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.”
Slow to Seeding
April 11, 2016
While it is an inevitable topic of discussion, it is not inevitable that the MHSAA Girls and Boys Basketball Tournaments will involve seeding of any significant scope.
The fact that there was no seeding proposal even considered by the MHSAA Basketball Committee this year is indicative of two facts:
There are many people who are totally against seeding the MHSAA Basketball Tournaments; and
Those who favor seeding cannot agree on how to do it.
It is possible that someday there will be limited seeding that does not involve margin of victory or cause additional travel for participating teams – perhaps placing the top two teams of a geographic District onto opposite District tournament brackets, or perhaps seeding the four teams that reach the Semifinals in each class.
Proposals that encourage teams to run up scores during the regular season or send teams to Districts outside their geographic area and/or involve the Regional tournament level are less likely to win favor. And, of course, the devil is in the details of the criteria for determining which teams are better than others.
The MHSAA Representative Council has taken the position that if seeding is to occur in MHSAA tournaments, it will be considered on a sport-by-sport and level-by-level basis. While some MHSAA tournaments already have seeding at one level or another, the Council knows that seeding for some sports and some tournament levels of other sports may never be acceptable.
The MHSAA Representative Council is also wise enough to know that seeding is really not an important topic, at least in comparison to the compelling health and safety issues to which the Council has been devoting great time and money during this decade.