![](/sites/default/files/imported/DirectorSig2H.jpg)
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.”
![](/sites/default/files/imported/DirectorSig2H.jpg)
Big Ten TV
November 11, 2016
The Big Ten Conference likes to say it "appreciates" high school football within its footprint; but the evidence is otherwise.
First, in 2010 the Big Ten adopted a "bye week" to stretch its scheduling that pushed the final game of the Big Ten regular season – with its great rivalries, including Michigan v. Ohio State – to the day on which the high school Football Finals have been scheduled in Michigan for more than three decades. A periodic problem became an every-year plague.
Now the Big Ten has announced it will play and televise games on Friday nights; and in its first year of this new deal, Michigan State will play at Northwestern in a televised game on Friday night, Oct. 27 – the first night of the MHSAA Football Playoffs all across our state.
So, in 2017 we can thank the Big Ten for damaging the first as well as the last weekend of our high school Football Playoffs.
The Big Ten's reaction? "We are only playing six games on Friday nights. It could have been much worse."
I expect it will get worse. The greed of college sports knows no limits.