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.”
Our Own Worst Enemies
September 26, 2017
The early history of school sports was in four phases. It began as activities that students alone would organize. Then schools saw the need to supervise. Then schools created statewide high school athletic associations to standardize. Then a national federation of those state associations brought an end to corporate and college efforts to nationalize school sports. All of this between the U.S. Civil War and World War II.
The entire history of school sports has had one overriding narrative. Inherent in the struggles that defined each phase of the early history, and every decade since, has been the struggle between those who believe competitive athletics is an asset for schools intent on educating students in body, mind and spirit, versus those who believe interscholastic athletic programs are a distraction at best and, at worst, damaging to the character development of students. There is much evidence to support both sides of this long debate.
Sometimes, the advocates for school-sponsored sports have been, and are, their own worst enemies. What the advocates of school sports must realize is that the more they do to enlarge the scope of school sports ... more games, longer seasons, further travel, escalating hype ... the more they prove that the opponents of school sports have been correct.
As they encourage the chasm between athletics and academics and between school sports' haves and have-nots to widen; as sports teams are outfitted in uniforms that are fancier and funded for travel that is further, while classroom resources are fewer; as sportsmanship declines and athletic transfers increase; the so-called “progressive” thinkers help make the case that competitive athletics is bad for students, schools and society.
Opposition to escalation in school sports is not old fashioned; it's the only way to assure the future of sports in schools ... the only way to save school sports from itself.