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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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Counterpoint
February 13, 2018
There is a segment of those who are interested in public education who believe it is their privilege and responsibility to educate their children however and wherever they wish. Some parents believe they should be able to enroll their children anywhere, subsidized by taxpayers, and have immediate and full access to all the school’s programs and services.
This is a factor that helps to fuel transfers in school sports. But for every action, there is an equal and opposite reaction.
Watching on the sidelines and wringing their hands are the parents of those students who are displaced from positions and playing time on school sports teams by those who have dropped into their programs after moves from other schools ... moves necessitated not by changes in parents’ employment or other imperatives, but by parents’ changing attitudes about their local school sports team.
Transfer rules are designed in part to protect those who are not unhappy, who are not dissatisfied with a coach or playing time or the offensive system the team is using, or are willing to work through issues and learn from them. Transfer rules are designed for those who have put in their time within a program and are anticipating their opportunity to play.
Within every chorus singing “Let him or her play,” there are many others humming a different tune.