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.”
Why They Don’t Officiate Anymore
December 16, 2016
Several years ago, the Michigan High School Athletic Association produced a series of radio and television spots in which MHSAA registered officials explain why they officiate. For the third time in the past 12 years (2004, 2012, 2016), the MHSAA conducted an extensive survey of former MHSAA officials to identify the reasons individuals have left the avocation of high school officiating.
From the 1,065 responses to the 2016 survey, it is demonstrated that career and job changes continue to be the top reason why individuals leave officiating. This has been the No. 1 reason in all three surveys.
Local association politics was again the No. 2 reason, which was the same second place reason in 2012. However, in the 2004 survey results, local association politics was sixth. This illuminates the reality that over the past 12 years there has been a significant shift from local schools hiring officials to using assigners in many, if not all, sports. The concerns are not so much with the association itself (training, recruiting, retaining) but with the assigning dynamic within the association or local area. Many recent MHSAA policy changes and most MHSAA in-service training have focused directly on assigners, and this survey confirms that this must continue and expand.
The next three most common reasons for leaving MHSAA officiating continue to be lack of sportsmanship by coaches, lack of sportsmanship by spectators, and low game compensation. The sportsmanship concerns from these adults must be continually addressed by all MHSAA constituent groups to improve the working conditions for officials.
The MHSAA increased tournament officiating fees at the start of the 2016-17 school year, and many local leagues and conferences have done the same. The reality is that many leagues and conferences are still playing “catch up” from the long fee freezes in the late 2000s and early 2010s when Michigan schools were in historically bad financial shape.
A significant reason to leave officiating seen in all three surveys is the official’s family situation. Many have indicated they left officiating due to time away from their spouse or children, or because of travel time or a family move. These reasons have been in the top 10 in all three surveys, and could have ranked higher had these individual questions been combined into one single category.
One troubling trend from the 2016 survey is that lack of sportsmanship by players was inside the top 10 (No. 7) for the first time since 2004. In 2012, this issue with students was No. 11. This may show that players are much more apt to argue, criticize or demonstratively disagree with calls than years ago.
(This posting was prepared with the assistance of MHSAA Assistant Director Mark Uyl.)