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.”
The Languages of Sports
August 6, 2013
Our state is enriched by the cultural diversity which has resulted from decades of families relocating from other countries to Michigan for the opportunities available here.
Often the children in these families are conversant in English, but their parents are less so. This is why, for example, the Refugee Development Center in Lansing not only provides ESL classes for students but also for parents; and why the RDC provides interpreters to accompany parents to school events such as parent-teacher conferences. The RDC currently serves refugees from 28 different countries.
Becoming increasingly sensitized to these dynamics, the MHSAA has recently begun a long process of providing certain of its documents in other languages than English. We’re going to focus on those documents that we provide to schools which parents would want to read to learn about what is being described to or required of their children with respect to interscholastic athletic participation.
The first such documents are the two-page and four-page preparticipation physical examination forms. And the first languages chosen for the service are Spanish, which is the most common non-English language spoken in the United States, and Arabic, which acknowledges that Michigan is home to the largest Arabic-speaking population in the US.
You will find these documents here.