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 Golden Rule
October 24, 2014
Competitive athletics are filled with rules. They include contest limitations and eligibility, conduct and playing rules. But apparently the “Golden Rule” is not one of those rules.
In competitive athletics, teams look for competitive advantage, which is often at odds with the spirit of “Do unto others as you would want them to do unto you.” Seeking competitive advantage sometimes devolves from a legitimate attempt to exploit an opponent’s weakness to rule-shading gamesmanship and, in its worst form, to blatant cheating. Do unto others what you can get away with.
Furthermore, in competitive athletics, emotions often run high – both among participants and spectators – and this leads easily to overheated partisan perspective, lack of good reason and loss of behavior that is respectful of others’ beliefs and feelings.
It’s hard to treat nicely people who act nasty. It requires, in fact, a supercharged Golden Rule that says “Do unto others better than they may do unto you.”
It’s hard to treat people better than they treat you; but if there were ever a place where there is more opportunity to do so, it’s in competitive sports where people are blinded by partisanship for their team or their child. Perhaps it’s only a political election campaign that presents as tough an environment for the Golden Rule.
Years ago in a radio commentary, Character Counts’ Michael Josephson said: “People of character treat others respectfully whether they deserve it or not. I’m reminded of the politician who refused to get in a name-calling match with an opponent, saying, ‘Sir, I will treat you like a gentleman, not because you are one, but because I am one.’ Sure, it’s hard to treat people better than they treat us; but it’s important to realize what’s at stake. If we allow nasty, crude and selfish people to drag us down to their level, they set the tone of our lives and shape us in their image.”