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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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RESPECTING RULES
November 20, 2015
For nearly a full century, the high schools of Michigan have stood in opposition to national high school athletic championships. As they existed in the early years of school sports, and even today, such events have very often exploited students and benefited commercial sponsors most. Such events are beyond the limited resources of most local schools; and allowing one school to participate tends to require other schools to go to the same extremes to remain competitive, creating the kind of arms war in school sports that now drives college sports further and further from their academic mission.
A decade ago, Michigan school districts added the following language to permit participation in national scope tournaments by individuals and groups of young people who had no connection to or similarity with a school team on which they had participated during the school season. The full and complete rule states:
A national high school championship includes any athletic event, regardless of title, which attempts to draw to it or its qualifying rounds only the top place winner or winners from more than one state high school association championship meet or is based upon high school regular-season or postseason tournament performances. A student may participate without loss of eligibility if all of the following conditions are met:
a. The event is not called or promoted as a national high school championship;
b. Qualification is not based on performances in the high school season or MHSAA tournament results;
c. The event is open to all non-school teams or individuals who qualify directly through one or more non-school events, or the event is without qualifying standards and is open to any individual who pays the entry fee;
d. If a team event, teams are not to be made up of students from a single MHSAA member school;
e. Teams and individuals do not represent an MHSAA member school; and
f. No MHSAA member school uniforms, transportation, funds or coaches are involved.
It is important to note that included in the universe of unapproved events are those tournaments, regardless of what they are named or for which there are qualifying rounds, which ATTEMPT to draw the best performers from the high school season. Whether or not this attempt is successful ... whether the event attracts the best performers or only the second-, third-, fourth- or worse performers ... the student-athletes of Michigan school districts may only participate if there is compliance with ALL SIX elements listed.
The intent of part "d" of the rule is to help assure that the participating teams from Michigan really and truly are NOT school teams, and to assure that no school team is masquerading as a non-school team but really extending the season beyond the limits agreed to by all school districts, thus undermining the fairness that other schools expect.
This 10-year old rule has been applied to every circumstance brought to the MHSAA's attention and to countless more where school districts knew and followed the rule without guidance from the MHSAA. It is such respect for rules that we honor and encourage, even as the organization facilitates a thorough vetting of rules prior to school districts joining the MHSAA by local board of education action each year.