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.”
Heartfelt Efforts
May 15, 2015
- A written medical emergency response plan (ERP), reviewed at least annually with staff.
- A medical emergency response team (MERT) with current CPR/AED certification, sufficient to respond to an emergency during school hours AND during organized after-school activities and sports.
- At least 10% of staff, 50% of coaches and 50% of PE staff with current CPR/AED certification.
- The sufficient number of accessible, properly maintained and inspected AEDs, ready to use, with signs identifying AED locations. Sufficient number is estimated by time to scene, in place, and analyzing within a target goal of 3 minutes.
- The performance of at least one cardiac emergency response drill per year, including recognizing signs of sudden cardiac arrest and using the American Heart Association’s Chain of Survival: calling 9-1-1 and use of bystander CPR and AED until EMS arrive to provide advanced life support.
- All athletic preparticipation screening completed with the Michigan High School Athletic Association (MHSAA) form (updated in 2010).
MI HEARTSafe School designation is awarded for a period of three school years.