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.”
Lacrosse Logic
March 6, 2012
Sometimes the administrators of school sports will be heard to say, “Is ours the only sport program that cares about kids’ well-being?” Or, “Are we the only folks willing to both make and enforce rules to protect the program and its participants?”
So, there are feelings of vindication and validation when we read about other sports programs which see and do some things somewhat our way. And it appears US Lacrosse is one of those groups. Here’s some of what is included in its Oct. 30, 2011 Position Statement: “Boys’ and Girls’ Youth Lacrosse Participation Recommendations.”
“1. Athletes at all level of play should have 1-2 days off per week from competitive athletics and training to allow for recovery.“2. Athletes at the U-9, U-11, U-13 and U-15 level should have at least 2-3 months away from sport specific training and competition during the year.“3. Athletes at the U-9, U-11, U-13 and U-15 level should play on only one lacrosse team during a season. If an athlete is playing on more than one team in the same season, they should not participate for more than 16-20 hours per week.”“6. Encourage participation in multiple sports throughout the year and avoid sports specialization before the U-15 age group (high school). Those athletes who choose to specialize in the sport of lacrosse in high school will need to take extra precaution with regard to overuse injuries and burnout. While there may be potential benefits to extra training, the risks of becoming one-dimensional at a young age needs to be evaluated on a seasonal basis. Furthermore, specialization does not guarantee improved play or college acceptance and only an estimated 5 percent of high school senior athletes progress to play some form of collegiate sports. Some researchers believe there is a benefit to multiple sport participation throughout high school.”