![](/sites/default/files/imported/DirectorSig2H.jpg)
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.”
![](/sites/default/files/imported/DirectorSig2H.jpg)
Prep Prose
January 27, 2017
Mick McCabe retired in December after almost five full decades at the Detroit Free Press.
When Mick agreed with me, he did so boldly. When he disagreed, he sometimes did so brutally.
He was at his best, and did most for school sports in Michigan, when he told the stories of coaches and athletes in the cities, suburbs and small towns all across our state. Especially when he told the stories of those who would never coach or play a game beyond the high school level. Especially when he found and focused on an unknown person in a low-profile sport who raised our spirits by reminding us of how good educational athletics can be.
Mick may have written more words about high school sports in Michigan than any person ever. And that's saying a lot when one remembers Jack Moss and Bob Gross and Bob Becker and Jane Bos and Del Newell and Cindy Fairfield and a dozen other retired sports writers in our state whose substantial bodies of work promoted prep sports.
School sports usually has been well-served by such media professionals who were allowed by their industry to take the time necessary to know the people and the policies that served school sports, and were allowed the space to develop stories that went beyond headlines, tweets and texts, with fuller facts and closer truth than is the norm today.