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.”
December 1st is a Big Deal
November 10, 2017
One of the two or three most important Michigan High School Athletic Association Representative Council meetings of the past three decades will occur Dec. 1. Here’s why this is so.
The Council must decide where MHSAA Basketball Finals will be held for girls and boys, and make related decisions regarding both regular season and tournament schedules so schools can get on with confirming game schedules and officials assignments for at least 2018-19.
The Council must decide whether the enrollment limit for the 2018 MHSAA 8-Player Football Tournament will be fixed or floating, and if fixed, at what number. Of greater consequence in the long run, the Council will launch a discussion into the MHSAA’s responsibility for determining varsity 8-player football opponents for schools during the regular season.
The Council must consider changes in the policies and procedures for administering the new pitch count in baseball, and if the new pitching limitations should continue to delay what were thought to be improvements in the MHSAA Baseball Tournament structure and schedule.
The Council will examine input regarding proposals to fundamentally change the MHSAA transfer rule and determine which components of the proposal should advance as action items for its meetings in March or May.
The Council will examine input on proposed changes at the junior high/middle school level for contest limitations for several sports, as well as liberalization of the limited team membership rule for all team sports except football. Of even greater consequence, the Council may determine how aggressively, if at all, to advance MHSAA-sponsored regional invitational events for the junior high/middle school level in selected individual and team sports, with action on such possibly occurring in March or May.
The Council will engage in a discussion of what may be fading and what may be emerging in youth and school sports over the next decade and what that may mean in terms of sports for which MHSAA services and support should be provided, including what MHSAA tournaments may be added and which dropped at the high school level.
The Council will examine input on seeding of MHSAA District Basketball Tournaments and determine what the scope of actions could be at its March or May meetings.
Typically, the December meeting of the Representative Council tees up a big topic or two for action in March or May. This year, the December meeting requires that some specific actions be taken and sets more than the usual number of big topics on a course for action before this school year ends.