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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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Advancing CPR
November 24, 2015
This fall was the first for the requirement that all high school varsity head coaches have current certification in CPR.
If a coach was not CPR certified by the deadline (which was Sept. 17), that coach could not coach at or even be present at the MHSAA tournament where his/her team would be participating.
Only three of the MHSAA’s 750 member high schools failed to comply with that requirement. That’s progress.
But what we also hoped for was that schools which were not already doing so would use this new requirement as a means of providing or requiring CPR certification for assistant and subvarsity coaches as well. And it appears we’ve made some progress on this as well.
Of 640 responses received so far, 80 percent of schools arranged in-person CPR training for all high school varsity head coaches, and 67 percent included assistant and subvarsity coaches in this in-person training.
In the future, the MHSAA Representative Council will be considering refinements of the CPR requirement in order to increase the quantity of certified coaches and improve the quality of programs that are approved to fulfill the requirement. Continuing progress is imperative.