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.”
Engagement
October 31, 2017
In addition to daily calls, texts, emails and old-fashioned mail delivery, Michigan High School Athletic Association staff engaged face to face with its core constituents in these ways from August of 2016 through July of 2017:
- More than 350 local school visits, including:
- Approximately 120 to attend regular season local contests to evaluate officials for MHSAA tournament readiness.
- More than 60 to support or evaluate MHSAA pre-Final tournament events.
- More than 60 to speak at or support MHSAA CAP sessions (plus 25 CAP sessions at the MHSAA building).
- 12 for MHSAA.TV, NFHS Network or School Broadcast Program.
- 6 for Second Half website features.
- 6 for new school orientation.
- 5 for Battle of the Fans (each involving 3 MHSAA staff).
- 5 for officiating classes.
- 2 for Reaching Higher (each involving 4 or more staff).
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More than 60 local officials association visits, including:
- 45 for rules meetings/presentations.
Plus 8 visits to officials camps,
5 presentations to college officiating classes, and
9 officiating recruitment events.
- More than 50 coaches association meetings.
- 24 for MHSAA rules meetings/presentations.
- 6 for CAP programs.
Plus the Coaches Association Presidents dinner at the MHSAA office involving 9 MHSAA staff.
- More than 50 league meetings, including:
- 8 to conduct student leadership or sportsmanship events or for team captains clinics (usually involving multiple MHSAA staff).
- 8 to provide event marketing assistance.
- 7 to provide MHSAA information/updates.
- 6 to provide MHSAA rules meetings/presentations.
- 3 for ArbiterGame training (usually involving 2 or more MHSAA staff).
Plus the League Leadership Meeting at the MHSAA office involving most MHSAA staff.
- More than 15 MIAAA meetings.
- 10 MHSAA staff at the March conference.
- 2 MHSAA staff at the summer workshop.
- 2 to 4 MHSAA staff at most board meetings.
- At least 1 staff at multiple committee meetings, strategic planning, etc.
- More than 50 standing committees, task forces and ad hoc study groups convened at the MHSAA office, and several did so multiple times.
What is abundantly clear here is that the MHSAA staff does not operate from an ivory tower or information vacuum.