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.”
Deepening Appreciation
May 15, 2012
The first phase of ArbiterGame launches May 23.
The creation of these electronic athletic department administrative tools, tailor-made for Michigan high schools and fully integrated with MHSAA policies and procedures, is bridging most of whatever remaining gap that may exist in the MHSAA leadership’s understanding of and appreciation for the job of its member school athletic administrators and their support staff.
The MHSAA is in partnership with ArbiterSports to create the tools; and at each step of design and deployment, MHSAA staff are consulting with local athletic directors. MHSAA staff have been engaged in training to help answer user questions from athletic administrators and secretaries. There have been more hours than we can count when our staff has listened to athletic administrators talk about details of their tasks, and even more hours when our staff has talked about how we best respond to even the smallest details.
The process is helping MHSAA staff appreciate the long list of duties required for every athletic event for every level of every sport. Never before have MHSAA staff talked so much about local scheduling of practices, games, facilities, transportation, workers and officials. Never have we had a deeper and broader appreciation for all that is required – day after day, week after week, season after season.
As we develop administrative tools to ease the local school administrative burden, we deepen our understanding of the work in which local administrators are engaged. We started this project to respond to athletic directors’ urgent requests to solve the problems of inadequate scheduling products and related support services from commercial vendors. An unanticipated benefit has been to enhance our knowledge of their daily duties. And we will be much better for it.