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.”
Look Out Below!
March 27, 2018
Here are the kinds of statements that should send chills down the spines of thoughtful leaders of school-based basketball:
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From Maverick Carter, business manager for LeBron James and CEO of Springhill Entertainment: “... the system is broken at the base, the foundation of it, which is youth basketball ... And if youth basketball is broken, then that’s part of his (NBA Commissioner Adam Silver’s) job, too, because those kids are quickly in his league.”
“... the NCAA has these stupid-ass rules that are so archaic, so you have to fix that whole thing and figure out a way to do it. I own a piece of Liverpool football club, in European soccer, because clubs have a system all the way down to youth.” -
From Michelle Roberts, NBA Players Association executive director: “... we need to go younger, and we’re now plotting ways to do that.”
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From Draymond Green, formerly of Michigan State and now of the NBA’s Golden State Warriors: “You talk to the European guys who I’ve played with, and they’ve been making money since they were 15 years old ...”
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From Michael Singer of the Commercial Appeal, Memphis, TN: “... the NBA is indeed exploring avenues to connect with elite high school players and improve the developmental system ... Part of the NBA’s plan could hinge on working with elite prospects throughout high school, whether at tournaments or at summer camps.”
So, at minimum, this is what school-based sports can expect as a result of NBA and NCAA efforts to fix what’s broken in college basketball:
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Additional pressures on students to specialize in basketball year-round from a very early age.
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Further distraction from the masses of players toward elite players.
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An attack on amateur standing rules in school-based basketball.