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.”
Risk Minimization Reaches More
May 9, 2014
Every season – fall, winter and spring – the MHSAA launches a series of sport-specific rules/risk management meetings, completion of which has been a requirement for high school varsity head coaches and MHSAA registered officials who want to coach or officiate in the MHSAA tournament for that sport. Two significant changes will occur for the 2014-15 school year.
For the first time in 2014-15, all assistant and subvarsity high school coaches must complete the same meeting requirement as the high school varsity head coach or, in the alternative, they must complete one of seven free online health and safety courses that are posted on MHSAA.com and designated to fulfill this requirement. High school athletic directors must certify each season, three times a year, that all their assistant and subvarsity coaches for that season have completed that requirement.
Also, for the first time in 2014-15, the MHSAA will be posting content for officials that differs from the content for coaches. While coaches are being given a review of select Handbook regulations, for example, officials will be reminded of key elements of effective officiating, regardless of the sport or level of competition.
These new policies are intended to bring more relevant content to a greater number of those who work with student-athletes and to further emphasize risk minimization in educational athletics.
In 2013-14, slightly more than 20,000 coaches and officials completed the MHSAA rules/risk management meeting requirement. The number will greatly exceed 100,000 in 2014-15.