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.”
Our End of the Pool
June 26, 2012
The six-year veteran CEO of PepsiCo, Indra Nooyi, told Fortune magazine’s Geoff Colvin in a June feature, “Courage in leadership is very difficult, especially in today’s world, where the media doesn’t take time to really understand you.”
We can relate to this in our work in school sports, as very many veteran sports journalists and broadcasters have retired or been downsized, replaced by staff who are fewer in number and relationships and weaker in institutional knowledge and professionalism.
Whenever I read, watch or hear news accounts concerning topics that involve our work and about which I know a lot, I can see how incomplete and inaccurate the reporting is. This has always been true, but now is much more obvious; and this has made me even more skeptical when I read through other topics about which I know less. How much of this is opinion, not fact? What facts are incompletely presented? What “facts” are just plain wrong?
In this environment, it’s risky for leaders to step out with new initiatives; and it’s even riskier to defend the status quo, for the establishment is routinely presumed to be wrong by media who now often lack subject-matter depth and historical perspective.
Still, it remains the leader’s role, according to Jim Collins in Great by Choice, to not just predict the future, but to go out and create it anyway – in spite of criticism by media who have little experience swimming in our subject matter and who are merely wading into the shallow end of our deep pool. Sometimes creating the future means doing something new and different; but just as often – perhaps even more so – it means defending something whose existence helps to maintain the very essence of educational athletics.