Logo

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.”

A Different Language

January 16, 2015

Every other year my wife and I are able to spend the December holidays with our son and his wife who are international school educators, but we must journey to the other side of the world to make that happen. In crossing both the international dateline and the equator to see them in Australia last month, I learned a helpful lesson for those of us who try to communicate about school sports.
For two weeks I attempted to be a follower of Australia's "national pastime" -- cricket -- but try as I might, I could not grasp a passable understanding of the sport. On the surface, cricket seems a lot like baseball; but there are far more differences than similarities to the sport many North, Central and Latin Americans grew up with and know so well. I watched cricket on television and read the extensive newspaper coverage every day; but even after studying the rules and listening to and questioning a local expert, even the most basic rules, strategies and language of cricket remain mysteries to me.  
For a while at least, my struggle with cricket may make me more understanding of some parents and others who are so quick to criticize high school sports. Possibly I’ll be more purposeful and patient to explain our policies and the philosophies behind them.
Many of today's parents and spectators have never played the sports their children now play. They don't really know the rules and strategies of the games that were not a part of their upbringing, and they tend to be more unreasonably critical of decisions by coaches and officials in those sports.
Competitive cheer, gymnastics, lacrosse, ice hockey, soccer and other sports seem "foreign" to those who never played those sports. But it's true that in all sports we are likely to experience the most criticism, and the most unjustifiable complaints, where there is the least understanding or appreciation. That's true of a particular sport’s playing rules, and it's also true of the policies and procedures that govern all school sports. And in both cases, this demands extra effort on the part of coaches and administrators to communicate the rules and the reason for those rules.