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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.”
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Choices & Voices
September 16, 2016
How should a statewide high school athletic association operate?
In a general sense, it should give choices and voices to its membership. It should describe possible solutions to problems that face school sports, and it should provide a forum for members to express their opinions.
As we embark on the 39th year of Michigan High School Athletic Association Update meetings across the state, and 28th year of Athletic Director In-Service programs at many venues, our purpose is to enable this engagement through presentations, discussions, straw polls and formal surveys.
The top topics will again be those that are most important to the fabric and future of school-sponsored sports, even if they are not the fad of the day or the fetish of media. These are:
- Defining & Defending Educational Athletics
- Promoting & Protecting Participant Health
- Serving & Supporting Junior High/Middle School Programs
- Recruiting & Retaining Contest Officials