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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.”
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Redefining Winning (and Losing)
March 9, 2018
There’s been much media attention given to a boys basketball game in another state that turned into a brawl led by adult fans and resulted in suspension of both schools’ seasons and dismissal of both schools’ teams from the state basketball tournament.
From a thousand miles away, I can’t comment on who’s at fault or whether the penalty fits the crime. However, I shout a hearty “Amen!” to what that state’s high school association executive director had to say, according to one of the state’s major newspapers.
“We have too many people putting too much emphasis on winning, or on the wrong definition of winning. Their definition of winning is on the scoreboard only. It’s become a very big problem, and it’s not the (state association’s) definition of winning.”
He continued, “Sportsmanship has been eroded. We’re supposed to be teaching ethics, integrity and character to these kids ...”
Spot on!
The biggest challenge we face in school sports administration across the country is communicating amidst the clutter of contradictory messages that the definition of winning – the meaning of success – is very different in student-centered, school-sponsored competitive athletics than in most other popular brands of sports.
This is educational athletics. It’s about learning far, far more than about winning, which is an important goal but nowhere near the highest objective in interscholastic athletics.
If we lose this perspective, all is lost.