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.”
Transforming Coaches
October 12, 2012
Forty-two years ago this past August, I showed up at a high school near Milwaukee for my first teaching and coaching job. I remember being introduced to the football team just before the first practice, and then just 60 minutes later, on the field, I heard a player call me “coach.”
The next day I overheard one player say to another, “Coach Roberts said . . .”
In 24 hours, I had been transformed from Jack Roberts to Coach Roberts. And it gave me a very special feeling.
After parents (and sometimes before them), the coach is the most important person in the educational process of school sports. Good coaches can redeem the bad decisions that administrators or parents sometimes make; and bad coaches can ruin the best decisions of administrators and parents.
Coaches have enormous influence over how kids think, how they act and what they value.
There is no time or money better spent in school sports than the time and money spent on coaches education. Every coach, every year in continuing education regarding the best practices of supervision, instruction and sports safety, as well as in ethics, values, sportsmanship and leadership.
The MHSAA Coaches Advancement Program should be the centerpiece of every school district’s ongoing, multi-faceted training program for coaches. We expect continuing education for classroom teachers. Why would we ever consider less for those who work with large numbers of students in settings of high emotion and with some risk of injury attended by hundreds or even thousands of spectators?