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 Different Play for Football?
April 30, 2013
Football is an original high school sport. It is one of the first sports sponsored that was by schools even before the MHSAA existed as an organization.
Because football started in schools, not communities, football has been the high school sport least affected by non-school sports programs. Until now.
Non-school seven-on-seven football threatens interscholastic football. Commercialized seven-on-seven football threatens to do to interscholastic football what AAU types have done to basketball, and other entities have done to volleyball, soccer and other school sports.
A national committee was convened last year to address seven-on-seven football. It recognized problems but could only wring its hands regarding solutions.
I’d like to see the MHSAA convene representatives of the Michigan High School Football Coaches Association and the Michigan Interscholastic Athletic Administrators Association to mine for more meaningful responses in Michigan.
A limited number of days of seven-on-seven football involving school coaches and their students is already permissible during the summer. If more days were allowed in the summer under tightly controlled circumstances (read “non-commercial”), would this tend to improve the environment of seven-on-seven football? Would it also help to allow a few days of seven-on-seven football practice and play in the spring? Or would that hurt the spring sports programs of schools?
Can we learn from what happened in non-school basketball and discern a different game plan for non-school football if we now respond differently (and more quickly!) for football than we did for basketball 20-30 years ago?