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.”
A Shift
April 10, 2018
The disease of youth sports generally – observed in premature sports specialization and the commercialization of kids’ games by both local entrepreneurs and corporate giants – is infecting school-based sports, especially basketball.
We see it in transfers by starters and dropouts among reserves.
We see it in short benches for JV and varsity games and empty gyms.
There is no shame in identifying our weak spots; it’s the only way to start fixing them.
And heavens! NCAA men’s basketball is being investigated by the FBI. Players are being ruled ineligible. Coaches are being fired. Others are being arrested.
School-based basketball is beautiful by comparison! But we can and must be better. And that can only begin to happen by facing up to our shortcomings.
The clock is ticking on the life of school-based basketball, and only a change in emphasis – a cultural shift – may save what arguably has been the most historically important sport in our schools. A shift ...
Away from all-star games for a few graduating seniors and toward junior high/middle school programs open to all kids.
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Away from national events and toward city, county and conference rivalries.
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Away from “elite” travel teams and toward local K-6 development programs operated by schools.
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Away from creeping commercialism and blatant professionalism and toward a re-commitment to amateurism.
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Away from gamesmanship and toward sportsmanship as a precursor to citizenship.
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Away from running up the score – a lot – and toward playing every kid – a lot.
The leaders and lovers of school-based basketball must resist the slippery slope and advocate for the cultural shift. It doesn’t take a brain surgeon or rocket scientist to save school-based basketball; but it does take courage and persistence.