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.”
More is Not Better
September 30, 2016
Michigan is generally considered the first state to conduct high school sports tournaments in different classifications based on the enrollment of participating schools, but the Michigan High School Athletic Association may be the last statewide high school organization you will ever hear say "More is better" when it comes to tournament classification. In fact, the MHSAA argues against the classification expansion virus that infects many other states.
While still far from the "Everyone gets a ribbon" philosophy of some youth sports programs, the number of classifications is increasing and the number of schools in each classification is decreasing in the state tournament structures of many states.
While media will opine that increasing classifications waters down the tournament, our arguments are more practical. For example, the more classifications a tournament has, the greater the distance teams must travel for early round games, which is expensive and time consuming for teams and fans alike.
While some people believe more classifications might enhance their favorite team's opportunity to taste success in tournament play, reducing the number of teams in each classification actually leads to more repeat champions, which reduces rather than increases tournament excitement and attendance.
The more classifications there are, the harder it is to find a single venue to host the finals of all the divisions and the less likely that all divisions will enjoy the same services and support. Media are spread thinner, leading to less coverage of tournaments. Audio and video networks find it impossible to cover multiple venues adequately.
The most efficient and economical tournament is a single-class format. Nevertheless, a format that serves a membership where some schools are 100 times larger than others requires separate classifications. But there is a point of very diminished benefits.