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.”
Summer School Sports
October 14, 2014
We are talking statewide about changes in MHSAA policies that some constituents think are overdue but that many other constituents find are over the top. For example:
- Permitting MHSAA member junior high/middle schools to engage students prior to the 7th grade, and to schedule longer contests, more contests and even MHSAA Regional tournaments; and
- Permitting member school coaches to engage more with their student-athletes outside their defined school sports seasons.
From my perspective, these are the kinds of moves to make to assure a future for school-based sports, for wherever and whenever we have paused or imposed a restriction, there and then non-school coaches, programs and “handlers” have moved in; and some of them have not played nicely. And the more I’ve seen non-school currents pollute the waters of school sports, the less I’ve wanted to restrict the engagement of school coaches out of season or confine school sports to traditional seasons.
What we are talking about today are not only overdue changes, they are insufficient if we really want to return school sports to the central, most coveted and compelling sports experience for youth. To more certainly assure that future role, we should be doing more than merely adjusting our outdated junior high/middle school programming to fit the modern world where children begin to play at younger ages and compete at higher levels than is currently allowed for MHSAA member schools. Our 1950s philosophy for the junior high/middle school level does not fit 2014 reality.
But we shouldn’t stop there. We should also be rethinking and retooling the high school level with an innovative school-sponsored and conducted summer season that includes school seasons and MHSAA tournaments in ...
- Coed team tennis.
- Coed golf in the Ryder Cup format.
- Non-contact 7-on-7 football for boys, and flag football for girls.
And there obviously could be much more that would be fun and engaging and educational for our students.
Certainly, there will be objections, and most will center on finances. But if non-school sports have figured out ways to finance programs in what are now our off seasons, we too can figure out ways to pay for our new summertime programs.