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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.”
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Designed and Delivered
March 8, 2016
The benefits of school sports do not occur by accident. They occur by design and by delivery.
It is the design of policies and procedures to keep the program student-focused, school-centered, sensible in scope, safe, sane and sportsmanlike. All core values of educational athletics.
The value is also enhanced by the delivery system – the quality of coaching and expertise of administration.
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Just as the teacher is the key to learning in the academic classroom, the coach is the key to learning on the athletic team. This is why the MHSAA has designed and delivers a face-to-face, multi-level coaching education program anytime, anywhere in Michigan.
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The other key of the delivery system is the local school athletic administrator with a skill set that meets the complex demands of a program that operates in an arena of high emotion and risk of injury. This is why Michigan often leads the nation in the number of high school athletic directors who have completed the highest level of training and certification of the National Interscholastic Athletics Administrators Association, and why the Michigan Interscholastic Athletic Administrators Association and the MHSAA devote so much time and attention to initial and ongoing athletic director training.