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.”
The Measure of Success
February 17, 2017
In January of 2016, my counterparts in the statewide high school associations across the U.S. came together for about nine hours of professionally facilitated discussion.
We were challenged to tell our story, to say what we believe about high school sports and describe the values of educational athletics. We worked together to craft the narrative of school sports, the message of educational athletics and the meaning – the “why” of our work.
We were challenged to clarify what success means in school-sponsored sports – to distinguish our definition of success from that of sports on all other levels by all other sponsors.
On Jan. 11 of this year, during the meeting of the Classification Committee of the Michigan High School Athletic Association, one of the committee members – an active coach and athletic director – chastised and inspired us. He said (and I paraphrase):
“We spend so much time on MHSAA tournaments when that experience can be just one month or one week or one day. Half the teams are eliminated in their first day of the baseball, basketball, softball, soccer, volleyball and other MHSAA tournaments.
“We need to move our focus from MHSAA tournaments to the regular season, to the 9- or 18-game regular season, and to the 100 to 200 practices that occur over three or four months of each season.”
The Classification Committee was discussing the future of 8-player football and the effect of its growth on the 11-player game. He said:
“It doesn’t matter if it’s 11-player, 8-player or any other number. The values don’t change. The lessons aren’t altered. The purpose isn’t modified. In everything, we are helping young people become better adults.”
That’s how we measure success.