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.”
Early Learners
January 26, 2016
The good news is that the minimum number of pupil instruction days required for public school students in Michigan increases from 175 to 180 for 2016-17. The bad news is, Michigan public school students are still sitting in the back of the school bus.
The U.S. is in the lower half of the world’s nations in the length of school year for secondary school students, and Michigan is in the lower half of U.S. states in the length of school year. So just about anything the Michigan Legislature would consider to facilitate earlier starts to the school year as well as longer school days and weeks of instruction would be good for today’s students and our state’s future.
Among bills now pending in the Michigan Legislature is Senate Bill 567 that would remove the prohibition on public schools from beginning instructional days before Labor Day, except that classes could not be held on the Friday before Labor Day.
Some will be critical because this could put classes in conflict with double session sports practice days and large, all-day cross country, golf, soccer and tennis tournaments that are now common in Michigan school sports in late August; but these so-called conflicts would have positive effects:
These “conflicts” would tend to reduce the number of days of two-a-day practices that are much less in favor today with increasing attention to the health and safety of student-athletes.
These “conflicts” would tend to reduce the frequency of students playing in contests before they have attended any classes, which is far from ideal philosophically and a frequent cause of practical problems – including participation by ineligible students and resulting forfeits.
Students are engaged in school sports, marching band, cheerleading and other school-related activities throughout most of August, and they are much more eager learners then than later in the school year. Schools should be allowed to let them learn in the classroom then, not just in extracurricular activities.