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.”
Tournament Scheduling
May 3, 2016
Scheduling of MHSAA tournaments in ways that minimize conflicts is a difficult task, made easier by following several principles, yet certain to be upsetting to some people.
Spring tournaments pose potential for more conflicts than fall or winter tournaments because of many school-year-ending activities that are important to students and parents – like graduations, proms, baccalaureates, honors banquets, open houses, etc.
The Michigan High School Athletic Association publishes a seven-year calendar of MHSAA tournament dates, first rounds through Finals, that provides schools and their constituents an early alert; and within most sports is a range of dates on which early round contests may be played so that hosts and participating schools can work out the best scheduling for the teams assigned to each site.
Those are two of the scheduling principles that guide the MHSAA – flexibility for the early rounds and firm dates set many years in advance for Finals.
Not only do these principles assist with avoiding all variety of local conflicts, they also assist with avoiding conflicts for students who participate in more than one sport during a single season. Schools can, and do, choose days and times that allow students to participate in the Districts of one sport tournament as well as the Finals of another. Not all conflicts are avoided, but most are.
Another principle that guides MHSAA scheduling is to minimize conflicts with the academic classroom day. While schools, students and parents often make choices that seem contrary to this principle, the MHSAA works harder to avoid academic conflicts than any other conflicts, including social or religious or ceremonial. This is, after all, educational athletics; and one of our core values is to support – not conflict with – the academic mission of member schools.
Not only does the MHSAA publicize its tournament dates seven years in advance, the MHSAA also identifies six to nine months in advance potential conflicts between MHSAA tournament dates and anticipated standardized testing dates, and publicizes the alternative dates for students to complete those tests.
The MHSAA is sponsoring nearly 2,000 tournaments during the 2015-16 school year. Some tournaments will conflict with other activities for some of the nearly 300,000 participants in those events – regretfully, but unavoidably and understandably.