Thinking Inside The Box
October 5, 2012
Praise is often heaped upon the innovative person who thinks “outside the box.” But thinking “inside the box” is equally praiseworthy.
By this I mean doing the essentials better. I mean remembering our first and fundamental reasons for being, and delivering the very finest services that support those purposes.
It is possible that by thinking outside the box, some organizations forget about their reasons for being; and in interscholastic athletics, we would be well served to think inside the box.
In sports we learn we must compete within the confines of end lines and sidelines. Go beyond the boundary lines and you’re out of play, where you can’t score and can’t win.
If school sports will secure a victory for its future – meaning, school sports continue to be a tool for schools to reach and motivate young people in an educational setting – it will not occur from out of bounds. It will occur because we stayed within prescribed boundaries: local, amateur, educational, non-commercial, sportsmanlike and physically beneficial.
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.”