Predictable Problems
April 9, 2012
A completely predictable theme of this year is that as schools continue to cut support for school sports, they bring more controversy to school sports.
It is impossible to avoid serious problems running a comprehensive interscholastic athletic program involving many participants, lots of spectators, great emotion and some risk of injury, without dedicating competent full-time staff to its supervision.
Two emerging trends since schools have trimmed support for interscholastic athletics are . . .
more mistakes are being made (not because of more deception but because of more distractions – too little time on task); and
more of the oversights are being discovered later in the season. So late, in fact, that MHSAA tournament brackets are left empty. We had a team claim a Boys District Basketball Tournament trophy one week without playing the District championship game. The next week another team received a Boys Regional Basketball Tournament trophy without playing the title game. In each case, the opposing team had advanced with an ineligible player, and had to withdraw.
If we reduce time on task, if we minimize training and support, we invite mistakes and oversights, which invites forfeits and injuries, which incites controversy in the school and community.
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.”