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.”
Classification Comparisons
January 27, 2012
One of the ways statewide high school organizations evaluate their operations is to compare their policies and procedures with similar organizations. We do so cautiously, however, because there are so many variables – like population and number of schools, as well as the size, shape and location of the state.
We find that the most useful comparisons are with states of the upper Midwest and Great Plains and, even more so, with the statewide organizations of that region with a number of schools closest to our approximately 765 member high schools in Michigan.
By these criteria, Illinois, with about 780 high schools, and Ohio, with about 820 high schools, are most valuable to observe, while neighbors like Indiana and Wisconsin with about 400 and 500 high schools, respectively, are less valid measures for our work here.
Recently, to help the MHSAA Classification Committee have a larger view of tournament classification systems, we provided the Volleyball, Football and Basketball Tournament classifications of Illinois and Ohio, as well as our own:
- All three states have four classifications in both volleyball and basketball, and only Ohio equalizes the number of schools in each class/division (as Michigan does in all sports except volleyball and basketball).
- The enrollment ranges between the largest and smallest schools in the classification for the largest schools and the classification for the smallest schools (Classes A and D in Michigan) are much smaller in Michigan than in either Illinois or Ohio in volleyball and basketball.
- In football, Ohio’s playoffs accommodate 192 football schools in six divisions determined prior to the regular season, while both Illinois and Michigan’s 11-player playoffs accommodate 256 schools in eight divisions determined at the end of the regular season.