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.”
A Triple Play for Coaches
May 28, 2013
The following resolution was adopted by the Delegate Assembly of the Michigan Association of School Boards last November:
“The Michigan Association of School Boards urges all local school boards to:
“(a) Employ qualified persons as coaches of interscholastic teams.
“(b) Provide in-service training for all coaches, including training in first aid, current CPR certification, proper athletic conditioning, recognition of athletic injuries, recognition of the use of performance enhancing drugs, and the proper way to deal with hazing within the athletic programs of a school. Much of this training is available through MHSAA’s Coaches Advancement Program (CAP).
“(c) Require supervision and evaluation of coaches.
“(d) Make coaches aware of pertinent school policies, rules and regulations and require compliance.
“(e) Encourage coaches to follow the athletic code for coaches in the MHSAA Handbook and include information regarding NCAA eligibility guidelines and requirements.”
During the 2013-14 school year, the MHSAA Representative Council will vote on two proposals that are consistent with this resolution:
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In December, the Council will consider this enhancement to coaches preparation:
By 2015-16, MHSAA member high schools will be required to certify by the designated deadlines that all of their varsity head coaches of high school have a valid (current) CPR certification. Inclusion of AED training is a recommended part of the CPR certification process.
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In March, the Council will consider this enhancement to coaches preparation:
By 2016-17, all individuals hired for the first time as a varsity head coach of a high school team, to begin those coaching duties on or after July 1, 2016, must have completed Level 1 or Level 2 of CAP.
These two measures join the following that the Council approved on May 5:
By 2014-15, high schools must attest prior to established deadlines that all assistant and subvarsity coaches at the high school level have completed annually the same MHSAA rules meeting required of all varsity head coaches or, in the alternative, one of the free online sports safety courses posted on or linked from MHSAA.com and designated to fulfill this requirement.