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.”
Leading with Heart
June 26, 2018
“I hope you have thick skin.”
Those were my mother’s first words when I informed her in 1986 that I would become the executive director of the Michigan High School Athletic Association. Mother spoke from experience, being married to the executive director of the Wisconsin Interscholastic Athletic Association from 1957 through 1985. She witnessed how consistent and cruel criticism can be toward those administering a competitive enterprise which almost daily declares winners and losers by virtue of time, distance or score.
The past 32 years have shaded my hair and softened my waist; and while the years have also toughened my hide, they have not hardened my heart. From the very first days until now, I’ve led with my heart and exposed my passion and convictions.
I do not apologize that I’ve placed greater importance on character building than skills development. On team over individual. On the needs of the 99 percent of participants over desires of the one percent of elite athletes. On subvarsity programs. On junior high/middle school students.
On practice, more than competition. On the regular season, more than postseason tournaments. On multi-sport participation. On leadership training. On sportsmanship. On coaches education, especially with respect to health and safety.
There will always be calls for more ... longer seasons, additional games, more distant travel, larger trophies. More necessary are the voices that recall the mission of competitive sports within schools, recite the core values of educational athletics, and work to reclaim the proper place of sports in schools and of school sports in society.
I believe that under-regulated competition leads to excesses, but properly conducted and controlled competitive sports is good for students, schools and society; and I believe a life devoted to coaching or administering such a program is a life well lived.