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.”
What Sport Looks Like
April 9, 2013
The decision of the International Olympic Committee to eliminate wrestling from its schedule of events is deplorable for more reasons than I have room to describe here. Many others have expressed their outrage, which I share; and it looks like there will be a concerted effort to have the IOC reverse itself.
Notwithstanding all the angst it created and has yet to endure, the IOC’s policies and procedures are intriguing, and possibly useful. They go something like this.
Periodically, the IOC requires each of the designated Olympic sports to defend its status, to state their case why the sport should remain a part of the Olympic program. Then, after a series of votes that retain one sport at a time, the IOC drops the sport that makes the weakest case. It does so to make room for one of the previously unlisted sports that makes the best case for inclusion.
This would appear to keep the existing Olympic sports on their toes, and to keep the Olympic movement fresh and reflective of modern trends in sports.
While I would not enjoy the controversy, I can see the potential for some positive results if the MHSAA were to invoke the same policy for determining the 14 tournaments it will provide for girls and the 14 for boys.
This might cause us to consider more deeply what a high school sport should look like, or at least what an MHSAA tournament sport should stand for.
On the one hand, we might be inclined to delete those sports that involve mostly non-faculty coaches and non-school venues, or require cooperative programs to generate enough participants to support a team, or resort almost entirely to non-school funding, or cater to individuals more than teams.
Or perhaps this process would cause policymakers to forget traditional thinking and ask: “In this day and age, should we shake off traditional notions of sport and consider more where modern kids are coming from?” That might mean fewer team sports and more individual sports, more “extreme” sports like snowboarding and skateboarding, and more lifetime sports, meaning not just golf and tennis and running sports, but also fishing and shooting sports.
Is the only question how many schools sponsor a sport, or must an activity also have certain qualities and/or avoid certain “defects?” What should an MHSAA tournament sport look like and stand for?