Is a Future Possible?
September 8, 2011
While interviewing candidates for a staff position, we posed the question: “What will school sports look like a generation from now?” And we followed up with: “What will the MHSAA need to do to be of relevant service in that future?”
In a follow-up interview with one of the leading candidates, when I invited questions, that candidate turned the tables and asked me what I thought school sports and the MHSAA would look like in 10 or 20 years.
These exchanges, and all that has been changing as school districts chop away at school budgets and programs, has me wondering if a future is possible for school sports. But the answer is almost certainly “Yes.”
School sports have survived two World Wars, the Korean War and Vietnam, as well as the Great Depression and multiple recessions. School sports has existed before and after interstates and the Internet, before and after suburban sprawl and space exploration, before and after television and Twitter, before and after . . . well, you get the point.
Will school sports change? Certainly. But if history is a good indicator, it will change more slowly than the society around it. And many people will cherish that gap.
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.”