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.”
News Cycle is Downward Spiral
January 15, 2016
I’ve come to distrust most of what I read, hear and see in the news.
This is the result of reading, hearing and seeing reports about topics I know a lot about. When I read, hear and see how badly the facts are mangled and otherwise misrepresented by media reporting about my world, I figure the same must be true of news coverage of most everything else.
It is rare that coverage is factually accurate, fair and free of bias. I have to confess, this can be true of the complimentary stories about school sports; it is not only true of the critical stories.
The loss of long-form reporting by professional media who have spent many years with the topics and persons involved has affected all news reporting; but nowhere have the cuts been deeper than the always under-funded programs of lower profile, like media attention to school sports as compared to college and professional sports.
Into the void created by cutbacks in professional media coverage at the local level are newcomers with self-appointed titles and self-made websites and little relationship to the history of the topic, rationale for the rule or respect for people who gained authority by devoting lifetimes to that which the neophyte has discovered expertise overnight and without effort.
And now, fueled by social media, misinformation goes viral. Often without understanding of or accountability to facts. And usually with anonymity.