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 Sports Officiating Challenge
July 30, 2013
Last Saturday, the MHSAA hosted the largest gathering of sports officials ever assembled in this state at one time and place: 1,248 under the same roof.
The occasion was “Officiate Michigan Day” that preceded the 31st Sports Officiating Summit conducted by the National Association of Sports Officials (NASO) in Grand Rapids. The summit began Sunday and concludes this evening in Grand Rapids.
On Sunday afternoon, nearly 300 of Michigan’s officiating leaders – local association officials and trainers and registered assignors – went through three hours of training which the MHSAA requires face to face every other year.
All this comes at a challenging time for our officiating program which is most dramatically demonstrated by this fact: the number of MHSAA registered officials has declined by 1,895 - 17.5 percent – over the past four years!
We know of course that our registration totals were temporarily inflated by two outside factors after 2007. First, after the court-ordered change in sports seasons for girls basketball and volleyball, the MHSAA allowed officials to add those sports to their registration free of charge in 2007-08 through 2010-11. And second, as is always the case, the recession pushed many new people into officiating; but again, just temporarily – we’ve lost many of them as the economy has slowly improved.
I do believe the MHSAA and its member schools and the local officials associations that serve school sports are up to the challenge we face. The same community that just rallied to provide record attendance in Grand Rapids has the ability to reverse the trend that could weaken school-based sports: fewer officials.
We will get there with three E’s: (1) encouraging officials; (2) equipping officials; and, most of all, (3) providing officials an environment in which to thrive – that’s one that is safe, sane and sportsmanlike.
I’ll have more to say on all three E’s over the course of the next few months. In the meantime, I invite you to learn more about officiating in Michigan here at MHSAA.com.
Officate Michigan Day Recap: Photo Gallery | Story