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.”
Playoff Proposal Pauses
May 10, 2013
During the MHSAA Football Finals at Ford Field last November, I was approached by representatives of the Michigan High School Football Coaches Association with a request to have the MHSAA’s computing capabilities crunch the numbers for a concept that a couple of the coaches association’s members had for revising the MHSAA Football Playoff point system.
Within a few weeks the MHSAA hosted a meeting that brought together the coaches who introduced the concept with our numbers crunchers; and within a few days our staff had outlined the principles, revised the point system and retrofitted it to show how the system would have affected the 2012 playoffs.
There was initial excitement that we might be onto something, but that brief infatuation began to wane as we dug deeper and discussed the plan more widely.
The key ingredients of the proposal are (1) that a school would gain playoff points for every game its opponent wins, whether or not that school defeated that opponent, and (2) that the number of automatic qualifiers would be reduced in favor of a larger group of additional qualifiers based on a revised playoff points system that would favor schools which schedule larger and more successful opponents.
In spite of our staff’s helpfulness in bringing this proposal forward, we’ve lost optimism that it will accomplish what is hoped. Rather than making regular-season scheduling easier, it could make it harder as the “six-wins-and-in” mindset is replaced by the even worse “seven-wins-and-in” mindset. And any system that ignores a minimum number of wins and relies entirely on playoff points is even less fair than the current system to schools in the less densely populated areas of Michigan.
From our retrofitting of the proposed concept to the 2012 season, we know that teams with 6-3 records would be displaced in the playoffs by teams with 4-5 records, which is certain to go down badly and be difficult to explain to those communities. The revised point system would make it even more difficult than the current system for schools in less populated areas to find opponents of the size and strength to generate high playoff point averages without these schools driving 100, 200, 300 or more miles, one way, several times each season. For individual schools and some entire leagues, this will make football scheduling tougher, not easier. It is likely to add stress to those league affiliations, and to football scheduling generally.
In any event, there is no need to rush to 2013 or 2014 a proposal that’s called “Enhanced Strength of Schedule System” because schedules are 99 percent set for 2013 and nearly so for 2014. Even if adopted today, few schedules would be impacted before 2015. If a change like this one is to be implemented, schools must have ample notice, and our technology department must have enough time to program the new point system and then test it through an entire season.
The Representative Council acted wisely on May 6 when it paused the progress of this proposal. Some elements of it may be discussed at the MHSAA’s scheduled meetings this summer and fall.