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.”
Football Practice Proposals
June 11, 2013
During 2013, a Football Task Force has been working on revisions to practice policies that might simultaneously improve acclimatization of players and reduce head trauma. Over three meetings, the following four-part recommendation has been developed:
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During the first week of practice of the season, only helmets are allowed the first two days, only shoulder pads may be added on the third and fourth days, and full pads may not be worn until the fifth day of team practice.
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Before the first regular-season game, schools may not schedule more than one “collision” practice in a day.
• A “collision” practice is one in which there is live, game-speed, player-vs.-player contact in pads (not walk-throughs).
• During any additional practice sessions that day, players may wear helmets and other pads (neither is mandatory). Blocking and tackling technique may be taught and practiced. However, contact is limited to players vs. pads, shields, sleds or dummies.
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After the first regular-season game, teams may conduct no more than two collision practice days in any week, Monday through Sunday. During other days of practice, players may wear helmets and other protective pads (neither is mandatory). Blocking and tackling technique may be taught and practiced. However, contact is limited to players vs. pads, shields, sleds or dummies.
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No single practice may exceed three hours, and the total practice time for days with multiple practice sessions may not exceed five hours.
• Warm-up, stretching, speed and agility drills and cool down are all considered part of practice. Neither strength/weight training activities nor classroom sessions are considered practice for the purposes of the three- or five-hour limits.
MHSAA staff will be taking this recommendation on the road from now through October to obtain constituent understanding and feedback. It is the intent of the Task Force to finalize its consensus regarding these matters by late November so they may be reviewed by the Michigan High School Football Coaches Association, the MHSAA Football Committee and at the MHSAA League Leadership meeting prior to Representative Council action in March 2014.