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.”
Inner Life
November 25, 2016
Good reading here from Jody Redman, Associate Director of the Minnesota State High School League:
“The goal of interscholastic and youth sports is not to prepare students for a college scholarship or some professional career. It just doesn’t happen that often.
“Seventy-eight percent of youth who play sport will quit by the age of 12 because it just isn’t fun anymore and 97 percent of the students who go on to play at the high school level will have a terminal experience when they graduate. They will no longer play organized sports as they have throughout their youth experience.
“So what’s the point? Why do we play?
“We play to develop students into people with sound moral character that will prepare them for a life that recognizes the humanity of others, that is rich with empathy and compassion and develops in them the moral courage to stand up for what is right. When we only focus on physical skills and accomplishments we don’t give them the skills that will help them over the course of their lifetime, skills that will make the world a better place. We give them very little that has any real inherent value.
“It is time to give sports back to the children who play them. To focus on the true purpose of sports in our children’s lives. For this to happen, we have to establish a clear path, one that defines purpose, promotes values that are important to students and their community and defines success beyond winning.
“When we define success by the holistic development of our children into moral adults of character and compassion, then sports will regain its proper place in our families, schools and communities and most importantly, for the children who play them.”