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.”
BOTF
March 14, 2014
When MHSAA staff asked our Student Advisory Council, “How do we have a sportsmanship program that isn’t boring?,” the answer that emerged was the MHSAA’s Battle of the Fans.
On Feb. 21 we announced the winner of the 3rd Battle of the Fans - Beaverton High School (see related story). But all five finalists, and dozens of applicants, demonstrated that attendance at high school sporting events can become THE thing to do, and it can be done with both great spirit and high standards of sportsmanship.
On Feb. 16 the Student Advisory Council reviewed the finalists’ videos and the reports of site visits by SAC members and MHSAA staff; and I listened to the discussion. Here’s what I discovered they were looking for . . .
- Authenticity and consistency – not just a one-night thing; but spirited, sportsmanlike support all season long, for multiple sports.
- Not only the absence of poor behaviors, but great originality in demonstrating good behaviors.
- Inclusiveness – conducted in ways that invite all kinds of students to be involved, encourage middle school students to learn good sportsmanship and is welcoming to adults as well.
- Change. Which school and community was most changed since getting involved with the BOTF this year or over the past two or three years?
I have said often that we want the BOTF to be great fun. But it’s also intended to make a great positive difference in school sports in Michigan. And it is. Crowds are both much larger and much better behaved where the BOTF has become important. And the positive change in one school/community is helping to change neighboring districts and entire leagues.