Parent Problem
October 29, 2013
For years when I have paused in presentations to ask coaches and school administrators to identify the biggest problems we have in school sports, two problems are far most frequently mentioned:
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Too little money; and
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Too many misdirected parents.
Other problems are cited; but far and away, the most frequently mentioned problems are under-funding of programs and over-involvement of parents.
In many aspects of the lives of youth, there is too little parent involvement and direction; but such is not the case in most places when it comes to sports. “Helicopter parents” not only hover, they also seek to rescue their children from the very situations – adversity – that sports uses to teach life lessons.
Parents have no role in decisions regarding playing time and game plans. Should parents ever believe that their child has been put at risk in a sports program, there are prompt and appropriate ways to address those situations, directly and with discretion, not gossip and guile.
And the job description of school administrators today must include the staunch defense of the jobs our committed coaches are doing.
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.”