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.”
The One Thing
June 17, 2016
“If funding were not an issue, what’s the one thing you would do at the MHSAA?”
That’s the question posed late last month by a candidate for employment at the MHSAA; and I answered without any hesitancy.
I would require and pay for both initial and continuing education of all coaches, both high school and junior high/middle school, head coaches and assistants, paid and volunteer. It would occur mostly face to face, and it would be intentional in its conveyance of the meaning of educational athletics and the definition of success in school-sponsored sports.
The coach is the front line in the delivery of the core values of educational athletics and the immediate and lifetime benefits of school sports participation. More than any other person, coaches can change students’ lives and they can create a culture in their program that changes the attitudes of parents toward youth sports and the attitudes of spectators toward officials.
The well-trained coach, the purposefully trained coach, not only gives the student a better experience, that coach also gives parents a reality check and helps give officials a more sportsmanlike atmosphere in which to work. Well-trained coaches enhance almost every aspect of the school sports experience – improving participant safety and promoting a lifetime of healthy habits; teaching and demanding good sportsmanship that evolves toward good citizenship; promoting teamwork, hard work, fair play, respect for rules and others.
Delivering with purpose and passion initial and ongoing education that is research-based, student-focused and required of all interscholastic coaches, is best for kids and for the future of school sports in Michigan. And it would contribute mightily to the quality of our schools and communities.
Over the past decade, approximately 20,000 individuals have completed one or more levels of the MHSAA Coaches Advancement Program (CAP). The goal should be 20,000 coaches through multiple levels of CAP each year. That’s the one thing the MHSAA should do.