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5 Critical Pulse Points: Circulation Assessment in Unstable Patients
5 Key Signals: Decoding General Impression and Mental Status in Sports Emergencies
6 Crucial Breath Checks: Navigating Airway and Breathing Challenges in Sports Injuries
AED Usage and Special Considerations
Advanced Cardiac Life Support (ACLS)
Airway Management of the Equipment-Laden Athlete
AiVolution: Using ChatGPT To Improve Work Efficiency and Emergency Care
Airway Assessment and Management
Are Your Emergency Care Protocols/Guidelines Aligned With Your Equipment and Training/Qualifications?
Artificial Ventilation Techniques
Asthma In Action: Fast Track to Managing Athletic Respiratory Emergencies
Best Practices and Current Care Concepts in Prehospital Care of the Spine-Injured Athlete
Breathe Easy, Act Quickly: Demystifying Hyperventilation Syndrome in Athletes
Cardiac Arrest and Resuscitation
Case Report Reviews: EAP Gaps Revealed in Sudden Cardiac Arrest (SCA) in Athletics
Critical Checks: Overlooking Nothing in Vital Signs Assessment
CRITICAL DECISION POINTS 2.0: Audience-Driven Management of Chest Pain in a Youth Soccer Player
Critical Decision Points 2.0: Interactive Case on Managing A Referee In Cardiac Arrest
Critical Decision Points 2.0: Interactive Case on Managing A Swimmer Drowning
Critical Decision Points 2.0: Interactive Case in Managing Uncontrolled Bleeding In A Baseball Player
Critical Decision Points 2.0: Navigating Initial Presentations of Generalized Abdominal Pain and Altered Mental Status
Clinical Decision-Making and Ongoing Assessment
Critical Decision Points 2.0: Navigating Initial Presentations of Head Pain and Chest Pain in Athletes
Details Are In The Questions: Ensuring No Misses In The SAMPLE/OPQRST
Effectiveness of Tourniquet Use in Managing Mass Hemorrhage Injuries
EMS Considerations For Responding To Psychiatric Emergencies
Evidence-based Comparison of Spine Motion Restriction (SMR) Techniques in Athletics
Exertional Heat Illnesses Gone Wrong: Case Failure Points
Follow-up Considerations In The Aftermath Of An Athlete Psychiatric Emergency and Return-To-Play
Fundamentals of Ventilation and Respiration
Hand It Over: Giving Report To EMS In A Clear, Concise Manner
Heat-Related Illnesses: Pediatric vs. Adult Patient Management
How the Selection of Objective Measures Drives Time to “Recovery”: Improving RTP Decision Making at the Front End
Management of Sudden Cardiac Arrest (SCA) During Monday Night Football: 7 Implications for the High School Setting
Mental Health Emergency Action Plan (EAP)
Next Witness Please 1.0 - A Mock Trial Debate on Exertional Heat Stroke Management In A Pediatric Athlete
Next Witness Please 2.0: Sexual Harassment of a Middle School Athlete MOCK DEPOSITION
On the Field, Across the World: Emergency Care for Traveling Sports Teams
On Your Mark, Get Set, Respond: Emergency Preparedness for Large-Scale Track & Field Meets
Oxygen Handling and Delivery
Patient Re-evaluation and Efficient Handoff Reporting to EMS
Preventing Exertional Heat Illnesses in Sports: Expert Insights from Dr. Rod Walters, DA, ATC
Respiratory Conditions and Underlying Mechanisms
Respiratory Medications and Diverse Populations
Separation and Scope of Athletic Training Practice in Emergency Care
Shock and Compensatory Mechanisms
Shock Waves: Quick Dive Into Understanding Decompensation and Shock
Sideline Concussion Management: What's Going On In That Tent?
Sports Emergency Preparedness for Equestrian Competitions
Suicide Assessment For Idiology
The Medical TimeOut
Thoroughness Counts: Leaving No Stone Unturned in Head-to-Toe Assessments
Two Hats, One Mission: Emergency Care with Caitlin Place, ATC, NREMT
Understanding The Respiratory System and Assessment
Understanding Psychiatric Emergencies in Athletic Settings
What Is An Organization's Responsibility For Establishing Scope of Practice for Coaches and Healthcare Providers?
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What Is An Organization's Responsibility For Establishing Scope of Practice for Coaches and Healthcare Providers?
