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.”
Why Not National Events?
October 7, 2016
The constituent groups of the National Federation of State High School Associations are engaged in a deliberate discussion of the merits of conducting national high school sports championships. The topic has been raised and rejected by the National Federation membership multiple times over many years.
Support for such events is infrequently merit-based and more often found where political pressures have assaulted policies that have prohibited schools from participation in national tournaments by school teams and students representing schools. Opposition is based in both philosophical and practical concerns.
Proponents of national tournaments say such events will provide a platform to promote education-based athletic programs, but what we would often see – teams full of transfer students missing a lot of school – would undermine any positive promotional message. We would be saying one thing but doing another.
While more promotion of what we believe in might be nice, opponents believe national tournaments would worsen everyday problems and especially the most unsavory problems of school sports, namely undue influence and athletic-related transfers.
Opponents see national events as symptomatic of the "select the best and forget the rest" virus that is infecting much of youth sports that is neither school-sponsored nor student-centered. They see national events as causing school sports to move from ally to adversary of schools' educational mission. They see more loss of classroom instructional time, more travel, more costs and more local fundraising that saps community resources. They see the rich getting richer ... more for a few "haves" and less for most others, and nothing for the "have nots."
With each state having made its own decisions regarding when sports seasons will occur, many opponents wonder how any national tournament can serve the wide variety of seasons in place. Some sports that occur in the fall in one state are conducted in the winter or spring in other states. Even when sports occur in the same season in two states, the seasons may start and end two, three or four weeks differently. Do we really want our programs to place even more pressure on kids and coaches to specialize in a single sport year-around?
With each state having made its own decisions regarding the maximum number of contests, who is going decide what the national rule will be? Will it be the 18 games of one state or the 36 games of another? With each state having made its own decisions regarding age rules and transfer rules and out-of-season coaching rules, who is going to make and enforce these and all the other rules that must apply to all to assure the competition is fair?
And with four Michigan High School Athletic Association champions in most sports, which do we choose to represent our state? Do we really need to demean the champions of three classifications or divisions by advancing the fourth? Do we want our state finals to be the qualification for another level, or the ultimate experience for MHSAA member schools and students?