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.”
Large Topics for the Lower Level
December 22, 2017
Editor's Note: This blog originally was posted May 21, 2013, and the topic continues to be of prime concern today.
Sometimes our meeting agendas give the impression that junior high/middle school programs are unimportant or an afterthought; but that was not the case during the MHSAA Representative Council meeting May 5 and 6, and it will not be the case at many meetings throughout the next 12 months at least.
Here are just two of the tough multi-faceted topics that the Representative Council has asked to be addressed at constituent meetings from now through next February and will be studied by the MHSAA Junior High/Middle School Committee, Classification Committee and many of the MHSAA’s separate sport committees:
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Are current season limitations for contests and limitations on the lengths of contests appropriate for the junior high/middle school level? Do the current limits reflect the correct philosophy for sports at this level? Do they accommodate the four-season approach many schools encourage? Do the limits drive some students to non-school programs? Do they cause some schools to not join the MHSAA?
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Should the MHSAA provide rules, programs and services for 6th-graders who, in nearly 80 percent of situations, are located in the same buildings with 7th and 8th-graders? Does the MHSAA’s lack of involvement encourage the same by schools, and allow non-school programs to fill the resulting void; and does this drive those students away from school-based sports permanently? Or would the MHSAA’s involvement at this level pressure school districts to add sixth grade programs and services at a time of dwindling resources for the 7-12 grade program?
to benefit both kids and their schools at the junior high/middle school level as at the high school. Our agendas for the
We have always maintained that there is at least as much potential for school-based sports next year will have that belief as its foundation as these tough topics get the time they deserve.