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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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Grateful for Guidance
November 27, 2015
I have heard, and I believe, that the most important thing a father can do for his children is to love their mother. And my father certainly did, establishing a pattern for my own life that leads the list of things for which I’m most grateful during this Thanksgiving week.
Yes, Dad was the director of the Wisconsin Interscholastic Athletic Association for as long as I have been the director of the MHSAA, and I’m sure there’s a pattern there as well. But it was Dad’s devotion to Mom that provided the deeper impression and more lasting impact.
I’m also grateful for the way my father supported my athletic career. He was always present, but never overbearing. While his career as a multiple hall-of-fame athlete and coach might have earned him the right to critique my performances as an athlete, he never did. He would answer the questions I had, but never offer unsolicited opinions.
I’m very grateful for Dad’s solid, silent support; and I only wish that more parents today would take the approach my father did. I believe their kids would enjoy sports more ... as much as I did ... so much that it became my career.