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Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.

On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”

The Social Setting

March 18, 2014

One week last month our local Big Ten head men’s basketball coach blasted Twitter. The following week Iowa’s head coach, arguably the coach with the league’s worst sideline decorum (and that’s saying a lot for a league that’s allowed its coaches to get out of control) said his players are henceforth barred from tweeting.

Between these headlines was one of more significance: Facebook announced that it would be paying $19 billion to purchase WhatsApp. Which means social media is here to stay. And everybody, including big time basketball coaches, needs to deal with it in better ways than merely blasting it and/or barring it.

What it means for an organization like mine is that everything we do needs to be considered in all the usual goals, objectives and strategies progressions, and that at least one progression must have social media as an outcome and almost all progressions must have social media as a tactic.

Just over a decade ago we realized that almost every task we have has an information technology component. We discovered we needed our IT staff in the room when new projects or protocols were being considered, when new policies were being developed, and when all sorts of problems were being addressed. Fail to involve IT personnel soon enough or at all, we learned, and failure of the enterprise was assured.

We are at the same point today with social media. If we neglect the social media component – fail to consider how to use it to the advantage of the project or fail to consider how adverse social media could doom the project – we operate with at least one hand tied behind our back.

Just as the IT staff have needed to be consulted, and listened to, in order for the enterprise to reach its potential, so must our social media staff have a seat at the table and a voice in the discussion of anything of consequence we might think we should do.

This is as true for nonprofit organizations as it is for profit, for small organizations and large, both private and public.