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.”
Summer Safety
July 23, 2018
(This blog first appeared on August 28, 2012.)
As we have been considering changes for in-season football practice rules that are more in step with recent recommendations of the National Athletic Trainers Association, the American Academy of Pediatrics and the National Federation of State High School Associations, as well as the actions of several of our counterpart state organizations across the U.S., we have also been looking at the rules that apply out of season to assure they do not work against the preparation of students for a safe experience.
Except during the school’s designated summer dead period of at least seven consecutive days, football coaches may interact with any number of players in voluntary weight training and conditioning sessions as frequently as they desire. Introduce footballs and helmets, and the coach can still work with any number of students on the sideline and up to seven players at a time for any number of days. Add competition, and the coach can still work with up to seven players at a time for a maximum of seven days. In addition, football coaches may participate for a maximum of 10 days at bona fide football camps where any number of their players are participating.
Plenty of time for coaches to teach, and even more time for players to train. During this time, the rules permit students to wear helmets, which protect against accidental collisions during drills; but the rules prohibit other pads that would allow activities to escalate to the point where contact is expected, leading to increased blows to the head at a time when the objective from the pros to Pop Warner is to reduce blows to the head.
When the brief preseason down time begins Aug. 1, the coach continues to be able to work with any number of players in conditioning and weight training. The down time prohibits those activities that could be a disguise for practice prior to the earliest allowed practice date – open gyms, camps, clinics and competition. The down time puts the emphasis where it’s most needed for a healthy student experience when practice actually begins: that’s weight training and conditioning.
Some critics may focus on what they can’t do in the summer; but clearly, there’s much they can do, and it’s all designed to help players improve and excel in a safe environment.