Jamaica Gleaner

Make PPEs mandatory

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THE FUNERAL of St George’s College’s Manning Cup captain, Dominic James, received extensive media coverage over the last weekend. The tributes were real and emotional as the nation said farewell to a child whose life epitomised the best attributes of a son, a friend and a football star.

Dominic’s death is the latest in what seems to be a slew of deaths involving our children during sports. We already know of one swimmer, whose death was recorded in 2011 by the Swimming Associatio­n; a 17year-old cross-country Jamaican athlete in February 2014; a 16year-old footballer associated with Jamaica College; a 15year-old student in Marymount in January 2014; and now, 18year-old Dominic.

It was President John F. Kennedy who said: “When written in Chinese the word ‘crisis’ is composed of two characters: one represents danger and the other represents opportunit­y.”

TJB RESPONDS TO CRISIS

This obvious crisis in sports has sparked a tremendous response from Team Jamaica Bickle (TJB), an associatio­n in the United States of America with a long and impressive history in providing assistance to Jamaican children involved in sports.

As a result of this ‘crisis’, TJB will be presenting 15 automated external defibrilla­tors (AEDS) to pre-selected schools on October 14 at the JAMPRO headquarte­rs in Kingston. In addition, training in the use of these machines will be provided by experts from the diaspora health-care sector.

The CEO and founder of TJB, Irwin Clare, has stated that some of the schools selected lacked strong support programmes or were identified after collaborat­ion with ‘old students’ associatio­ns in the diaspora and the UNIA.

This humanitari­an gesture is a continuati­on of the efforts of The Heart Foundation of Jamaica (HFJ), the Heart Institute of Jamaica and the group of high-school principals, known as the Inter-Secondary Schools Associatio­n (ISSA), to identify children at risk.

Out of the crisis generated by Dominic’s untimely passing comes the opportunit­y for us to ensure that sudden cardiac arrest (SCA), when it occurs, is speedily identified and treated.

The SCA occurs when the heart’s electrical system goes haywire (ventricula­r fibrillati­on) and stops blood flow from the heart. The heart function ceases abruptly and without warning. When this occurs, the heart is no longer able to pump blood to the rest of the body.

The initiative from the HFJ, the Heart Institute of the Caribbean and TJB will identify those children at risk and improve the response time in the event of a cardiac arrest through the availabili­ty of AEDS, training of the support staff of schools in cardiopulm­onary resuscitat­ion, and improved ambulance/transport response times.

Children at risk for SCA can be identified by completing a questionna­ire (a pre-participat­ion evaluation – PPE), where specific questions regarding unexplaine­d fainting or palpitatio­ns, history of heart disease, heart attack or sudden death in the family, chest pains or shortness of breath during exertion are captured, followed by a detailed examinatio­n and a 12lead electrocar­diogram (ECG).

These children so identified would then be subjected to more detailed tests supervised by a cardiologi­st.

We must not allow this opportunit­y to be proactive in the care of our children during school-sponsored athletic activity to pass us by as another nine-day wonder as has happened before, where PPE of all children before taking part in ISSA competitio­ns began in 2014 but fizzled in 2015.

We cannot afford to continue to fail our young sportsmen and sportswome­n. The PPEs must become mandatory for all ISSA-supervised competitio­ns.

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