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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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Football Antics
November 7, 2017
The National Football League was sometimes criticized for being the “No Fun League” when it enforced rules that tended to discourage sack dances and end zone prances by its players. Recent relaxation of the NFL’s rules of decorum has brought a return of ridiculous behaviors.
Not only are the behaviors immature, they are usually inappropriate for circumstances. A defensive lineman whose team is trailing by three touchdowns celebrates a rare tackle for a loss by marching around and pounding his chest. A running back whose team is behind by four touchdowns draws attention to a first down by strutting and pointing toward the goal line. A player who scores a touchdown celebrates like he’s never reached the end zone before.
Such behavior is penalized at lower levels. Why is it that the oldest players are allowed to act most childishly?
Attending our high school football games – watching players hand the ball to the official rather than spike it to the ground and dance all around after scoring – has been refreshing. Watching players return to their team huddles without drawing attention to themselves has been reassuring.
Our games are teaching respect and civility and team spirit at a time when America is in desperate need of those values.