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.”
Half Empty or Half Full
December 11, 2012
After an absence of decades, eight-player football has been reintroduced to Michigan high schools during recent years. When enough schools sponsored the program, the MHSAA responded with a four-week playoff in 2011. The number of schools sponsoring the sport grew in 2012, and more growth is expected for the 2013 season.
Like almost everything that occurs in life, what has benefited some schools is not seen by others to be in their own best interests.
Advocates of the eight-player game include those schools whose declining enrollments couldn’t support the eleven-player game. Football has returned to some communities and has been saved from the brink of elimination in others.
However, as two and soon three dozen Class D schools opt for the eight-player game, the remaining Class D schools that sponsor football find themselves in disrupted leagues and forced to travel further to complete eleven-player football schedules; and they must compete against larger teams in Division 8 of the eleven-player MHSAA Football Playoffs.
In fact, the growth of the eight-player game among our smallest schools has resulted in more Class D schools qualifying for the MHSAA Football Playoffs than ever before. In 2012, an all-time high 44.0 percent of Class D schools that sponsor football qualified for either the single division eight-player tournament or Division 8 of the eleven-player tournament. This compares to 42.2 percent of Class C schools, 44.9 percent of Class B schools and 41.6 percent of Class A schools that sponsor football and qualified for the 2012 playoffs.
Some see the eight-player game as the savior of the football experience in Class D schools. Others see it differently.