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.”
Football Scheduling
December 23, 2014
The major complaint about the MHSAA Football Playoffs is not that too few teams qualify or too many, or that a five-week playoff is too long or should become six weeks, or that some worthy teams miss out while some less worthy teams get in. No; most people find a five-week, 11-player tournament after a nine-game regular season is the best that our late start to fall classes and our early start to winter weather will allow us in Michigan.
Many people appreciate being able to complete our 14-week season in the warmth of Ford Field on the Friday and Saturday of Thanksgiving weekend. Most people think that nearly 45 percent of 11-player schools is a sufficient tournament field. Many people like the excitement that the six-win threshold creates for teams that had been eliminated earlier from league championships.
The most serious and legitimate complaint about the season-ending playoffs is the stress it has placed on conferences and the struggles many schools have in building nine-game regular-season schedules. Some critics want to mess with the Football Playoffs because of the mess they believe it makes for regular-season schedulers.
Having the MHSAA provide every school a nine-game regular season schedule of the most nearby teams of the most nearly equal enrollments would shift scheduling headaches from the local level to the MHSAA.
I’m not suggesting that this solution to local problems doesn’t create new, large headaches for the MHSAA. But in fact, that is the tradition of school sports: when an issue is large enough in scope and common enough among member schools, the state high school association is asked to be the problem-solver. That’s how we got transfer rules, defined sports seasons and competitive cheer tournaments, for example. Just about every policy and procedure and program of the MHSAA arises from a common local problem looking for a statewide solution.
The 2014 Update Meeting Opinion Poll indicates that 70 percent of responding administrators do not favor the solution of the MHSAA making all schools’ regular-season varsity football schedules. Maybe the question should be narrowed to having the MHSAA complete member schools’ non-conference scheduling.
Meanwhile, we will keep watching as high school associations in other states move to statewide scheduling. For if scheduling is the problem, then scheduling itself needs to be the focus of the solution.