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.”
Lost Leaders
April 12, 2016
What’s the greatest threat to the future of school sports? It’s not concussions, for school sports are actually more safe each year, not less. It’s not a lack of civility, for our events are still the most sportsmanlike of any highly competitive sports program. It’s not cost, for school sports remain the cheapest form of organized sports to play and to watch.
Actually, the greatest threat to the future of school sports is from the self-inflicted wounds by local school district boards of education. The decisions to devalue the local high school athletic administrator. Heaping more and more duties on a person who is being given less and less time, training and support to perform those duties.
The full-time athletic administrator, with support for clerical duties and event supervision and without many other duties added on, is an increasingly rare situation in schools today. And when that person retires, moves up or otherwise moves on, it is typical that the replacement is less experienced, given even more unrelated duties to perform, and given less time in which to do them.
It’s then that the athletic director looks to coaches to run their own programs; and when the school coach is a nonfaculty person, this is a delegation of school sports to a non-school person.
Is it any wonder then that philosophies suffer, policies are ignored and problems occur?
Is it any wonder then that people who see no difference between the philosophies of school and non-school sports question why schools should spend any time at all on this aspect of adolescent development? They become all too ready to leave sports to the community.
Every shortcut to school sports administration has a consequence. Every dollar we try to squeeze from the school sports budget has a hidden higher cost. Every non-athletic duty we add to the athletic director’s day is another step closer to schools without sports.
And the secondary schools admired by the rest of the world will become ordinary.