General Course Information
Course Info (Description; Learning Objectives; Practice Gap; Clinical Bottom Line; Summary Conclusions)
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1:05:34
1:05:34
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What Is An Organization's Responsibility For Establishing Scope of Practice for Coaches and Healthcare Providers?
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Learning Material
Presentation (Video)
Updated Jan 22, 2024
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00:00
David Fleishman is an attorney attorney here in Baton Rouge. He's represented for professional amateur athletes coaches, agents, venue owners, and businesses related to sport law. He has been lead council on some landmark cases related to a name image and likeness here in Louisiana.
03:43
Sports medicine is really the focus on the nature and obligation owed by team physicians and trainers to athletes. It is always in your best interest to to contact a a practitioner, an attorney in your state.
07:44
Athletic healthcare team is kind of a larger group, and and really you can break that down into kind of more of a primary team which would would be composed of the athletic trainer in the team position. The athletics healthcare administrator is a very, I would say, a very important component. This is the individual who really is responsible for overseeing an organization's athletic healthcare administration and how they deliver their services.
12:01
Louisiana law defines athletic trainer to be an individual licensed by the board as an athletic trainer with a specific qualification set forth in that statue. Under the general supervision of a physician carries out the practice of prevention, emergency management, physical rehabilitation of injuries and sports related conditions.
16:23
The organization has an obligation to ensure that coaches understand what their role is, and trainers understand where they fit and team positions. And typically, you see that through well developed written plans.
20:04
The court says that despite its knowledge and controlling role in governing member schools, coaches, trainers, and student player conduct, the PIAA failed to timely and adequately impose safety regulations and post concussion protocols.
24:14
Athletic trainers in Louisiana don't don't, in and of itself, by their certification, necessarily qualify as as a license provider. So while physical therapists would be covered, athletic trainers are not.
28:29
It needs to be if there if the if I'm working at a high or junior high, And as an athletic trainer, then I the physician needs to have some type of MOU Is that correct in order to avoid being in effect? So it could potentially be under here other otherwise, not just saying, oh, I have something in writing.
31:40
If there is an agreement, it's important that it's outlined there that the the provider has full autonomy to make medical decisions. Even in norms, even if having and I I can't think of the the legal term for this, but almost like hey, you see, like, a societal norm in an or a regional norm.
34:52
Athletic trainer could be fired if they don't have a clear delineation of responsibilities. The worst thing from the trainer standpoint is that something happens and the school says, why do I why do we hire this guy?
38:09
The question that's come up in some of these earlier presentations that I think should be asked, and and I think some asked in the heat and stuff is, does an organization have the ability. Like, if I'm working for a high school and we've got our agreements in place and we're with the physician, do they get to limit my scope and ability?
41:44
I would be hard pressed to to try to restrict the athletic trainer or or physician to to perform anything like that. I know that's a constant thing that comes up, and I have heard and seen that public trainers constantly say, well, my school board says I I can't do that.
45:19
Athlete safety is a hot topic, and it's a very hot topic. I think anytime anybody feels like there's an unsafe circumstances situation or an athlete is not quite ready to return. If you, in your professional opinion, believe that's the case, I think you have an obligation to report that, notify.
49:15
I think the self the safety and well-being. I think that's the trend of where we're going. We have slowly started to recognize the importance of of recognizing signs of problems. And so I I would my my my recommendation would be to go with your your feeling.
52:47
David Perry: You're protecting the school in a in a large sense. You play you are actually, you know, the frontline defense there. It's important that you communicate that, you document.
56:04
The participation in athletics is not a right. It's a it's it's aIt's a privilege. So the right of that of the the athlete is that we as a provider or regard any provider They're right is you're going to do due diligence.
59:27
There was a case in Louisiana that was it's very disturbing. The court of appeal upheld the jury verdict of nearly 2,000,000 to the minor child of a grambling basketball player who collapsed while on an outdoor team run. No athletic trainers were present during the run. When Mister White collapsed, it took 15 to 20 minutes for a trainer to respond. The trainer who finally arrived had failed her boards and was uncertified.
1:02:45
Expert testimony provided established that Mister White would have survived, had the trainer been on-site, recognized the signs of a heat stroke, and immersed white in an ice ice bath within 10 to 15 minutes. The jury found scrambling and its staff 100% negligent and the Louisiana 2nd Circuit Court of Appeal upheld the verdict.
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