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.”
Hit Again
April 1, 2013
Education reform needs a Mulligan. A do-over. The opportunity to go back to “Go” and start over. For example . . .
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Back to a time before the attack on neighborhood schools closed those schools and contributed to neighborhood collapse and community disconnect.
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Before suburban schools were allowed to prey on and profit from an urban school’s misfortunes.
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Before large buses lumbered down narrow residential lanes to transport our littlest learners from the shadow of their local school to another across town, where all the other littlest students were gathered for more “cost-effective” education.
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Before schools shuffled off low-achieving students to alternative schools in order to elevate their ranking on standardized test scores.
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Before teachers based their lessons more on test preparation than learning.
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Before education re-segregated through specialized charter schools with non-inclusive curricula.
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Before public schools were barred from beginning their instructional days before Labor Day, or whenever their community thought it best for the education of its students.
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Back to a time when pedagogy more than politics planned and delivered education.
Let’s tee it up and hit again.