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.”
Student-Centered Programming
February 7, 2012
For most of the histories of most statewide athletic associations across the country, the association has been a third party. That is, the association’s work was with adults - administrators, coaches and officials – who had more direct interaction with student-athletes.
That has been changing for most of these associations over the past two decades.
Today, MHSAA staff work directly with student-athletes through the Farm Bureau Scholar-Athlete program as well as at sportsmanship summits and captains clinics. We partner with the Basketball Coaches Association of Michigan to conduct our “Reaching Higher” programs for college-bound male and female players. We have a Student Advisory Council that works with us in our office, at meetings and at tournament venues.
After the Scholar-Athlete program, the oldest of our student-centered programming is the MHSAA Women in Sports Leadership Conference which began in 1989. The 2012 Women in Sports Leadership Conference, which concluded yesterday, addressed a “Leaders Show Up” theme. Three dozen presenters interacted with approximately 500 student attendees.
These direct interactions aid the modern athletic association in staying alert to the needs, desires and “idiosyncrasies” of students, who have always been the subject of the work – just less obviously and effectively than they are today.