Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”

Secret Weapon

October 25, 2016

The rapid rate of turnover in the ranks of local school sports leadership might suggest a program that is in disarray and has lost its way. But that’s not the case most of the time in most of our schools, which operate with a North Star sense of direction and regular recall of the core values of educational athletics. This is because school sports has a secret weapon.

In schools across this state there are coaches and administrators whose lifetime profession and passion has been school sports. People who chose to stick with sports when there were other opportunities in education with more regular, less demanding hours. People who chose to stay at the secondary school level when there were opportunities at higher levels. These folks are sold out for school sports, and they are the secret weapon of school sports.

For these people, school sports has been the life-affirming, life-shaping, sometimes even life-saving business of educational athletics.

For these people, school sports has been a calling, nearly a mission, not quite a crusade.

For these people, everything they do is connected, is intentional, is purposeful.

When these people conduct a coach or parent meeting, or a pep assembly or a postseason awards night, they know why they are doing so.

When these people coordinate homecoming week festivities or create their school’s student-athlete advisory council or its Hall of Fame, they know why they are doing so.

It’s because they know interscholastic athletic programs are good for students, schools and society in ways that other youth sports programs can’t come close to matching.

The why of their work guides them and drives them. It gives meaning and motivation to their days. It assures our success.