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.”

Scheduling Solution

September 27, 2016

One of our state's consistently best high school football programs needed a ninth game this season but could find no opponent within the state of Michigan. It was able to find a game with an equally prestigious football program in an adjacent state that was having the same problem – the "problem" of being such a formidable program year after year that other schools shied away from scheduling them.

Two different schools in two different states with two different football playoff formats and qualifying procedures, facing the same problem. 

This helps to demonstrate that it is not any particular football playoff system that is at the heart of high school football scheduling difficulties. Much more at fault is human nature. One could change the qualifying system or double the number of qualifiers so that even winless teams make the playoffs, and some schools would still refuse to schedule others, which would then have to travel out of state to complete their schedules.

The solution to football scheduling will have very little to do with expanding the playoff field or changing the qualifying criteria. It is only when the scheduling of varsity football games is removed from the local level and assigned to the MHSAA that all teams will play the opponents that are closest to them in enrollment and location. Hard to fathom that will ever occur. But then, no team would have to travel out of state, or even across the state, to complete a varsity football schedule.