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.”
Valuing Variety
January 2, 2018
Editor's Note: This blog originally was posted March 28, 2014, and the topic continues to be of prime concern today.
Some people see the declining number of multiple-sport athletes in our high schools as a sign that students don’t want the multiple-sport experience anymore and would prefer to specialize in a single sport.
Maybe that’s not what students want at all. Maybe, if we actually asked them, they would tell us so.
In fact, I hear that students dislike and resent the pressure their high school volleyball coach puts on them in the winter, or their basketball coach puts on them in the spring, or their baseball or softball coach puts on them in the fall and the pressure that coaches of other sports, both team and individual, place them under year-round.
What I hear when I listen to students – and admittedly, I often get to talk to the cream of the crop (e.g., our Student Advisory Council and Scholar-Athlete Award recipients) – is that they want to play multiple sports and that they need us to hear that and to help them.
I remember that when we began bowling as an MHSAA tournament sport a dozen years ago, we thought we would be appealing to and involving students who play no other school sport. We are. But we are also engaging multiple-sport athletes.
At the MHSAA Bowling Finals four weeks ago I observed many students in school letter jackets sporting letters for soccer and bowling, cross country and bowling, track and bowling, and other combinations.
It proved again to me that very many students really do want to participate in a variety of sports and that one of our core operating principles should be that we continue to facilitate and validate that experience for as many students as possible.