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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.”
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Enhancing Public Health
August 29, 2017
Due to overuse injuries from sport specialization that is too early, too intense and too prolonged, youth may be increasingly susceptible to sports-related injuries; but school sports themselves have never been safer – for obvious reasons:
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Equipment is the best it’s ever been.
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Coaches have never been better trained in health and safety.
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Practice and competition rules have never been more safety conscious.
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Officials have never had more authority to penalize unsafe play.
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Medical care and insurance has never been as available as it is today.
Our objective is not merely to keep making school-sponsored sports safer and safer year after year. In school sports – educational athletics – we also have the objective that students learn habits of a healthy lifestyle they can carry into adulthood.
In this way, school sports mitigates some of the damage of youth sports and contributes to the general good, to improved public health in America.
All that we do has that goal, and it’s a finish line we have not yet crossed.