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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.”
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Political Fallout
April 22, 2016
It has been my long-held belief that there is a link between the quality of sportsmanship in our schools and the quality of citizenship in our society ... that if we made our games more respectful, society would tend to be more civil.
I’ve held this belief even though I’ve watched deteriorating standards of behavior in almost all aspects of society drag down the standards we’ve raised up for school sports. And frankly, I’ve admired that the standards of school sports have declined so little in comparison to the standards of society that have plummeted so far.
But now I read that the lack of decorum in this year’s presidential campaign has infected conduct at school sports events in at least three states, two of which border Michigan.
Student spectators would not shout chants about building walls to keep immigrants out of America if politicians had not created such slogans and campaigned on such themes.
Shallow, spiteful politics is doing deep damage to America, even to school sports. Of course, our coaches and administrators will attempt to use these ugly incidents as teachable moments.
But why should they have to? Why can’t those who claim they should lead the nation act like leaders? Why can’t they try to lead us to a higher level of humanity instead of inviting us to such hurtful or even hateful behavior?