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.”
Volleyball Faceoff
July 14, 2015
The 96th Annual Summer Meeting of the National Federation of State High School Associations overlapped dates and shared hotels, restaurants and sidewalks with the USA Volleyball 2015 Girls Junior National Championships during late June and early July in New Orleans.
This mega-tournament drew fields of 24 to 72 teams in each of 30 divisions, with each of the approximately 1,000 teams paying from $650 to $900, providing an attractive payday for USAV. In addition, this was a dreaded “stay and play” tournament that required teams to book rooms at the designated hotels that provided kickbacks to the organizers.
USAV raked in the dollars which the parents I spoke to seemed only mildly distressed to pay because they had bought into the fantasy that this sort of extravagance is necessary to help their daughter reach the “next level.”
Next level? Some of these parents couldn’t even find the next court for their daughter’s match among the 80 courts on which competition was held, and missed parts of matches they had paid hundreds of dollars in club and travel expenses to attend. This was about quantity of teams, much more than quality of experience.
And what, after all, is the next level for a girl playing on an “Under 13 Team” ... Under 14?
If the “next level” means college volleyball, then parents haven’t been told of the lottery-like odds they face. Making any college team that offers any financial aid based on volleyball skill is a mere fantasy for almost every girl and it’s a futile strategy for those parents to fund their daughter’s college education.
In sharp contrast, I’m reassured that we’ve got it right in school-based volleyball, where the focus is on scholarship in high school, not athletic scholarships to college; on learning in many practices more than competing in many tournaments; on local events, not national travel; where MHSAA tournaments are free to enter, and matches are conducted one at a time on the arena’s one and only court, with the school’s student section cheering the team on.