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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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The “Extra” Ingredient
December 20, 2016
Every meeting agenda of the Michigan High School Athletic Association Representative Council opens with the “Ten Basic Beliefs for Interscholastic Athletics in Michigan.” Here’s No. 1:
Interscholastic athletics were begun outside the school day and curriculum and remain there as voluntary, extracurricular programs in which qualifying students earn the privilege of participation.
There are those who prefer to substitute “co-curricular” for “extracurricular.” Their hearts are in the right place. They mean well; but they’re wrong.
Competitive interscholastic athletic programs can be educational without being part of the school’s curriculum. If sponsored by schools and conducted by schools, these programs must be a positive, educational experience. But these programs are outside the academic curriculum, and almost always outside the classroom day; and no student has the right to participate in these programs. It’s a privilege students earn by meeting standards of eligibility and conduct; and often these students have to compete to earn a spot on the team and playing time in contests.
Interscholastic athletic programs are important after-school activities that enrich the lives of participants. No student has the right to participate in these programs, but we are right to fight for the presentation of broad and deep interscholastic athletic programs in our schools.