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.”
The Power of the MIAAA
March 15, 2018
Athletic directors from all corners of Michigan are gathering this weekend for the annual conference of the Michigan Interscholastic Athletic Administrators Association. This MIAAA might be the most powerful organization of its kind in the USA.
The MIAAA is powerful in its professionalism, in its commitment to ongoing professional training for its members.
Michigan has ranked consistently among the top states in the number of NIAAA Leadership Training Courses completed by interscholastic athletic administrators. The MIAAA attracts a higher percentage of its members to its annual conference than most states. And the MIAAA also conducts a smaller workshop for its members in late June and a leadership academy especially for newcomers to the profession early each August.
The MIAAA is powerful in its partnerships, most of all in its connections to the Michigan High School Athletic Association. Most of the MIAAA’s board meetings are in the MHSAA’s facility. The majority of the MHSAA’s Representative Council are MIAAA members. Many MHSAA staff participate in MIAAA programs, and many MIAAA members serve on MHSAA committees. There is a powerful synonymy as we pull in the same direction to serve school sports in Michigan.
This winter, as we watched a member school go off the rails over a transfer student’s eligibility, we were given a reminder of the power of professionalism and partnerships in the conduct of both personal and corporate affairs. While poison spewed from that school and two celebrity attorneys, the MHSAA kept a low profile and stayed on the high road. We worried less about defending ourselves and more about encouraging others to defend the policies and procedures they had adopted for school sports in Michigan. As usual, the MIAAA and many of its individual members led the effort.