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 So Great
February 7, 2017
The Michigan High School Athletic Association leadership can sometimes be like the leadership of the United States of America. We can boast a bit too boldly about how great we are.
That's why a trip to Europe, most recently for me to the country of Spain, can be a humbling reminder that no matter how good we may seem to be regarding some things, there is very much room for improvement on others.
The USA is a leader in many ways, but a distant laggard when it comes to community place-making and the quality of our roads and bridges and mass transportation systems. The USA is embarrassingly behind the needs and times in these important ways of improving life for millions of its citizens.
This obvious observation begs for consideration of ways and means the MHSAA may lag behind its counterpart organizations in serving and supporting school-sponsored sports. And these are the two most obvious observations:
We trail the nation's most progressive states with respect to requirements to coach and a few other most progressive states with respect to requirements to officiate.
It was no huge surprise that the 2016 MHSAA Update Meeting Opinion Poll demonstrated that attendees were more supportive of proposals to change those rules than any other policies or procedures of the organization.
The most popular proposal surveyed was a requirement that high school coaches who are disqualified from a contest more than once in a season must complete a free online sportsmanship course before they may return to coaching ... 94 percent of 602 respondents favored that policy.
The second most popular proposal surveyed would require all head coaches at the junior high/middle school level to have a valid (current) certification in CPR (same as the rule for high schools) ... 80 percent of 593 respondents favored that.
And the third most popular proposal surveyed would require an MHSAA registered official to attend an MHSAA-conducted or approved camp or clinic (three-hour minimum duration) during the first three years before that official may renew registration for a fourth year ... 75 percent of 601 respondents were in favor.
There are some obvious flaws in these requirements as stated on the Opinion Poll, and the respondents tend to come from larger schools and under-represent the opinion of small school administrators; but the responses of constituents are valuable nevertheless because they indicate a general direction that respondents believe is necessary to improve school sports, or at least to keep pace with the changing needs.