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.”
In An Instant
August 4, 2015
The icebergs that enter the harbors along Newfoundland’s north shore started to form thousands of years ago. They broke from ice flows 10 times their size and then got caught in a current that carried them on a 1,000-mile, two-year journey to “Iceberg Alley.” Some of them drift into harbors and, with seven-eighths of their mass below the surface, they get grounded. Eventually they break apart and disappear.
My wife and I “discovered” one of these grounded ‘bergs near the shore of cozy little Coffee Cove. After a 15-minute hike, we got closer to this sparkling monster than third base is to home plate. We each snapped dozens of pictures.
Just as we were turning to begin our hike back to “civilization,” we heard what we thought was a loud gunshot. But what actually occurred was a portion of the iceberg breaking off and falling into the water.
What we had taken pictures of moments earlier no longer existed as it had at that time. In an instant, the iceberg had changed, without respect for the thousands of years in the making and the hundreds of miles of traveling.
A few days after we returned to Michigan, Rich Tompkins died, apparently healthy, just after waterskiing. Death came without respect for the miles Rich had traveled to serve student-athletes and coaches, and without regard to all the victories his teams had earned and MHSAA championships they had won.
I last saw Rich on Valentine’s Day at the first-ever Fremont High School Hall of Fame induction banquet where Rich and many of his athletes were honored. The pictures taken that night are of people and circumstances that can never be reassembled.
We need to more fully appreciate the miracle of such moments. They can be gone in an instant.