Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”

The Culture of School Sports

April 1, 2016

What is our greatest asset in school sports?

If your answer is the kids, or the long hours devoted to teaching them by low-paid staff, it would be hard to argue.

But my answer for the greatest asset – the unique strength we have, our edge, our advantage? It is the culture of school sports.

We have marching bands and homecomings, which non-school youth sports do not have.

We have pep assemblies and pep bands and spirit weeks, which non-school youth sports lack.

We have letter jackets, spectator buses, cheerleaders and pompon squads which are missing from most non-school youth sports programs.

On a Friday night in the fall or winter in most parts of Michigan, I can find several high school games on the radio. I can find competing high school score and highlight shows on TV after the local news. Never is any of this found for non-school youth sports.

On Saturday mornings in the fall or winter, there are dozens of radio talk shows with local high school coaches reviewing the previous game and previewing the next. Never is this a part of non-school youth sports.

On radio, television and daily and weekly newspapers all school year long, I can find “High School Teams of the Week.” Rarely, if ever, is there a non-school youth sports team of the week.

School sports enjoy a standing in our communities and a status in our local media that non-school sports can’t come close to. The AAU and travel teams are a culture that disses the school and community. Ours is a culture that defines the school and community.

We are local, amateur, inexpensive and educational; and we have almost everything going for us. We need to promote and protect these things – the culture of school sports.