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.”
Reserve Lessons
January 26, 2018
Nothing prepared me for coaching more than the time I spent sitting on the bench. I hated it. And when I started coaching, I couldn’t forget how much I disliked sitting on the bench, and I did everything I could do to get every player in a game every week on some level – 9th grade, JV or varsity.
So I get it. Not starting hurts. Not playing stinks. And while many coaches are brilliant in their tactics to share playing time, some coaches do a miserable job of getting reserves into games.
But having said all that, I must add that too many people undervalue the importance of reserves, of the practice players who work hard to make the regulars better. Many champion wrestlers and tennis players earned their titles because of practice partners who pushed them to be better day-in and day-out. Many championship teams achieved their success through arduous daily competition in practice all season long. Many times it has been a so-called “backup” player, who worked hard in practices and who was often worked into games by caring coaches, who steps in after a starter is injured and saves the season.
There is much to be learned as a reserve, including what it means to be a loyal teammate ... a team player ... and what teamwork and sacrifice and loyalty and dedication really mean.
I have said often in speeches that it’s my wish that every student would have the opportunity to be a starter in one sport and a substitute in another because the lessons to be learned from each are different and so vital to developing the whole person.
It is a shame that students have somehow gotten the message that it’s a waste of their time to be a part of a team where they aren’t a starter or even the star. They get this message from adults ... sometimes it’s coaches, but more often it’s parents who criticize coaches and/or transfer their children to schools where they have a greater chance for athletic success.
As the benches get shorter on our school sports teams, the lessons learned get fewer.