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Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.
On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”

Supporting Sports Officials

February 20, 2015

There recently has been some criticism that the MHSAA hasn’t “had the backs” of sports officials regarding a proposal for a new state law.
To make a difference of opinion about legislative strategy the litmus test of MHSAA support for officials is misguided at best and manipulative at worst.
Moreover, from the standpoint of coaches and spectators, the MHSAA is much too ready to support officials, even when officials misapply a game rule or misjudge a contest situation. That we always back officials, even when they are wrong, is a criticism that resonates with the public far more than the recent, rare criticism that we don’t have officials’ backs on a piece of legislation that we believe lacks merit.
Despite the hype and hope, there are two things the proposed legislation will not do: 
First, additional legal sanctions will not dissuade someone who has momentarily lost his or her mind to pause and think, “Oh yeah, If I slug this person, there’s an extra penalty.” There is no evidence that such legislation works as a deterrent to emotional outbursts.
Second, putting such legislation on the books will not improve sportsmanship on the front lines. Such laws are empty words; improving sportsmanship is year-round, grassroots work of real substance.
Because our energies are invested in the ongoing work of improving sportsmanship in interscholastic athletics’ special niche in the world of sports, the MHSAA has been known nationwide for several decades as a high school association with great passion for good sportsmanship and innovative programs to improve sportsmanship.
This week alone we have thousands of students and others voluntarily watching videos promoting school spirit and good sportsmanship as the fourth annual “Battle of the Fans” concludes. This program, born in Michigan, is now spreading to our counterpart organizations across the U.S.
This week, and almost every week, we have staff traveling “anytime, anywhere” to deliver face-to-face education to groups of high school coaches who, more than anyone else, influence the behaviors of both players and spectators.
Through the years, we have promoted sportsmanship with audio and video and print promotions. We’ve conducted statewide, league and local sportsmanship summits as well as team captain and student leadership workshops. We have rewarded good sportsmanship, and penalized bad.
The MHSAA’s Constitution requires every member school to adopt a code of good sportsmanship for its athletes, coaches and spectators, an educational program to promote good sportsmanship, and a system of progressive discipline for failure to behave according to the code of good sportsmanship. A condition of MHSAA membership is to demonstrate that those requirements are being met.
Time and money spent on real solutions, not symbolism, is the MHSAA’s approach to creating and maintaining a higher level of sportsmanship. And it’s the best way for the MHSAA to demonstrate its ongoing support for contest officials.