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.”
MHSAA Membership
May 9, 2016
May is the month that begins membership renewal in the Michigan High School Athletic Association, when the 2016-17 Membership Resolution is mailed to school districts across the state.
New for 2016-17 is that schools may join the MHSAA at the 6th-grade level and up (not 7th). This change, resulting from a 561 to 87 vote by member school principals last October, has three obvious benefits:
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Makes it easier for small schools to include 6th-graders in their counts and on their 7th- and 8th-grade teams.
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Makes it easier for districts where 6th-graders are in buildings with 7th- and 8th-graders to participate on those junior high/middle school teams.
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Allows all districts, but requires no districts, to provide athletic opportunities for 6th-graders under the auspices of the MHSAA (on separate teams or with 7th- and 8th-graders).
Membership in the MHSAA is optional. It is a choice schools make through their local governing boards. Schools may conduct a comprehensive program of interscholastic athletics and may participate against MHSAA member schools in regular-season competition without joining the MHSAA.
Membership in the MHSAA is free of charge. There are no membership dues. While MHSAA tournaments are limited to MHSAA member high schools in good standing, there are no tournament entry fees for qualifying schools. Catastrophic Accident Medical Insurance and Concussion Care Insurance is purchased by the MHSAA and provided free of charge to all eligible student-athletes in grades 6 through 12. It applies to all levels of MHSAA sports in both practice and competition.
The expectations of member schools include:
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Educating student-athletes, staff and other involved personnel about MHSAA rules and procedures.
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Monitoring compliance year-around.
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Investigating possible violations and reporting findings.
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Administering penalties.