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.”
Well-Roundedness
January 5, 2018
Editor's Note: This blog originally was posted November 22, 2013, and the topic rings true today.
As high school seniors are scrambling to complete their college applications, I’ve reflected on how what is valued is changing.
I was accepted to both of the Ivy League schools to which I applied. This was at a time when evidence of being well-balanced, middle class and Midwestern were seen as strengths on an application. I don’t think I would be admitted to those institutions on the basis of those strengths today.
It appears that our so-called “elite” institutions are now looking for the outlier:
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Not participation in three different sports, each in its own season; but participation in one sport, year-around; and the more non-traditional the sport, the better.
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Not committed involvement in activities of the local school; but involvement away from school; maybe the invention of a product or electronic program or the founding of some nonprofit organization that improves the human condition of people in other places.
When we list all the factors that entice high school students to specialize in a single sport, we need to include that society today has made “well-roundedness” less worthy of praise than being “one-of-a-kind,” and that’s diminishing the value of being a team member unless one is the star on that team.
It is highly doubtful that either high schools or colleges are strengthened by these trends. More importantly, it is equally doubtful that single-focus childhood is the strongest way for young people to become good neighbors and community citizens.
What I continue to encourage for most students is that they sample the broad buffet of opportunities that a full-service school offers. To participate in both athletic and non-athletic activities. In both individual and team sports. To be a starter in one sport and a substitute in another. To participate in solo and ensemble. To be onstage and backstage. To taste winning and losing, and both in ample proportion.