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.”
Go With It
April 30, 2012
One of my counterparts in another state asked me last week, “How do you do it?” He meant, how do I find time to prepare two blog postings every week; and he also meant, how do I find topics for 104 postings each year; and he also meant, how do I go about the actual writing?
As for finding time, it’s no problem; because writing helps me think. It helps me clarify and prioritize. And going public with these thoughts helps me be more certain that I’m committed to the ideas. For me, writing daily is as important as breathing deeply.
As for finding topics, it’s rarely a problem. I find subject matter in what I read, what I hear and what I observe in everyday life and worldwide travel. And I’ve discovered that the richest sources for writing about school sports are often found the furthest from school sports.
And as for the actual technique, I go about it this way: I try to provide a plain circle, and then invite readers to color it however they wish, to use any shade they prefer, to color outside the lines if they think that’s most beneficial to their situation.
When we were children we were praised for coloring within the lines and utilizing the appropriate shades for sun, sky, grass and flowers. These days I just want to provide a blank circle and ask, “What can you do with that?” Not dictating what readers should do, but inviting readers to take an idea and do with it what they will where they live, work and play.
At least that’s what I want to do.