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.”
Tournament Talk
December 30, 2013
As educators reconsider the grade level that school sports will begin to serve younger students and tweak the contest limitations for junior high/middle school students, they will not be able to avoid tournament talk.
Although middle school and even elementary school tournaments exist in many states, only a very small number of our constituents in Michigan promote the idea of statewide tournaments for junior high/middle school students.
A larger group of our constituents sees a place for MHSAA sponsored and conducted tournaments confined to smaller geographic areas. Something special – different than a regular-season event – but nothing spectacular. Modest travel and trophies.
A still larger group opposes this idea. Some people are opposed on a philosophical or educational basis – e.g., that it’s too early an age to promote competition to this extent and likely to interfere with the educational mission of schools. Other people oppose these regional tournaments for financial reasons – lacking adequate funds to fully fund high school programs, they cannot fathom how more funds can be spent on an expanded junior high/middle school sports program.
It is hard to see any increased expenditure on junior high/middle school sports – on programs for students before the 7th and 8th grades or for more contests for 7th- and 8th-graders – as an investment in the future of high school sports; but it is. The earlier we grab the attention of students and their parents and the more we expose them to the pure purposes and educational philosophies of school sports, the healthier our high school programs will be.
It is in the broad, deep roots of junior high/middle school programs that the branches of high school sports will flourish.