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.”
It’s Not Us
October 2, 2015
There are continuing and crescendoing complaints about “AAU ball” – the travel, the competition without preparation, the agents and hangers-on, the sleaze factor. Yet some of those same complainers are critical of the very rules that tend to keep that sleaze at a low level in school sports in Michigan.
If so many people agree that kids and parents are being sold a bill of goods full of empty promises by a growing number of youth sports zealots, recruiting gurus, and both club and college level coaches, then why should we provide passports that would expose more students to this atmosphere?
If so many people feel that what’s happening in youth sports is bad and what’s masquerading as educational athletics in major college sports is baloney, then why should we help high school students earn frequent flier points through relaxation of time-tested travel and television policies?
If so many people believe there are too many athletic-motivated transfers, then why should we throw fuel on the fire? Those schools which could afford it would try to make their programs more attractive with national travel and televised games as a magnet to suck the best players out of neighboring schools that cannot afford the same excesses.
There is more than enough travel and exposure opportunity for schools here in Michigan and Illinois, Indiana, Ohio, Ontario and Wisconsin. Any more adds impure emphases and increased expenses to programs that are already overburdened or bankrupt.
When our school administrators and coaches say that national travel and tournaments are unaffordable and “It’s not us,” they mean it. They’ve got their priorities right.