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.”
League Leadership
February 15, 2014
This past Wednesday, we convened for the 28th year the leadership of the various high school leagues and conferences across Michigan. Our purpose is to provide a “heads-up” and stimulate feedback on many of the proposals heading to the MHSAA Representative Council in March or May.
Each of the substantive changes in Handbook regulations is presented. Every MHSAA committee recommendation to the Council is detailed.
This year’s higher profile topics are proposed changes in undue influence penalties, international student eligibility requirements, increasing requirements for coaches, new football practice policies to improve acclimatization and reduce head contact, and enhanced standards for officials assigners. A progress report on a year-long look at junior high/middle school policies was provided, and the athletic related transfer rule that takes full effect in August was reviewed.
The MHSAA asks the league leaders to provide written and/or oral reports to their league members and to relay reactions to MHSAA staff prior to the Council’s March and May meetings.
Of course, what we’re asking is a very small part of the important role that leagues and conferences have in the life of school sports. For most schools, leagues provide the core schedule for regular-season contests. They nurture healthy local rivalries in a competitive arena and provide opportunities for students to interact outside the arena during programs that promote student leadership and sportsmanship.