Connecting with Coaches

January 28, 2014

In the coming weeks, the MHSAA will meet with the leadership of the high school coaches associations of our state. We have been doing this for more than 25 years, with two primary purposes.

First, we want to provide a forum for these leaders to share with one another their new ideas and initiatives and to discover “best practices” from one another, hoping that this will lead to the better plans being implemented in multiple organizations.

Our second purpose is to present some of the MHSAA initiatives or rules changes that are applicable to all or most sports. It’s not a time when we talk about the baseball pitching rule or the football playoff point system, but a time when we discuss topics of more universal application.

This year those topics included new requirements for coaches education, new rules for athletic-related transfers and proposed rules changes for international students, a simplified scrimmage rule for all sports, and a modified penalty for participation in certain all-star events.

It is intended that these coaches association leaders will be enabled to take these topics to their respective boards and members in order to increase understanding of proposed changes and to facilitate feedback to the MHSAA Representative Council and staff.

Cardiac Screening

October 31, 2014

The American Heart Association has once again concluded that sophisticated and expensive heart screening is not practical or appropriate as a precondition for youth and young adults to participate in competitive organized sports.

On Sept. 14, 2014, the AHA online publication Circulation stated:

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.”