![](/sites/default/files/imported/DirectorSig2H.jpg)
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.”
![](/sites/default/files/imported/DirectorSig2H.jpg)
Sportsmanship To Citizenship
March 18, 2016
Given the current presidential campaign, what does it really mean to be “politically correct” these days?
Earlier this winter, almost everybody badly overreacted when a neighboring high school athletic association dared to describe cheers that should be avoided in school sports. Their efforts to maintain a positive and educational environment in school sports in that state were praiseworthy, no matter how unfairly persecuted that association was.
More recently, from another neighboring state, word has reached us of spectator cheers that are routinely hostile and sometimes racially charged. Combining this news with the daily barrage of uncivil campaign rhetoric reminded me that efforts to guide spectators toward greater civility are not only praiseworthy; they have never been more necessary.
I have often maintained that good sportsmanship is a precursor to good citizenship; and that we can predict the quality of citizenship in our nation by the standards of sportsmanship in our schools. One of the many ways we can return civility to politics is to insist upon improved sportsmanship in athletics ... even if it seems old fashioned, out of date or politically incorrect.