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.”
The National Anthem
November 1, 2016
The National Anthem has been in the news this fall ... across the nation when players have demonstrated discontent during its playing at sporting events ... in Michigan over administrators' decisions about how frequently it was played when multiple sporting events were at the same venue on the same day or night.
Frankly, my biggest complaint is not about peaceful demonstrations of deeply felt feelings. And my complaint is not about game management determinations to have the National Anthem played or performed just once when there is a JV and varsity double-header at a site.
In fact, I welcome those debates, because at least it causes people to think. For my biggest complaint for many years has been the lack of thought that goes into most occasions when the National Anthem is a part of sporting events. How casual we often are. The National Anthem is so frequent and routine at most high school events that, sometimes, spectators barely notice.
I don't mind that most spectators don't sing the National Anthem – it's an almost un-singable song. And the words – glorifying war – are hardly what I'd like recited at sporting events, which too often are stupidly equated with war.
What I do mind is forgetfulness, both of the sacrifices that have secured this free country and of the toleration for freedom of expression that our secured freedom protects.