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.”
Fixing Things
October 6, 2011
Leaders of schools and school sports have rarely been asked to do more with less than is demanded of them today. Their plight has brought back to my memory that many years ago, a pastor from North Carolina, Stephen M. Crotts, told this story – one that I’ve kept in my files, and in my heart, ever since. He said:
I started my ministry in Charlotte County, Virginia. And there was a deacon in the church there named Harvey Milton who ran a seed and feed store in Drakes Branch. Harvey and his wife Margaret sort of adopted me and helped me along during those first tentative years of the ministry.
I remember one day after I’d been there nearly three years. I was struggling with trying to do too much, trying to keep everybody happy, trying to fix all the hurts.
I stopped by to see Harvey at his business and found him hunched over the back door replacing a broken hinge.
“What are you doing?” I politely inquired.
“Well, Stephen,” Harvey intoned, “there are four kinds of broken things in this world. There are those things that are broken that if you just leave them alone they’ll fix themselves. Then there are those things that are broken that are none of my business. It’s up to somebody else to fix it. Then there are those things that are broken that only God can fix. And finally, there are those things that are broken that can be fixed and it’s my job to do it. And this door is one of them. And that’s what I’m doing . . . fixing this door.”
Stephen finished by saying this: “When urgent calls, opportunities, pressure, criticism and thoughts of all I could be doing come, those words help me sort my duty.”
Perhaps those words will help you too.