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.”
Pivot Work
September 21, 2011
Consider the pivot move in basketball. The player receives the ball, plants his or her foot and spins 90 to 180 degrees. Without moving the pivot foot, the player turns from facing one direction to facing a different direction. And with that new perspective, the player either passes the ball to a cutting teammate or dribble drives toward the goal.
If these are pivotal times in school sports – and I believe they are – we must, if we are to make the most of these times, remember the skills that many of us worked on when we played basketball and still often admire as effective when we watch basketball. The pivot.
- One foot firmly planted. A foot that can’t be moved. Our base. Our fixed orientation.
- Then the spin that changes our field of vision from one direction to another.
- Then a sharp pass to a teammate, one who’s gotten a step on an opponent.
- Or, if no teammate is open to receive our assist, a determined drive of our own toward the goal.
If these are pivotal times, and if we are to be the “pivotal generation,” this is the drill: Fixed to our core beliefs, look around for new ideas and cutting edge partners to assist, and take it to the goal ourselves if we must.