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.”
Football’s Future
March 20, 2012
Many folks, including me, will too often focus on the destination more than the trip. More on results than process. The end more than the means.
This is epidemic in sports, on all levels. There’s so much focus on the postseason that it overshadows the regular season.
In contrast, in educational athletics, we are supposed to hold to the principle that opportunities for teaching and learning are as plentiful, maybe more so, in regular season as in tournaments, at subvarsity levels as at varsity, during practices as during games.
This disease affects football as much as any high school sport. There’s been too much focus on the end of the season – playoffs. Postseason tournaments have been the demise of many great Thanksgiving Day high school football classics across the country. Playoffs continue to ruin rivalries and collapse conferences nationwide.
And, disturbingly, the focus on the end of the season misses what is most wrong with football, and may be most threatening to its future. It’s practice. Specifically, what’s allowed during preseason practice and then at practice throughout the season.
We can predict that, in high school football’s future, two-a-day practices will be fewer, practice hours will be shorter and activities will be different. Among proposals we will be presented (and should seriously consider) will be:
If this all sounds silly or radical, remember that the NCAA and NFL are already making such changes. NFL players face contact in practice on only 14 days during a 17-week regular season. Meanwhile, many high school coaches have kids knocking heads and bruising bodies two to four days a week, all season long. Giving critics the impression that interscholastic football for teens is more brutal than the higher levels of football for grown men. Inviting interference from people who think they know better.
Actually, we know better; and we need to do better. Soon.