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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.”
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Culture Wars
January 24, 2017
Our purpose in school sports is to help develop the whole child. That’s why we do not advocate that sports consume a child’s whole life.
We recognize that it’s not good to get too much of a good thing. Too many hours devoted to sports and too many months devoted to the same sport can lead to a life that is out of balance and unhealthy.
Unfortunately, every restriction we impose to protect children from such risks and to promote their good health is exploited by others. For example, by non-school club coaches that covet our kids. And by almost every convention and visitors bureau in the country that is sponsoring sports events to boost their local economy.
While we talk of balanced participation and a long-term approach that leads to a lifetime of physical activity, better health and reduced medical expenses, we are out-shouted by a culture that does not have the whole child in mind. Our frame of reference is helping to raise a healthy human being, which is challenged by a culture that is more intent on raising revenue from the athletic dreams and fantasies of children and their parents.