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.”
Cooperative Spirit
May 13, 2016
The 2016-17 school year will be the 29th since “cooperative programs” were first approved for MHSAA member high schools; and in that first year, it was but a modest step: two or more MHSAA member high schools whose combined enrollment did not exceed the maximum for a Class D school (then 297) could jointly sponsor a team. The intent, of course, was to help our very smallest member schools generate enough participants to have a viable program in one or more sports that was of interest to some of their students.
Over the years, the cooperative program concept has expanded to member schools of larger enrollment and to member junior high/middle schools. As of April 7, 2016, there were 260 cooperative programs at the high school level involving 450 teams, as well as 88 cooperative programs at the junior high/middle school level for 331 teams.
During the 2016-17 school year, there will be two new opportunities for MHSAA member schools to consider with respect to cooperative programs.
First, cooperative programs will be an explicitly stated option at the subvarsity level in any sport.
Second, maximum enrollments have been eliminated to help public multi-high-school districts start and complete competitive seasons in communities that have struggled to sustain programs in baseball, bowling, girls competitive cheer, cross country, golf, soccer, girls softball, tennis and wrestling. This is a three-year experiment.
It is declining enrollment more than a desire to save money that the MHSAA Executive Committee looks for when approving cooperative programs. Combining enrollments to create new or preserve existing programs is the intent; co-oping to reduce expenditures is not.