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.”
Once A Coach
April 15, 2014
While I was doing some spring cleanup in the yard of my house a weekend ago, the legendary coach, Phil Booth, walked by with his wife. In response to his shout “Hi Jack!,” I replied “Hello Coach.”
Phil has been many things during his long life; and even now he is an accomplished painter. But as one of our state’s most winning high school baseball and football coaches while at Lansing Catholic Central High School before his retirement two decades ago, he is still “Coach” to me . . . as he is to very many other people.
Once a coach, always a coach.
At my father’s memorial service 15 months ago, several players from the high school and college teams he coached in the 1940s and 1950s paid their respects, still referring to Dad as “Coach.”
Once a coach, always a coach.
At the visitation and Mass for former MHSAA Associate Director Jerry Cvengros on April 7, many people referred to him as “Coach,” even though he had also been an English teacher, athletic director and principal. And in his eulogy for Jerry, the MHSAA’s current associate director, Tom Rashid, used the word “coach” at least 25 times, even though Jerry’s illustrious coaching career at Escanaba High School ended 30 years ago.
Once a coach, always a coach.
There are very many very important ingredients in educational athletics – students, officials, administrators, parents, media, and volunteers of all kinds – but the key ingredient always has been and still is the coach. The impact of the coach can be, and often is, deeper and longer lasting than all other contributing factors combined.