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.”
The Boomerang Effect
March 6, 2013
The image of football on all levels, and the future of football at the youth level, are both worse off today as a result of the NFL’s recent years’ public relations and political campaigns.
The constant barrage of negative publicity about youth football as the NFL advanced its agenda to pass concussion legislation in all 50 states has, to levels not seen before, kicked off the concerns of moms and dads and the media nationwide. In state after state, kids with concussions have been paraded before state legislators, in the company of NFL staff. The NFL has administered a self-inflicted wound, shot itself in the foot, and made FOOTBALL the face of America’s youth sports concussion problem. How the NFL brain trust ever thought this would promote the game of football in America is a wonder.
School-based football today has no greater obstacle to promoting a safe game than the NFL. No brand of football captures the game’s brutal aspects for video more than the NFL. No brand of football celebrates it more. No brand of football CAPITALIZES on it more – so much so that the NFL can donate several million dollars to youth football to buff its “caring” conscience, when in fact it’s a miniscule portion of its multi-billion-dollar business.
Moreover, one of the NFL’s favorite groups for its self-promoted “philanthropy” is USA Football which promotes itself as the national governing body for amateur football in America. One of USA Football’s initiatives is an international championship for high school players, which of course means more hitting out of season for these players. The very activity the experts are telling us to reduce – out-of-season contact – is being promoted by this NFL underwritten organization! And WE get criticized as being against the promotion of football in America when we don’t go along with this backward thinking?