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.”
Going on Offense
March 3, 2015
I was a defensive back on my college football team, but I refuse to be put on the defensive about the game of football.
The game is good for students, their schools and our communities. High school football is character-building for students, spirit-building for schools and community-building for cities and towns. Local school football programs ought to be part of the development plans and place-making strategies of all communities of Michigan.
The school-sponsored game has never been safer to play. The equipment has never been more protective, coaches have never had more safety training, the rules have never been more safety-oriented, and game officials have never had more encouragement to enforce those rules. The result is fewer injuries of all kinds – from nicks and bruises to ankles, knees and necks.
When the game of football has faults, we find and fix them. To continue doing so requires that we be honest with ourselves about where the game has weaknesses and be constantly alert to effective ways to improve the game.
Defensiveness gets in the way of discovering ways to go on offense. It blocks innovation and sacks aspirations before they can be launched.
I want our public to know that school-sponsored football is a great game. I also want the public to know that we aspire to keep improving the game and to exceed legal mandates. We will continue to do more than what is required and, in fact, we intend to do what’s unexpected to assure football remains a positive influence on students, schools and communities.