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 Complete Job
August 28, 2015
The difference between the great painters, poets and photographers and the rest of us is that they actually did the work, all the way through to completion. The same can be said for the greatest athletes, coaches, officials, musicians and artists. They actually did the work.
One of our most accomplished contemporary writers is Ann Patchett, author of six novels and volumes of nonfiction. She has written: “You can be smart and have the most compelling story, but if you can’t make yourself sit down and block out the noise around you, then that story will remain forever in your head.” You have to actually do the work.
One of the most important roles of schools and the MHSAA is to tell the story of school sports. We have a compelling narrative full of value and values for students, schools and society. But the story won’t get told unless we do the work.
First and foremost, this means delivering a values and value-filled program by coaches and administrators at practices and events, season after season and day after day.
Only a fraction less important is conveying to school boards, the media and the public what’s going on ... telling our story through every means available: in person, in writing, through all forms of electronic media.
Over the decades, we have managed millions of practices and events; but that’s just part of the job. Completing the job means that we must also do the hard work of managing the message of school sports ... giving meaning to educational athletics, and explaining it. Our job is not over until we do.