War Stories
May 25, 2012
I recently returned from a national meeting of my counterparts – an annual gathering where legal and legislative topics are on the agenda. With increasing frequency, the business aspects of the gatherings are sidetracked by “war stories,” as my colleagues relate the latest attacks on their organizations by media, legislators, lawyers, parents and others as these good leaders assist their member schools in regulating interscholastic athletics.
It is well known that respect for authority figures and organizations of all kinds has been slipping for decades; and there are many reasons for it. What has made the decline even more apparent is the Internet where people can communicate with more speed and less consequence than before.
It is well studied that appropriateness of tone and language diminishes as one moves from face-to-face meetings, to telephonic conversations, to traditional letters, to emails, texts and Twitter.
People will usually research topics and learn more about the complexities of an issue before meetings and use dialogue to come to consensus during conversations. They will be more circumspect and contemplative in correspondence (which means, literally, an exchange of letters). But they will not hesitate to make assertions and cast aspersions without any factual basis in brief, one-sided email or social media comments; which usually adds nothing but acrimony to the issue.
Perhaps by being the No. 1 user of social media among the nation’s state high school associations, the MHSAA has made the problem worse. Perhaps by being the only state high school association executive director in the country to blog, I’ve also added to the problem.
Sports, after all, is not a subject that often suffers from too little communication. Perhaps, at least sometimes, it suffers from too much quantity and too little quality.
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.”