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.”
Rethinking Spring
May 5, 2014
Those states that conduct high school softball in the fall of the year or conduct high school baseball during the summer months may be laughing at our attempts to force these summer games into the least hospitable season of all for school sports: spring.
After an extra-long winter, there has needed to be extra attention during early season baseball practices and games to assure that throwing arms have been brought gradually into condition for the rigors of a year that is likely to compress a full schedule of games into a shortened playing season.
While baseball pitchers continue to be protected during games by a rule that does not allow a student to pitch for two calendar days that follow the day when he pitched his 30th out, no other players are similarly restricted, nor are there any rules that apply to any players during practices, or to softball.
Meanwhile, Major League Baseball recently reported an increase in elbow injuries among its players. Some commentators, both inside MLB and out, were quick to suggest that at least part of the blame is that pitchers are throwing harder than ever, doing so on a year-round basis, and starting at an earlier age.
It could be, then, that long winters are not such a bad thing, provided we’re patient when spring finally arrives, and use common sense for all players all season long, in both practices and games.
We look forward to the culmination of this year’s reluctant spring when the MHSAA hosts the Semifinals and Finals of both baseball and softball at a new venue, Michigan State University. Hope you’ll join us June 12-14.