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NEXT WITNESS PLEASE 1.0 - A Mock Trial Debate on Exertional Heat Stroke Management In A Pediatric Athlete
General Course Information
Course Info (Learning Objectives; Clinical Bottom Line; Summary Conclusions)
About the Presenters
Continuing Education Credits / Course Disclaimers and Conflicts of Interest / Refund Policy
Learning Material
1:15:55
NWP 1.0 - Scenario Information
1:15:55
Presentation (Video)
Completed
Complete
NEXT WITNESS PLEASE 1.0 - A Mock Trial Debate on Exertional Heat Stroke Management In A Pediatric Athlete
›
Learning Material
Presentation (Video)
Updated Jan 22, 2024
Bookmarks
00:06
Hi, hello, everyone. For joining in tonight's session. I'm Ray Castle. I'll be the moderator and also the presiding this case today. We're and this is a mock trial debate on exertional heat stroke. Management and a pediatric athlete.
03:31
This is a full debate. You're gonna see an opening statement, presentation of key witness, inhabitants, cross examination, rebuttal, closing arguments, and then you will have a chance to you as a jury to vote. The opinions and arguments presented don't necessarily reflect the professional beliefs nor their participation in this educational activity and any specific medical intervention.
07:38
The key question here is this, should we use a colorectal thermometer utilize an athlete to school in this in this situation the schools excuse me. School's athlete director aboard. This athlete trainer was having difficulties in that case.
11:28
The clinical changes associated with exertional heat stroke can be subtle and easy to miss if medical personnel don't maintain high level of awareness and monitor at risk athletes closely. A core temperature of equal to or greater than 40 degrees Celsius is not a consistently meaningful risk factor.
15:23
rectal temperature is the only time that you can truly get a true temperature of the body, what's going on. Theorectal temperature was still always considered the standard in which to find out what true temperature was.
19:32
Louisiana law requires athletes to use a cold water diversion tub at every practice or competition for all outdoor sports. "I think preparation is always always a key part"
23:31
Glasgow Comascale was a 13 out of 15, which is considered slightly diminished. Did any of your student athletes go without a pair of socks or a helmet or a jersey? Because because you purchased this this piece of equipment in your in your district without a no. No. Nobody has had to go without because we had to afford to purchase a rectal phlebotomy.
27:41
Cold water immersion is the best, but that due to sometimes availability at the site of using the taco method. I think that's, to me, would be the secondary part that we would have to be able to use.
31:41
Parents are not aware that either partial or full removing of clothing below the waist to excites their child's rectum is necessary in order to ascertain a court rectal temp. If the parents don't sign for consent for this invasive, albeit life saving intervention, what protocols do you have in place to assess and treat exertional fee illness that don't involve a rectal core temp?
36:10
Athletic trainers are not protected under the good Samaritan law. When you're employed as an athletic trainer, and you're required to have your BOC certification or state license. You have a duty to treat.
40:38
Hands-only CPR is not consistent with what the athletic trainer did, Dr. Allen says. He says the only thing that the colorectal type provides is the status of what the body is being immersed.
45:16
Jury member asked a question from the jury. Doctor Chatsky: I don't think that they can look at everybody's state practice act or come into play and write something that would be universal across state lines. Doctor Chefska: I think you have to look at individual state practice acts.
49:50
Katie Olin is on trial for negligence in the death of her daughter. The jury is hearing closing arguments in the case.
53:58
The panelists will answer questions in a series of Q and A's over the next 3, 4 minutes. The questions are anonymous, so all the answers are anonymous. Jason, Carrie, Ray, and Carrie, what's the one thing you've learned you've gained the most out of this?
57:17
Cases just aren't black and white, and in hindsight is always 2020. No matter what you do in the health profession, it's just we're always gonna find ourselves in hot water to fight our best intentions.
1:00:56
Remember this tonight and and and try to cut our our peers some slack. We are the only health care profession in the world that gets to perform your duties in front of thousands that that are that are watching you.
1:04:28
You have to have physician direction as an athlete trainer, other providers, again, going back to what your practice allows you to do, and then also making sure. You also have to look at making sure that you have a well written policy.
1:08:07
core rectal thermometer is is proven. There's like a 7 degree variance. Up to if you do an oral thermometer. So what are you gonna do if the child has a fever? You're gonna give him Tylenol if they have a fever.
1:11:32
Under their armpit, but still rectal still is widely used to get that accurate, accurate reading. And I I could tell you the more I've learned in my practice and more comfortable I've gotten more direct attempt.
1:14:57
So The favor the argument said the best arguments were the defendants in this case. That sit and with that 65 to 35%. Of that, which person entity is most fault in this cases? The 2 most were the school system and the athletic director.
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