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.”
Leadership Communication
December 3, 2013
“We’ve got the weather,” the man said. And for years, my wife and I have wondered what he meant.
We had been walking in Dublin, Ireland and paused to photograph the huge wooden doors of an aging church building, when an elderly man on the sidewalk greeted us with those few words.
Did he mean the weather was bad because it was raining? Or, as we think more likely, was he saying the weather was good because it was a mild day with a gentle breeze and only a light rain?
My wife and I still recall that day in Dublin, that brief encounter, whenever we hear people make statements that could be interpreted in exactly opposite ways.
Speakers often say one thing and mean another, sometimes intentionally, sometimes innocently. Listeners often misinterpret what was stated because they had something different on their minds or expected something different to be said.
All of this and more adds to the difficulty of communicating effectively, whether between two people or within a team or organization.
Leadership communication attempts to minimize these misunderstandings; and an effective tactic for doing so is to have listeners restate what they believe they heard the leader say.
Communicating messages clearly and repetitiously is a leadership essential; but so is providing opportunities for others to repeat those messages. This leads not only to more precise communication, but also to more pervasive and powerful messages.