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.”
Domestic Solutions
September 6, 2013
Kudzu was introduced to this continent in the late 1800s to control soil erosion in the southern United States. Now, this fast-growing Asian climbing vine is choking out all other vegetation. This seriously invasive species is growing at a rate faster than 150,000 acres each year in spite of millions of dollars spent to control it.
Asian carp were introduced to this continent one hundred years later, primarily for the purpose of cleaning commercial catfish ponds in Arkansas. They escaped into the Mississippi River and have proliferated, eating voraciously and growing to immense proportions. They now threaten the commercial fishing industry of the Great Lakes.
When we invite what appear to be relatively easy outside solutions to difficult internal problems, we invite more serious problems.
Whatever issues we face in school sports are best addressed by schools themselves using the resources at hand. No outside agent can be introduced to solve the problems we confront. No software is the silver bullet, and no sponsor provides the sustenance to keep educational athletics not only alive, but well.
It is up to us alone – administrators, coaches, officials. Using the natural resources right in front of us. Here and now.
I’d prefer to see the kudzu and carp when I travel in Asia, not America.