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.”
Centennial Celebration
October 20, 2017
The National Federation of State High School Associations is preparing to celebrate its 100th year of service during the 2018-19 school year. It may be unfair to boil down to a few bullet points a century of contributions to school sports, but I make the attempt here – with the credentials that there has been a John E. Roberts heading up a National Federation member state organization for more than 60 of those years (my dad in Wisconsin for nearly 30 years, followed by my more than 31 years in Michigan).
Here, in my opinion, are the four greatest gifts of the National Federation to school sports in America:
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In the late 1920s and 1930s, the National Federation’s leadership influenced the end of national high school tournaments. First four, then a dozen and then two dozen very young state high school associations, through their even younger National Federation, successfully challenged prestigious universities (like the University of Chicago) and the biggest names in college sports (like Amos Alonzo Stagg) who conducted national high school tournaments.
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During the next decades, and one sport at a time, the National Federation assumed from the colleges and non-school organizations responsibility for writing the playing rules for high school level competition, intentionally crafting rules that promoted greater participant safety and much more ease of understanding and enforcement by contest officials. The National Federation now releases about 40 publications each year, serving 16 different sports.
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At the start of the new millennium, the National Federation began its march to emerge as the nation’s most prolific provider of online education for coaches. The National Federation now has more than 50 different online courses available, including more than 20 free courses; and approximately five million courses have been delivered.
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In 2013, the NFHS Network was launched to provide a digital broadcast home for state high school association tournaments and the School Broadcast Program. With more than 3,000 events produced each month now, this is the most effective platform in National Federation history for promoting the excitement, diversity and values of school-sponsored sports.