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.”
Seeking Input on Seeding
November 21, 2017
Seeding is a part of some levels of some Michigan High School Athletic Association tournaments, but no part of any level of MHSAA tournaments for other sports. The decisions are made sport-by-sport and level-by-level after sufficient understanding of a specific plan and broad support.
Seeding deals with logistics, not a fundamental value of educational athletics. It gets outsized attention for its importance, having nothing to do with the interactions that lead to learning and growing in interscholastic athletics. It’s another byproduct of the ever-increasing influence of the pervasively promoted and televised NCAA’s basketball tournaments over the past 25 years.
Michigan’s high school sport most engaged in the topic now is, in fact, basketball. Discussions and surveys have been conducted regarding seeding at MHSAA District tournaments.
We’ve learned this summer and fall that a majority of our local school athletic directors favor seeding and do not think it will make regular-season scheduling more difficult nor cause coaches to delay or diminish substituting during regular season games.
We’ve learned that a majority favor a system that maintains geographically determined District tournaments and merely separates the top two seeded teams in each District, and continues to use a blind draw to place other teams assigned to the District on the bracket.
We’ve learned that a majority favors having the best two teams determined primarily through objective criteria assessed by an MHSAA created or controlled ranking system.
We’ve learned that while the majority favors these moves toward District seeding, there are significant pockets of opposition to any seeding at all in MHSAA basketball tournaments. At two of six Athletic Director In-Service meetings and at two of seven Update meetings in September and October, large majorities in attendance opposed seeding of District basketball tournaments; and voters were nearly evenly split at several other meeting sites.
The discernible pattern is that seeding loses support as one moves out of the more densely populated areas of Michigan. We need to better understand why this is so, and what’s behind these regional or demographic preferences; then have the Representative Council make a decision at its meeting in March or May; and get this topic decided one way or the other.
There is so much else that is so much more important than seeding to the health of school-sponsored basketball that deserves the attention that seeding has been getting.