CRITICAL DECISION POINTS 2.0: Audience-Driven Management of Chest Pain in a Youth Soccer Player

BOC Domains of Athletic Training: Domain I - Risk Reduction, Wellness, and Health Literacy Domain II - Clinical Evaluation and Diagnosis Domain Ill - Critical Incident Management Domain V - Healthcare Administration and Professional Responsibility Upon completion of this course, participants will be able to: Identify appropriate initial care steps and interventions for a pediatric soccer athlete experiencing acute chest pain. Apply effective decision-making skills when faced with acute chest pain in an athletic setting. Enhance critical thinking abilities in evaluating potential causes of chest pain in athletes. Analyze and interpret a detailed case study summary to reinforce knowledge and understanding. Recognize and implement best practices and emergency care protocols for possible cardiac events in athletes. Clinical Bottom Line: The session emphasizes the critical importance of early activation of EMS for cardiac care in cases of acute chest pain. It addresses incident rates for commotio cordis and other cardiac events in the pediatric athlete population, highlighting the need for heightened awareness and preparedness. The session also underscores the significance of having appropriate emergency care equipment readily available for athletic trainers to ensure prompt and effective interventions. By reviewing best practices and emergency care protocols, this session equips athletic trainers and other professionals with the necessary knowledge and skills to confidently manage cardiac events. The clinical bottom line reinforces the essential steps of early EMS activation, understanding incident rates, ensuring equipment availability, and implementing best practices to optimize emergency care for athletes experiencing acute chest pain. Summary Conclusions: Through dynamic discussions and a realistic case scenario, participants actively make crucial decisions for the well-being of athletes experiencing acute chest pain. The session enhances critical thinking skills, deepens comprehension of potential causes of chest pain in athletes, and emphasizes effective decision-making, ultimately leading to the identification of commotio cordis with ventricular tachycardia as the final diagnosis. A comprehensive case study summary exemplifies the practical application of decision-making and reinforces knowledge gained, specifically highlighting the unique challenges and appropriate interventions for commotio cordis in athletes. By reviewing best practices and emergency care protocols, the session ensures that athletic trainers and other professionals are well-prepared to handle cardiac events, addressing the clinical practice gap in acute chest pain management for athletes, particularly in cases of commotio cordis with ventricular tachycardia.

