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.”
The Work I Want
December 22, 2015
I am long past the point of working because I have to. I work because I want to.
- Because I’m lucky to work with co-workers I enjoy and a board I care about and whose members care about me.
- Because I’m blessed to have work with a mission beyond the bottom line;
- Because I see needs that I feel qualified to fill very well;
- And, I’m equally certain, because I have needs that this work fulfills.
On some days or for some tasks, my passion is not great; but on most days and for most responsibilities I have, my passion is as great as ever. And it has never been greater for what I care about most. And that is to hold school sports accountable to ...
- Pursue programs, policies and procedures that emphasize local opportunities for large numbers of students in a healthy, respectful, educational environment; and
- Resist pressures to copy the elitism and commercialism of non-school programs.
There are more than enough people advocating that “anything goes.” My voice argues, “Not so fast.” I would much rather see school sports tackle a half-dozen difficult health and safety issues than spend a half-minute debating national travel and tournaments. The former needs all the passion we can generate; the latter has nothing whatsoever to do with the moral imperatives of school sports, and wastes our precious time.