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.”
Seeding Discontent
January 3, 2017
We have heard for years that the Michigan High School Athletic Association Football Playoffs have created scheduling problems for schools and have caused the demise of leagues, no matter how many times the playoffs expanded – from 16 schools in 1975 to 256 schools today (plus 16 more in the 8-player tournament). Many other states with a variety of other football playoff formats report similar stresses on their member schools.
The inability of weaker teams to compete within a league and the difficulty that stronger teams face to find willing opponents to complete a nine-game regular season schedule are not uncommon for varsity football in Michigan, but are problems rarely experienced in basketball.
That could change if seeding based on wins and strength of schedule comes to MHSAA Basketball Tournaments.
With an easier road to District and Regional titles gifted to higher seeded teams, coaches will want a regular season schedule that is difficult but not too difficult. They will seek a league that is tough, but not too tough. This is the recipe for scheduling headaches. Strong schools will have difficulty finding a full schedule of games, while weaker or simply smaller schools will have difficulty finding a league.
Fearing blemishes on the regular season win/loss records, coaches will delay playing substitutes and avoid sitting out or suspending good players who are bad actors. Every eligibility snafu leading to forfeit will carry tournament seeding consequences. The temptation to hide ineligibilities and the inclination to fight forfeits, not infrequent in football, will come to basketball.
Developing a seeding plan is not at all difficult, but living with one could be.