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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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The Meaning of Success
December 8, 2015
All of the MHSAA’s fall season tournaments have ended. A small sliver of our hundreds of member school teams are clutching championship trophies.
Thankfully, those few trophies do not define success.
Some teams won their first ever MHSAA Regional title this fall, and a few more won their first MHSAA District championship ... and those go down in their local lore as the most successful teams in those schools’ histories. Deservedly so.
But even those situations do not define success adequately.
Some teams had their first winning record in many years. Some teams didn’t accomplish that goal but won twice as many games as the year before; and they rightfully claimed their seasons a success.
Some teams lost almost every game but kept pulling together without back-biting or complaining. And that too is success.
I once told a team of T-ballers I was coaching that they had a perfect record: six wins and six losses. Six times they had to deal with victories; six times they had to deal with losses. That’s also a good definition of success.
And finally ... singer/songwriter Sam Baker has written this lyric about his aspirations to play professional ice hockey: “I failed well; and that made all the difference.”