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.”
Fundamentals vs. Fads
July 9, 2013
During the summer weeks, "From the Director" will bring to you some of our favorite entries from previous years. Today's blog first appeared Aug. 9, 2011.
While examining some ancient fabrics at the Viking Ship Museum in Oslo, Norway, my wife explained to me the “warp and weft” of weaving – how the vertical fibers are the warp and the horizontal fibers are the weft.
What intrigued me about the ancient remnants was that the vertical fibers of wool had survived the centuries so much better than the left-to-right-fibers of linen and silk. I was informed that the vertical fibers (the warp) gave the fabric its durability, while the horizontal fibers (the weft) provided the design. And the strength lasted long after the color had faded.
My vacationing mind then jumped quickly across the ocean and centuries to my working preoccupation with the essentials of school-based sports. I reflected on how certain principles on which educational athletics are based have withstood challenge after challenge over time, even as some of the earlier features of school sports have faded.
This travel memory will serve as a reminder to me to focus on the fundamentals – on those core values of school sports that are essential and allow us to claim that the programs are educational – and to worry less about the superficial features that will inevitably change with the trends and fads over the years. Determining which is which – distinguishing fundamentals from fads – is one of the challenges the leaders of school sports must face.