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.”
No Further Review
December 15, 2015
The rise of instant replay came with the hope if not the promise that errors by officials could and would be corrected. Now we know those expectations are not being realized.
In many cases this fall, we have watched college and professional football instant replay officials stand by helplessly because the rules of replay would not permit them to change the call on the field. In many other cases, we have watched instant replay officials make wrong calls from the replay booth.
We have always known that the high school level would not be able to perform extensive instant replay review – we don’t have the number and quality of camera angles at our games to judge the plays. But now we know that the existence of such technology does not assure the accuracy of decision-making.
So, let the so-called higher levels interrupt and prolong their games with questionable procedures that are resulting in as much acrimony as accuracy. Turns out that on this matter, the high school level is lucky to lack the resources of the college and professional game. For us, there’s no need for further review of further review.