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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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Projects That Matter
December 1, 2015
The white board that confronts me every day in my office lists a lot of things I’d like the MHSAA to get done. Our challenge is to choose to do those projects that are large enough to matter, yet small enough to accomplish.
Step by step, we have attempted, for example, new goals for coaches education and new initiatives for concussion care, as well as new means of communicating the message of educational athletics which I have discussed less as I’ve addressed the other projects more in recent months.
Managing the message of school-sponsored, student-centered sports in the midst of a constant blizzard of communications from youth, college and professional sports, is as important as anything we do.
We are particularly pleased with “This Week in High School Sports” which John Johnson prepares and Second Half by MHSAA which Geoff Kimmerly manages. Positive news reflecting the purpose and values of educational athletics in Michigan. These projects matter.