Push “Pause”
January 24, 2014
No student has the right to participate in the voluntary competitive interscholastic athletic program sponsored and conducted at an MHSAA member school. In practical application, this means that all students are assumed to be ineligible for participation until they have earned the privilege of participation.
Students do this by demonstrating that they have met every prerequisite condition for participation which, at minimum, are the eligibility rules of Regulation I (for high schools) and Regulation III (for junior high/middle schools). A student must be eligible under every Section of Regulation I or Regulation III before he or she competes in a scrimmage or contest.
For example, every student who is new to a high school is presumed to be ineligible for interscholastic athletics. School administration must be certain that each student’s circumstances comply with one of the 15 automatic exceptions to the transfer rule’s requirement that new students must sit out approximately one semester.
If one of the exceptions explicitly applies, the student becomes eligible, provided he or she complies with all aspects of all other Sections of Regulation I: enrollment, age, physical exam, previous and current academic records, amateur and awards, etc.
That’s why we teach at in-service meetings for coaches and administrators, “If in doubt, sit ‘em out.” Wait for as much information as possible before entering any student into a scrimmage or contest. Very often a week or two pause before play will avoid a season of forfeits and a school year of frustration.
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.”