionals to the top 16 seeded teams.
That schedule conflicts with the MHSAA Girls Basketball Semifinals and Finals in 2018 and 2020, and with the MHSAA Boys Basketball Semifinals and Finals in 2019.
In 2016, when MSU’s women’s basketball team was highly seeded, it had to travel to Mississippi State University because the MHSAA girls tournament was occupying Breslin. The contract that guarantees MHSAA priority ends with this year’s tournament, March 16-18.
The MHSAA is proceeding on two tracks. First, it has just distributed a “Request for Proposal” to MSU and other potential hosts for at least 2018 and 2019. There are options for venues to submit proposals for boys, girls or both.
Second, the MHSAA has begun what is likely to be a long discussion regarding dates. For example, if the girls season started and ended one week earlier, the NCAA conflict may not occur. However, this would likely require a one-week earlier end to the girls volleyball season in the fall, which some people have advocated but others are certain to oppose.
A flipside variation of this idea is to start and end boys basketball season two weeks earlier than is the case now, and to delay the start and end of girls basketball season by one week. This is a means of reducing the volleyball/basketball overlap for girls in November, and it would avoid that March weekend when the NCAA Division I women’s tournament can be a conflict.
Another option is to start the boys season one week earlier, extend the girls season one week later, and conduct the two tournaments simultaneously over four weeks – different days of the same weeks for Districts and Regionals; with Semifinals for both genders around the state on the weekend when the girls tournament has ended in the past; and then Finals for boys and girls at a single site on the Friday and Saturday when the boys tournament has traditionally ended.
Unless things change at the NCAA level, none of these models guarantees a schedule that is always free of conflicts with both the boys and girls MHSAA tournaments. Therefore, other innovative but possibly even more intrusive, changeable and tradition-breaking calendar adjustments could also be investigated that might provide a better long-term solution than merely changing venues.
Venue decisions are the responsibility of MHSAA management and should be made by early May. Calendar changes, if any, will be membership driven and may take more than 18 months to finalize.