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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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Locker Room Talk
November 4, 2016
I am greatly offended that politicians and pundits dragged sports into the trash pile of the 2016 presidential campaign.
The vulgar, victimizing language we heard from a presidential candidate in a 10-year-old recording is NOT “locker room talk.” It is far worse than anything I ever heard in any locker room I was a part of as either player or coach.
In fact, the expectation I had of school sports was that such talk would have caused coaches to disqualify the players involved or, if not, such talk would have caused administrators to dismiss the coaches in charge.
School sports locker rooms – like the fields, courts, pools, mats and other venues of play – are classrooms. While the volume may be turned up, in educational athletics, the content and vocabulary of the locker room must match the classroom. Anything less is unacceptable in the locker rooms of school-sponsored sports, and it ought to be unacceptable to the fans in the stands, people on the street and candidates for public office.