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.”
Broadening the Scope
September 8, 2017
There are two categories of projects that deserve most of our attention in school sports, no matter where or on what level we work. They are important either because they deal with chronic problems or because they address core principles.
Among many, the chronic problems include declining numbers of registered officials and increasing numbers of athletic transfers, as well as football scheduling. It is mostly because these are persistent problems for many at the local level that they have become priorities for MHSAA management’s time and attention.
Addressing chronic problems can often feel like walking a treadmill. We can work up a sweat, but get nowhere. Arrive at no new and better place. But the effort is important and may keep things from getting worse. Which is why many hours are being spent on these three chronic problems this year: officials, transfers and scheduling.
Of potentially greater value and lasting impact are the projects most directly addressing core principles of educational athletics, such as sportsmanship, health and safety and the scope of our programs. Backsliding on these topics can be most damaging to school-sponsored sports, and the damage – or missed opportunity – can have devastating future effects.
So, while we deal with the chronic issues of the day, we are devoting ourselves daily to more effective sportsmanship resources, even more enhancements for promoting participant health and safety, and increasing the scope of school sports in ways that are consistent with the core values of educational athletics.
School sports does not need longer seasons and travel. It does not need more games and hype. In these ways, the scope of school sports is just fine ... consistent with the objectives of the sponsoring organizations – schools – which is to educate young people. Academics before athletics.
Where school sports must consider a larger scope is in who the programs are serving. There is both need and opportunity to reach younger students and provide more service and support to junior high/middle school sports – the feeder system of educational athletics.
There is both need and opportunity to reach students with athletic interests outside the 14 MHSAA tournament sports the MHSAA provides girls and the 14 for boys. Many thousands more students want to participate in other sports – the sports of their passion – under their school’s banner and in MHSAA tournaments. There may also be both need and opportunity to involve more students with disabilities in school-sponsored sports programs.
The scope is just fine for the sports we sponsor. Broadening the scope of whom we serve is a core principle project that deserves our attention.