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.”
Why
August 5, 2016
Yesterday began my 31st year as executive director of the Michigan High School Athletic Association. When I was asked recently why I’ve served so long, I answered, “Actually, ‘why’ is the reason.”
What we do in school sports is important. How we do it is even more important. But why we do it is most important. And, to quote the last line of the last workshop speaker I heard on July 2 at the 97th Annual Meeting of the National Federation of State High School Associations, “The ‘why’ of our work is an incredible gift we’ve been given.”
The why of our work is the map that connects the dots between all that we do – all the policies, procedures and programs of competitive school-sponsored sports. The why of our work is the gravitational force that keeps what we do and how we do it grounded in the core beliefs of interscholastic athletics – healthy, amateur, local, inexpensive and inclusive programs that benefit students, schools and communities.
The why of our work sees what we do and how we do it as necessary for helping young people learn skills for life as much as skills for sports. The why of our work sees lifetime lessons available in both victory and defeat, and at both the varsity and subvarsity levels. The why of our work sees good sportsmanship not merely as an enhancement of our games but also as a precursor to citizenship in our communities.
When we begin our planning with why, then what we do and how we do it will more likely inspire and motivate others, and keep us in the game long after others have retired.
(Turns out that these ideas aren’t original. Simon Sinek lays out the “Why” premise in one of the top-viewed TED talks of all time. While the NFHS conference speaker was my inspiration, clearly Simon Sinek was his.)