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.”
Seeding Questions
April 6, 2015
The more I hear people speak with absolute certainty that seeding MHSAA tournaments would be a good thing for more sports to implement, the less I’m certain that adequate wisdom accompanies those words. And I’m particularly concerned with the condescending attitude of the advocates toward those who question if seeding is practical or fair for MHSAA tournaments.
Before seeding is adopted for additional MHSAA tournaments (and it appears ice hockey is on the fastest track), there are many practical questions to address for each sport, including who decides, how they decide and when they decide. Seeding in school sports is a much more difficult task than it is at higher levels where there are many fewer teams operating in much less diverse settings.
Any successful proposal for seeding in school sports must be able to give an informed “No” to these questions:
- Will the plan cause the “rich to get richer,” the successful to be even more successful?
- Will the plan add fuel to the public vs. nonpublic school discord?
- Will the plan create additional travel expenses for schools and loss of classroom instructional time for students?
Furthermore, any successful seeding plan must also provide an informed “Yes” to these questions:
- Will the plan promote the tournament among schools, media and the public?
- Will the plan increase tournament attendance?
And it is of most importance that every advocate of seeding acknowledge that opponents of seeding pose the right questions when they ask:
- Is it fair and is it right to ease the tournament trail for teams based on their regular season performance?
- Is a brand new start in the postseason bad, and if so, by what educational criteria?
When people boast that “the seeds held” in the NCAA basketball tournament or in our own MHSAA Tennis Tournament, we have to admit that this is exactly what ought to have happened when we gave the top seeds the easiest road to the trophy.
It is not wrong to question if that’s the right thing to do.