![](/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)
Where are the Adults?
February 2, 2016
According to Jim Tucker, a certified financial planner and National Football League Players Association registered player financial advisor, writing for the Jan. 11-17 issue of Street & Smith’s Sports Business Journal: “... university presidents, trustees and athletic directors are failing at their job of upholding the ethical standards of their universities.” They exploit, rather than educate, the so-called “student-athlete.”
He asks the right questions: “Where are the adults at our colleges and universities? Where are the adults to say no to football games on a day other than Saturday? Where are the adults to say no to athletic conferences that crisscross the country? Or adults to say no to a 35-plus-game college basketball season with excessive travel and missed class time?”
Behind the glitz and glamor of major college athletics is a program without, it appears, any rudder but the pursuit of more revenue, and less and less relationship to the educational mission of the sponsoring institutions.
I wouldn’t care about this. Except that the best predictor of what may go wrong in school sports is a look at what already has gone awry in college sports.
Those who pressure school sports to copy the college or AAU model miss the lessons that are all around us. We do not have to make the same mistakes.