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.”
Secret Sauce
April 19, 2016
The MHSAA has appointed a task force to meet throughout 2016 to develop strategies to promote multi-sport participation by student-athletes. In that spirit I have departed from tradition and will be identifying current students by name in this space, approximately once each month, who are the Superstars of Multi-Sport Participation.
Last month (March 11) it was Plainwell High School senior Jessica Nyberg. This month’s “Superstar” is Saugatuck High School junior Blake Dunn, who is on course to earn 16 high school letters ... four years of four sports.
My first thought was that maybe four sports each school year is too many and might get in the way of academics. But Blake is carrying a 3.95 GPA so far; so he appears to have that priority in the right place.
My second thought was that he must be an abnormally large and gifted physical specimen. But no, Blake is a pretty normal 5-11, 180-pounder. It’s hard work that people have described as his secret sauce.
My third thought is that Blake is fortunate to have coaches who will accommodate his passions and be flexible with practice demands so that he can be a part of two teams at the same time during the spring and also during the inevitable overlap of seasons from fall to winter and winter to spring.
School sports is a team sport. It’s adults working together to allow students to learn and grow in a variety of activities. It’s placing adolescents’ needs above adults’ desires, which might be the secret sauce in promoting multi-sport participation.