On the Hook

March 12, 2013

The over-arching theme of interscholastic athletic administration today is the health and safety of our student participants.  It’s always our most important concern but now, by both self-serving and serious advocates, it’s being made a political football – actually more like a soccer ball being kicked back and forth and back again, resulting in about as much chance of scoring any positive goals as a World Cup soccer game will have in scoring any goals at all.

We are daily being distracted, and taken off our tasks, by symbolic more than substantive proposals to require this, that or the other thing to protect children from the risk of injury – regardless of grassroots input and without regard to grassroots resources.  Zealous advocates for child safety wish to protect children from any risk of physical exertion, while in the next breath they complain of youth inactivity and obesity.  And those who are trying to increase participation AND the quality of that experience – that’s us – become the targets of criticism.  Often, those who have never done anything, blame those who have done a lot, for not doing enough.

Our frustration is flowing from the health and safety “idea du jour” to which we must respond, knowing that every time we fail to gush over some legislator’s or advocate’s notion, we invite the characterization that we are uncaring, lazy or arrogant, or all of the above.  What we are doing is protecting schools from ubiquitous, onerous mandates which no one else in the school community is taking notice of because, appropriately, they are focused on the impossible task of providing an ever-expanding list of required services to an ever-increasing percentage of school-aged children with an ever-increasing list of problems, with the expectation that all of them will perform at ever-improving levels of achievement.

But even with all these disclaimers, I can’t let us off the hook.  There are some things we can do and must do to better meet our highest calling in educational athletics which, if we’ve lost sight of it in the confusing clutter of challenges, is not only to do no harm physically to students but also to help instill in them healthy habits for the rest of their lives. Consistent with this high calling, we have obligations to do some critically important things – sometimes in spite of outside interference and sometimes beyond that interference – and do so without delay.  It is about those things that I have been commenting most these past few months, and will continue to address.

Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.

On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”