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.”
Glue and Grace
October 9, 2012
Recent events, obvious to you, caused me to return to an article the MHSAA published in August of 1999. Here it is again:
Three days after the tragedy at Columbine High School in Littleton, Colorado, a retired athletic administrator whom I respect greatly and listened to intently, called me to say this:
“You have an opportunity to speak to student-athletes in this state and across the country. Talk to them about Littleton.”
This administrator wanted me to convey to athletes that they were not a part of the many and complex causes of the Columbine carnage, but they play a small part of the solution to help assure such craziness doesn’t occur closer to home.
The administrator was referencing some of the media reports that suggested the youthful killers took offense to the “jocks.” Valid or not, these suggestions provide another wake-up call for those who claim that school-sponsored sports are healthy for the participants, school and community.
As a result, part of my conversations with student-athletes this year and the heart of my message to team captains in 1999-00, will be this:
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Break down the walls, real or perceived, between the athletes of your schools and other students. Avoid cliques limited to team members or even athletes in general.
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When you walk the school halls and shopping malls, greet fellow students warmly, regardless of their involvement in school sports or other activities. Let them know that you know they exist.
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Become more sensitive to the needs of others, especially those who are different than you. Appreciate that while you may be more gifted in some things, other students are more gifted in other things. Show a genuine interest in those things.
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Understand that you are not the center of the universe. Accept that it is your role to serve others, and not the other way around.
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Don’t condescend, but concentrate on the rich worth of other people. Seek them out. Involve them. Enter into their worlds and invite them into yours until such time as it is difficult to recognize different worlds in your school and community.
I believe this goal for the interscholastic athletic program, embraced by every administrator, participant and parent, would help us: That every participant be involved in academic and non-academic matters, athletic and non-athletic activities, be a star in one thing and a substitute in another, be on stage and backstage, in solo and ensemble, experiencing both winning and losing.
A student involved in such an experience as this could not help but provide glue and grace to a student body.
No student-athlete anywhere is remotely responsible for the massacre in Littleton, Colorado. But student-athletes everywhere have an opportunity to be a small part of an environment that assures such a tragedy is not repeated where they live, study and play. Talk to them.