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.”
No. 1 Worries
December 27, 2017
Editor's Note: This blog originally was posted Sept. 21, 2012, and the theme rings true today.
Fueled by the “No. 1” syndrome, people often worry about and value the wrong things when it comes to interscholastic athletics.
For example, they worry about the eligibility of athletes more than the education of students. They worry about athletic scholarships to college more than genuine scholarship in high school. Faced with financial shortfalls, they use middle school athletics as the whipping boy because the No. 1 syndrome causes people to value varsity programs more than junior varsity, and high school programs more than middle school.
It is possible in the subvarsity programs of our high schools (far more than in varsity programs where crowds and media bring pressure to win) and it should be and usually is pervasive in our middle school programs, that participation is more important than specialization, trying more important than winning, teamwork more important than individual honors, and teaching more important than titles and trophies.
At the middle school level, coaches have an opportunity to look down the bench for substitutes without first looking up at the scoreboard. The scorebook should be kept to see how many students played in the game, not how many points any one player scored.
Here is where education prevails over entertainment in interscholastic athletics. Here is where philosophy of athletics is more in tune with the mission of the school. Here is where the taxpayer’s dollar is spent best.
To the degree we introduce large tournaments and trophies into middle level programs, we damage the purity of educational athletics and the purpose of middle school programs. To the degree we cut middle level programs in the face of budget crises, we succumb to the No. 1 syndrome.
We must expose the No. 1 syndrome for the sickness it is: a cancerous growth that must be cut out of educational athletics before it leads to cutting out what is arguably the most educational parts of interscholastic athletics: middle school programs.