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.”
Motivation Matters
November 6, 2012
I had the opportunity to compare notes with the leader of a high school in Boston which educates a high number of non-English-speaking students – more than any other public school in that diverse metropolitan area. My interest flows from my work with mid-Michigan’s Refugee Development Center, which provides English classes and other services for newcomers to our community.
We both have observed that, almost without exception, these students who are seeking to learn English are highly motivated – considerably more so than most other students we observe. They come early to class and stay after class; and if class is ever cancelled, they come anyway!
We agreed that those who are attempting to revolutionize education with one overhaul or innovation or another may be missing what’s really wrong. We don’t have a structural or systemic problem at school, we have a motivational problem at home.
It may be fashionable for the pundits and politicians to beat up public education in the U.S., but from all around the world people are beating a path to our schools for the quality of education they cannot find elsewhere. And displaced populations – most immigrants and refugees – arrive with motivation to learn and assimilate that puts U.S.-born students to shame.
Really, whose fault is this? It can’t be the schools. But schools must try to respond to the problem they are being presented.
And extracurricular activities and athletics are among the tried, tested and proven tools available to schools to help reach, motivate and educate our young people to stay in school, like school and do better in school than they otherwise would.