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.”
Tools of Thought
July 13, 2018
(This blog first appeared on MHSAA.com on May 11, 2012.)
I am famous at home and office for my lack of keyboarding skills. The only “C” grade I received in high school was a summer school course in what was then called “typing.” At Dartmouth I paid a woman who worked at the dining hall to type my college papers. In an early job at the University of Wisconsin I typed the play-by-play of Badger football and basketball games with a clumsy “hunt-and-peck” approach.
Today, with the same lack of style, I pound out dozens of emails daily, hammering the keys like my first manual typewriter required four decades ago.
But for any document of great length or importance, I do as I’ve always done: take up pencil (my software) and legal pad (my hardware). There is no question that, for me, the nature of the equipment I’m using for writing affects the nature of the thinking.
With his eyesight failing late in his life, Freidrich Nietzsche bought his first typewriter, changing from pen and paper to the new technology of the 1800s. According to a 2008 article in Atlantic Monthly by Nichols Carr, a friend wrote to Nietzsche in a letter that, since adapting to the telegraphic style, Nietzsche’s terse prose had become even tighter. To which Nietzsche replied: “You are right, our writing equipment takes part in the forming of our thoughts.”
Which makes one wonder where all today’s tweeting and texting may take us.