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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.”
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Wakeup Call
January 8, 2016
For many years we have observed and heard about the negative effect of non-school basketball on the high school game – the emphasis on offense more than defense, competition more than practice, fast-breaks more than fundamentals, etc.
It has also been widely reported that the atmosphere surrounding non-school basketball feeds undue influence and athletic-related transfers that trouble high school basketball and tarnish the trophies of some of the teams advancing in MHSAA tournaments.
We also observe that an increasing number of high school games are being arranged in a format that is typical of non-school basketball. It’s a steady stream of games from early morning to late at night, arranged by outside entities who spare local high school athletic directors the work of administering the game, but who retain all of the revenue for themselves, sharing none with schools.
The promoters say they don’t need to provide revenue to the school because they are providing a platform for the players. So, as with non-school basketball, it’s becoming less about school and team and more about a few star players and the next level.
This is not really school-sponsored, educational athletics. It’s becoming a recruiting service.
Schools better wake up, and take back their program!