A native of St. Joseph, LA and a 1990 graduate of LSU, Castle has an extensive background in education, clinical practice, and professional service spanning over 32 years. Dr. Castle's clinical practice background has included experiences at the high school, college, and international (1996 Atlanta Olympic Games; USOC Sports Medicine Staff for 2003 Pan American Games; and 2004 US Women's Bobsled) levels, large-scale medical coverage and coordination, as well as extensive experience in emergency medicine. He received his undergraduate degree in Kinesiology from Louisiana State University, where he began as an athletic training student.  Ray received his Master of Science and his Doctor of Philosophy in Human Performance and Recreation from The University of Mississippi. Additionally, Ray is a nationally registered emergency medical technician (NREMT) as well as an EMS Instructor through the Louisiana State Bureau of EMS. Castle is nationally known and recognized for his skills and contributions to advancing the athletic training profession and advocacy for sports health and safety through 200+ presentations, research projects, and publications.  He has served in various leadership roles in state, regional, and national organizations, including a member of the National Athletic Trainers' Association Education Council (2004-2008), Board Commissioner on the Commission on Accreditation of Athletic Training Education (CAATE) from 2011-2017, and Vice-President of the Louisiana Athletic Trainers' Association (2013-2016). Ray is also the recipient of numerous awards and accolades, including National Athletic Trainers' Association Most Distinguished Athletic Trainer (MDAT) in 2017, induction into the Southeast Athletic Trainers' Association Hall of Fame in 2014, and Louisiana Athletic Trainers' Association Hall of Fame in 2019. After a 20-year stay at LSU where he was Professor and Athletic Training Program Director, Castle transitioned in August 2022 to devote his energy and passion to Action Medicine Consultants, LLC, as Owner and Chief Medical Officer since 2012. His company provides sports medicine event coordination; emergency medicine and response training; EAP development and audits for organizations; and continuing education courses. One of his most recent activities was serving as a consultant for the Louisiana High School Athletics Association in the development and implementation of its Pre-Game Administrative Conference (PAC), or “medical time-out” program. He currently serves as medical coordinator for over 20 large-scale events in Louisiana, Mississippi, Alabama, and Florida. Ray is married to the former Katherine Vanduzee of Baton Rouge, LA. Katherine is an administrative assistant who attended LSU. Dr. Ronnie Harper, Ed.D., LAT, ATC, NREMT, stands out as a prominent leader and advisor in the Athletic Training profession, offering his expertise on both local and national scales. Serving as a key member of the NATA Secondary School Committee for District IX, Ronnie's influential efforts played a pivotal role in the inception of the Athletic Training Location and Services Project (ATLAS) and the Safe Sports School Awards (SSSA). Furthermore, he's a principal author for the NATA's Appropriate Medical Care Standards document and its associated online tool, which serves as guidance for ensuring adequate medical care for Secondary School Aged Athletes. With a distinguished 15-year career in higher education, Dr. Harper has tenure at institutions such as Mississippi State University, the University of Alabama, and Southeastern Louisiana University. During his tenure at Southeastern Louisiana University, he was appointed as the Assistant Professor and spearheaded their CAATE Accredited Athletic Training Education Program. An alumnus of Mississippi State University, Ronnie boasts both a bachelor's and master’s degree from there, and furthered his academic pursuits with a Doctorate in Education from the University of Alabama, specializing in Health and Human Performance Studies. His dedication to the field also extends to active participation in the Louisiana Athletic Trainers Association (LATA), notably contributing to the Hall of Fame committee. His remarkable achievement of being inducted into the LATA Hall of Fame in 2013 stands as a testament to his dedication and commitment. This dedication was further recognized in 2018 when he was honored with the District IX High School Athletic Trainer of the Year Award.

Action Medicine Consultants, LLC (BOC AP#: P12095) is approved by the Board of Certification, Inc. to provide continuing education to Athletic Trainers (ATs). This program is eligible for a maximum of 1.50 Category A hours/CEUs. ATs should claim only those hours actually spent in the educational program. GENERAL DISCLAIMER: It is the responsibility of the participant, relying on the independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient. Participants must use discretion when using the information contained within this presentation.  The presenter has provided the following regarding disclaimers: The information and content provided in this course are for informational purposes only. The presenter nor Action Medicine Consultants, LLC bears no liability for your use of this information and content. The views expressed in this course are those of the presenter(s). CONFLICTS OF INTEREST: In compliance with continuing education requirements, all presenters must disclose any financial or other associations with the manufacturers of commercial products, suppliers of commercial services, or commercial supporters as well as any use of unlabeled product(s) or product(s) under investigational use.  This presentation does not involve the unlabeled use of a product or product under investigational use.  During the presentation, the presenter provides disclosure of any relevant financial relationships or other associations.  Refund Policy:  Live (virtual or in-person) Courses - Full refunds (Minus 10% for handling fees) are given after completion of the course if cancellation request is received 14 days prior to the course date. No refunds will be given after this deadline, but fees may be applied to another current or a future course. This also applies to virtual courses if a technical issue occurred on the presenter side that prevented a full presentation from being performed. On-Demand Courses - No refunds will be given, but fees may be applied to another current or a future course if there is a technical issue in Action Medicine Consultant's delivery of the course and in which no certificate of completion was issued.

SPECIAL NOTE: This course was originally listed on the presentation as "BOC 1.25 Category A CEUs". The presentation content was longer and therefore now available as 1.50 Category A CEUs.