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.”
A Rite of Spring
March 21, 2015
It is inevitable in March, as predictable as May flowers after April showers, that the weeks of District Basketball Tournaments will bring criticism, and calls to seed those tournaments so top ranked teams don’t face one another in early round games.
The MHSAA’s tournament has been unseeded for 90 years; and while we should never be slaves to the past, we should always be respectful and appreciate that smart people of previous generations had many of the same discussions we are having today; and they determined that the blind draw was best.
While the preference for the blind draw has prevailed in recent years, the almost addictive attention of the media and public to the “bracketology” of NCAA basketball tournaments appears to have improved the chances that some form of seeding will eventually be applied to the MHSAA Basketball Tournament and, in doing so, join a half dozen other sports for which the MHSAA employs at least a limited seeding plan for at least one level of those tournaments.
The challenge before us is not intellectual – seeding tournaments is not rocket science. No, the challenge is political – forming consensus for a plan that does not lead to extra travel and expense for participating schools, and that can be easily understood and simply administered at multiple sites. We are talking about 256 District tournament sites – 128 each in the Girls and Boys Basketball Tournaments. The problems and pitfalls of seeding tournaments of this magnitude are nothing the colleges have tried to tackle.
And no one should be deluded that seeding is a “no-brainer” that “everyone supports.” That is not accurate. There are many people who enjoy the fact that there are top-notch matchups every night of the District tournament weeks, and not all delayed to the nights of District finals. And there will be little enthusiasm from poorly seeded teams which are forced to drive past a closer opponent to get clobbered by a more distant opponent.
While postseason tournaments are the MHSAA’s “bread and butter” program, tournament seeding is not a defining or fundamental issue of educational athletics that requires our urgent or concentrated attention. Promoting participant health and safety, for example, demands much more attention. I’m not opposed to seeding; I just don’t give it the same importance as so much else we are challenged to do.