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.”
The Top Task
April 17, 2018
I’ve said and written many times before that the task of an athletic administrator is not merely event management, it is also – and more importantly – message management. It is defining and defending educational athletics. Doing so every day, in every way. Forcing our constituents, from top to bottom and both young and old, to ask and answer ...
“What is educational athletics?”
and
“What is the meaning of success in school sports?”
and
“How do we deliver the message every day?”
This is why I’ve blogged twice a week for nine years. Eighty percent of those postings have been intended to help define and defend educational athletics.
This is why the MHSAA publishes benchmarks – the only issues-focused high school association magazine in the US.
This is why we have a Student Advisory Council, a Scholar-Athlete Award, a Battle of the Fans, Captains Clinics and Sportsmanship Summits.
This is why we take our coaches education – the Coaches Advancement Program – face to face, week after week, to every corner of our state.
This is why we have a Task Force on Multi-Sport Participation.
This is why we have a radio network and waive fees for local stations which use our great public service announcements that define and defend educational athletics ... many of which conclude with the phrase, “Promoting the value and values of educational athletics.”
All of this, and much more, is about defining and defending educational athletics ... the top task of athletic administrators from top to bottom of our exciting enterprise.