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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.”
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No Shortcuts
November 28, 2017
Last Tuesday at the office building of the Michigan High School Athletic Association, 49 athletic directors gathered for training. All are first-year ADs, and 38 of them were attending their second training session at the MHSAA.
It was the fourth session for new athletic directors the MHSAA has hosted since late July. A total of 113 different first-year ADs attended.
That’s a typical number of new ADs. And we’re experiencing the typical problems with mistakes and oversights that turn into ineligibilities and forfeits that come not just from new ADs but also from more veteran ADs who have had many new duties added to their days, but with less time and help to do everything that needs to be done.
At one school, an overwhelmed AD resigned after his school’s football and soccer teams had both used ineligible players. The school posted the job opening to replace him with the salary set at 50 percent above the previous pay. It has learned that cutting the budget for sports administration can do a lot more harm than good.
Full-time, continuously trained athletic administrators are essential to the conduct of safe and successful interscholastic athletics. There are no shortcuts to success, and a competent leader who is hungry to keep learning about policies, procedures and best practices is the starting point.