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.”
Our Open Tournament
April 15, 2016
One of the criticisms we hear as a result of not seeding the MHSAA Girls and Boys Basketball Tournaments is that it doesn’t allow the best teams to avoid one another until later rounds of the tournament and often leads to anticlimactic Semifinal and Final games.
But, after spending thousands of hours and perhaps a million dollars to seed its Division I men’s basketball tournament, the NCAA had a 17-point mismatch when a No. 10 seed met a No. 1 seed in one national semifinal and a 44-point blowout between a pair of so-called No. 2 seeds in the other national semifinal.
Seeding is such an imperfect art, and teams can play so unpredictably from one day to the next in a one-and-done tournament, that seeding is more of a publicity stunt than it is a science on which to structure a tournament.
To send a team and its fans packing to distant venues on the basis of its winning percentage and margins of victory relative to other teams is not responsible policy at the high school level. It could be unsound fiscally and unsound educationally.
Our high schools enjoy a format that allows every high school entry into the MHSAA’s postseason tournament every year. If we were to limit our tournament to only 68 teams like the NCAA, seeding might be more practical. But as long as we accommodate 750 high schools in our Boys Basketball Tournament and 750 in our Girls Basketball Tournament, geographical districts with blind draws may be most appropriate.
The NCAA tournament, like so much of major college sports, caters to the few and most fortunate; so maybe seeding is good in that environment. But our high school basketball tournaments are open to all schools, and they require we make different decisions to serve those schools.