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.”
Three New Winter Tournament Venues
February 16, 2018
It is an unusual season when there is one big change for the finals sites of Michigan High School Athletic Association tournaments. This winter there are three really significant changes.
The MHSAA Team Wrestling Tournament begins the first of at least a four-year run on Feb. 23 and 24, 2018, at Wings Event Center in Kalamazoo. This event was held at Central Michigan University the past two years.
The following weekend, the MHSAA Individual Wrestling Tournament moves to Ford Field in Detroit, and it has also moved to a condensed schedule – two days, rather than three (March 2 and 3, 2018). This will reduce school and spectator costs. The demise of The Palace of Auburn Hills after the relocation of the Detroit Pistons necessitated the MHSAA’s site change.
The MHSAA Girls Basketball Tournament Semifinals and Finals moves to Van Noord Arena on the campus of Calvin College in Grand Rapids, March 15-17, 2018. The previous host, Michigan State University’s Breslin Student Events Center, could not commit to the MHSAA’s dates because of schedule conflicts with the NCAA Division I Women’s Basketball Tournament.
A single venue change is a challenge. Facilitating three major changes over four weeks will make this tournament season especially “interesting.” What is even more interesting is the long-term forecast.
These changes demonstrate how new forces are putting pressure on old relationships. College venues are available on fewer dates and for fewer years; and as they become less available, they also become more costly for high school tournaments. Expenses at commercial arenas are also escalating at more rapid rates than in the past.
Making or maintaining traditions for MHSAA tournaments over future seasons will be a continuing challenge.