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.”
Soccer for Schools
January 22, 2016
International soccer has provided me the greatest experience I’ve ever had as a sports spectator. Watching the Boca Juniors come back to win 2-1 in overtime in their historic stadium in Buenos Aires in November 2013 provided me an almost out-of-body experience as the home team fans, decked out in blue and yellow and waving flags, sang their way through the lows and dramatic highs of this match.
Soccer has been called “the beautiful game.” But of course, beauty is in the eye of the beholder; and not all sports fans see beauty in a game that, at its highest levels, has so little scoring and so much flopping, and only one person knows how much time remains in the game. And of course, the sport has been supervised at the highest levels by individuals so corrupt that they make the recent scandals of this nation’s Amateur Athletic Union leadership seem like child’s play.
Soccer is a global game, and we – at the high school level – are not going to change the game at its highest level in the U.S. I don’t really care. I just want a more appropriate game for the interscholastic level.
We already have altered the global game’s substitution rules for the interscholastic level to promote greater participation and player safety. And we use a scoreboard that lets teams and spectators know how much time remains in each half.
To promote more safety, we could implement a football style practice policy that limits the number of practices when heading the ball can occur to one per day during the preseason and to two per week during the regular season.
To promote more scoring, we could implement a basketball style “over-and-back” rule at the midfield line, and also by prohibiting defenders from playing the ball to their own goalkeepers.
The beautiful game has imperfections – at least for our purposes – which we have corrected for our needs in the past and we can do more of in the future without challenging the global juggernaut that soccer has become.