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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.”
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When Seasons Matter
April 6, 2018
There are people who want to fuss with Michigan High School Athletic Association tournament structures because, they say, they “want the regular season to mean something.” We need to guard against that thinking and such talk.
In school sports done right, the regular season always means something, even for a team which loses every game.
In school sports done right, practice means even more, because coaches and athletes interact in practice far more than games.
People who want to provide tournament postseason perks to teams which win more games than others are likely to reward the wrong things, like the teams that gathered transfers from other schools.
They are likely to miss the right things, like the teams that started slowly but improved over a truly meaningful season of practices and contests.
They are likely to miss the fact that some teams lost key players due to ineligibility or injury or gained them late in a season and where, in either case, team records are not a meaningful measure of the season.
Let’s not be fooled. Let’s not be trapped in the mindset of sport models that are more about business than education.
Gerrymandering postseason tournaments does more to undermine the integrity of the postseason than honor the regular season.