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.”
Making the Game Safer
October 6, 2015
I’ve recently overheard two insightful perspectives about football.
From an attorney for the National Federation of State High School Associations (I’m paraphrasing): “We need to remind people that we didn’t invent football. We are the ones making it safer.”
From a professor at Michigan State University (again I’m paraphrasing): “In the 1950s when automobile injuries disturbed the national conscience, we didn’t abolish cars; we made it safer to drive them. That’s where we are with football today – recognizing dangers and making the game safer.”
What this means to me is that there’s little need to be on the defensive or apologetic, but much need to be on the offensive and to be optimistic about football’s future.
Never has the equipment been better than it is today. Never have coaches been better educated about player safety. Never have there been more safety rules, and never have officials had more authority and encouragement to enforce those rules. This is true for all school sports, but most obviously so for school-sponsored football.
We are on offense, have been for years, making a game that was very good to me as a player even better, every year, for participants at the secondary school level today.