Lockdown Logic
June 7, 2014
There recently were two fatal shootings within a single hour in the neighborhood of the MHSAA office; and for a couple hours, the killer evaded law enforcement authorities.
We locked the MHSAA’s doors and directed staff to remain in the office during the chase and capture. That evening on the local television news we learned the details of the day’s drama. And then sidebars to the main story developed, including criticism by parents who complained they were not alerted promptly enough when their children’s schools were locked down.
Several outraged parents complained that their school didn’t notify parents of the lockdown for a whole hour. Imagine that; that schools would worry first and foremost about students’ safety and only secondarily about notifying parents!
One local school administrator confided that before instant Internet communications, it was standard operating procedure to focus first on kids’ safety. Now, administrators worry about parents showing up at school and adding to the hazards.
There is almost intentional delay in notifying parents so they won’t be incited into rushing to school, risking their own safety and that of others, and complicating efforts of school personnel to protect children and of law enforcement personnel to pursue the bad guys.
Before the Internet age, hours could lapse before parents knew of unusual events near their children’s schools. Often the notice was put in writing and sent home with children at the end of the day. Now schools are criticized for even an hour’s delay, which might be just another of the growing list of unrealistic and unfair demands on our schools.
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.”