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.”
“What Can I Do?”
October 16, 2015
One of the very first chapters that educators wrote on the fundamentals of school-sponsored, student-centered sports described the bad of single-sport specialization and the benefits of multi-sport participation. And the basic policies of educational athletics have flowed for decades from that philosophy.
Sadly, every reasonable restraint that educators placed on school sports was eventually exploited by non-school youth sports organizations and commercial promoters which have seen the world quite differently and have filled almost every gap in school sports programs with alternative or additional programs that started sooner, traveled further, competed longer and ended later than educators believed was healthy for youth and adolescents and compatible with their academic obligations.
Recently (and as reported in this space on Sept. 15, 2015), there has been a chorus of concerns from many different corners echoing the voices of educators who had just about given up on this issue. Suddenly, early single-sport specialization by youth is being attacked from many directions as being injurious for youth, and the multi-sport experience (aka, “balanced participation”) is being advanced as the healthy prescription.
Now I’m being asked by interscholastic athletic administrators: “Yes, I hear the chatter, and I see the evidence and anecdotes; but what can I do?” Well, one idea is to follow the lead of St. Joseph High School Athletic Director, Kevin Guzzo.
Last school year Kevin started the “Iron Bears Club” to recognize and reward the school’s three-sport athletes. And last month Kevin made the multi-sport imperative a central theme in his annual report to the St. Joseph Board of Education.
Little steps in a local community? Perhaps. But multiply Kevin’s efforts by 500 or more schools in Michigan? It could be a sea change. And it would be good for kids.