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.”
Hall of Fame Heritage
April 29, 2014
Here are two little known facts. The chair of the first-ever high school level swimming & diving rules committee was Allen W. Bush, the MHSAA’s second full-time executive director. And yours truly, the MHSAA’s fourth full-time executive director, was the editor of the committee’s first rule book published by the National Federation of State High School Associations (NFHS).
This connection to the sport of swimming & diving early in my career has caused me to keep track of some of the sport’s key personnel, including Dave Robertson (IL), Dennis McGinly (PA), Dick Hannula (WA) and Glenn Kaye (FL) who all served on the first NFHS committee and are now in the National Interscholastic Swimming Coaches Association (NISCA) Hall of Fame.
Last month in Austin, Texas, NISCA inducted Ann Arbor-Pioneer’s legendary coach Dennis Hill into its Hall of Fame. Dennis coached boys swimming & diving for 45 years and girls swimming & diving for 38 years at Pioneer. He did so with both grace and great success, and it saddens me to learn that this gentleman has announced his well-deserved retirement.
Dennis was preceded into NISCA’s Hall of Fame by Michigan coaches G. Robert Mowerson (1975-Battle Creek), Willard Cooley (1980-Jackson), C. William Brandell (1984-Battle Creek-Lakeview), William Reaume (1988-Detroit-Denby), William Laury (1989-Detroit-Cody), Michael Lane (1998-Bloomfield Hills-Andover), and Richard Edwards (2010-Lansing-Eastern).
It’s people like these who have made and maintained Michigan’s excellent reputation among school-based swimming & diving programs across the US, overcoming the early efforts of the first wet-behind-the-ears rule book editor.