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.”
Rush to Ridicule
February 5, 2016
Last month the statewide high school athletic association of a neighboring state sent to its member schools a reminder of its sportsmanship standards. From almost all media reports you would have thought the association did a terrible thing.
In fact, the athletic association did nothing wrong – nothing that it and similar organizations have not done many times before to point people away from declining standards of sportsmanship prevalent in other programs and point people toward behavior that is more appropriate for an educational setting – i.e., in programs sponsored and conducted by educational institutions.
Then one of that athletic association’s schools did an unsurprising thing – and what dozens of schools, perhaps hundreds of schools, have done many times before. It distributed the athletic association’s message to its students and coaches.
Where this good work went bad was an isolated incident where one student-athlete at one school posted a profane reaction on social media, criticizing the message; and the student’s school suspended the student from a few contests.
That’s the story. But it’s been mangled by most professional and social media which have rushed mindlessly to ridicule the athletic association.
The association was not wrong to promote positive cheering sections and mutual respect during athletic events. And the association is taking an amazingly high (sportsmanlike?) road to say that it will use this media fiasco as an opportunity to review its sportsmanship guidelines.
We have proven in this state through our Battle of the Fans, a contest conceived by our Student Advisory Council, that cheering sections can be larger and louder by encouraging positive behavior; fun that is also respectful. We prohibit no specific cheers, but we promote positive cheers and the schools where that is the norm.
In a society where standards of all kinds appear to be slipping, this is praiseworthy work.