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.”
“Just A Spectator”
July 6, 2016
I have often employed one of two strategies for my attendance at MHSAA tournaments.
The one I have used least frequently is to stand where spectators enter and welcome them or, after the events, position myself at exits and thank spectators for attending. I’m an introvert, so this doesn’t come naturally and I don’t do this often, even though I’m gratified by receiving a “Thank You” from nearly every spectator who responds.
The strategy I have used more often is to be “just a spectator” – to stand in line to purchase a ticket, find my unreserved seat and listen to the people around me – folks I don’t know and who don’t know me. I’m more comfortable with this anonymous undercover approach, and I tend to learn more.
I learn that there is a general appreciation for the differences between school-sponsored sports and sports on all other levels by all other sponsors.
The spectators appreciate the inexpensive admission prices, but they complain about the cost of concessions at the college and professional venues in comparison to the school venues which host MHSAA tournaments.
I see that, generally, girls compete with more obvious joy than boys. I see that injuries are few; but, when they occur, they are taken seriously and attended to professionally. I see that the players exhibit better sportsmanship than anyone else at the venue.
The spectators expect and generally accept that mistakes will be made – by players, coaches and officials. They are hardest on officials; but many parents are hard on players, coaches and officials alike. I find this the most discouraging aspect of attending high school athletic events, which otherwise re-energizes me for the MHSAA’s work.
And I see that the MHSAA has much work to do, and that our work of the past several years to enhance the spectator experience is important, and that our work is far from finished – not just at our most high profile finals, but also (maybe especially) at lower profile championships and earlier round tournaments of many sports. This is a priority for which the MHSAA is getting more help in 2016-17 – engaging professional expertise to enhance our amateur events.