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.”
Turnover
October 21, 2016
Turnover in local leadership is one of the biggest challenges facing all of youth sports, and it’s partly responsible for the disconnect between the policies of state or national sports organizations and the actual practices of local programs. It is beginning to occur almost as rapidly in school sports as non-school youth sports programs, eroding yet another advantage that school-sponsored programs have enjoyed over non-school programs (other examples being that participation in school sports has generally been less expensive for families, and school coaches more often have been trained educators).
Turnover not only challenges local schools, it causes, or at least contributes to, many of the challenges the Michigan High School Athletic Association faces – everything from administering the transfer rule to conducting District and Regional tournaments.
One of every seven MHSAA member high schools has an athletic director this year who has not served in that role for at least the past five years. Each of these 108 new ADs attended a required orientation program at the MHSAA office in late summer. We provide a follow-up program in November.
More than 80 athletic department administrative assistants or secretaries attended a session at the MHSAA office in September. MHSAA staff conducts a second session for this appreciative audience every March during the Michigan Interscholastic Athletic Administrators Association conference in Traverse City.
MHSAA Athletic Director In-Service programs are conducted at several league meetings during late summer and in conjunction with most MHSAA Update meetings across the state during September and October. Attendance will exceed 500 persons.
Given the increasing complexity of life and the effect on school sports, more needs to be done. Our next efforts may include quick electronic tutorials to help coaches, athletic directors, principals and superintendents keep abreast of what is most important in school-sponsored, student-centered sports.