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.”
Tracking Transfers
August 16, 2016
The number of requests to waive rules by Michigan High School Athletic Association school administrators to the MHSAA Executive Committee during the 2015-16 school year dropped to the lowest total since the 2006-07 school year, and the percentage of approved requests exceeded 80 percent for the first time in decades.
Of 453 requests for waiver, 381 (84%) were approved during the Executive Committee’s 12 meetings from August 2015 through June 2016.
As always, requests to waive the transfer rule dominated. There were 291 requests, of which 224 were approved (77%). That’s the first time there were fewer than 300 transfer waiver requests since the 2006-07 school year.
Across the U.S., transfers persist as the most popular and prickly eligibility issue of school sports, especially in states with open enrollment/school of choice. While certainly a greater plague in more populated areas where several schools are often in close proximity, this problem knows no economic boundaries – students bounce from home to home in disadvantaged communities and wealthier parents leverage their advantages to buy homes where they desire their children to be schooled.
While still a very small percentage of all transfer students, high profile athletic-related transfers get headlines and, too often, their new teams grab trophies that elude schools which play by both the letter and the spirit of transfer rules.
Mishandling transfers is still the No. 1 cause of forfeitures in Michigan high school sports. Increasing mobility and the messiness of marital relations keep students on the move, and keep athletic administrators on their toes. Vetting all new students, and getting all information before the new student gets in a game, is a high priority of the full-time professional athletic administrator, and it’s not something many part-time ADs can do.