1. What are the six roles/domains of athletic training?
Question of the Day
What are the six roles/domains of athletic training?

2. Answer Prevention Recognition, Evaluation, and Assessment
Immediate and Emergency Care
Treatment, Rehabilitation, and Reconditioning
Organization and Administration
Professional Development and Responsibility

3. Legal Liability
Liability: “the state of being legally responsible for the harm one causes another person”
Negligence: “the failure to use ordinary or reasonable care”
Tort: “legal wrongs committed against a person”
Assumption of risk – “the individual through expressed or implied agreement, assumes that some risk or danger will be involved in the particular undertaking”

4. Establishing Negligence
3 components
Duty of care (responsibility of caring for injury) between injured person and professional
Duty of care fell short
Resultant damages (in other words, result of failure to adequately perform duty of care)

5. Negligence
Types
Commission (malfeasance): “an individual commits an act that is not legally his to perform”
Ex: starting an IV, injections, etc.
Omission (nonfeasance): “an individual fails to perform a legal duty”
Ex: referrals, doesn’t treat
Good Samaritan Law: “provides limited protection to someone who voluntarily chooses to provide first aid”

6. Legal Liability cont. Release of Medical Records
FERPA= Family Educational Rights and Privacy Act
Similar to HIPAA but protects against educational records
HIPAA= Health Insurance Portability and Accountability Act
Pertains to sharing of medical information

7. Scenario #1
An athletic trainer provides an athlete (suffering from low back pain) with a heat pack to help relieve pain and muscle spasms. After 30 minutes of application, the athlete removes the heat pack and notices second and third degree burns where the heat pack was applied.

8. Scenario #1 cont. Who is responsible?
What could have been done to prevent this?
Would this fall into the category of commission, omission, or none?

9. Scenario #2
A hockey player, who has been injured for 1 month, returns to competition after only going through two days of practice. The player, a starter, plays as much as he normally does and during the third period starts to develop headaches (which he attributes to helmet tightness). During a line change, the coach tells the player to remove a few of the pads in his helmet to decrease the compression of his head. The player does this and then returns to competition. Upon return, he is checked into the boards sustaining a severe concussion involving intracranial bleeding.

10. Scenario #2 cont
Is the coach at fault? Is the athletic trainer at fault?
What does the athlete need to prove to determine if someone is at fault?

11. Scenario #3
A high school football player is knocked unconscious during a game for 5 minutes and regains consciousness just before the ambulance arrives. A student meets the ambulance as the athletic trainer tends to the athlete, but does not convey the information that the player had been unconscious for that period of time. The player is taken to the hospital where his parents meet him and is cleared to go home under his parents supervision. Later that evening the student dies in his sleep from a subdural hematoma.

12. Scenario #3 cont. Who is at fault in this situation and why?
What could have been done differently?
What should be done to keep something like this from happening again?

13. Scenario #4
During winter break, John Doe, who is a college basketball player, decides to go skiing. While skiing, he sustains a severe ankle sprain. Upon returning to practice John checks in with his athletic trainer to let him know what happened and to get treatment. John asks the athletic trainer not to tell the coach what has happened for fear that the coach will get mad at him and he will play less when he gets healthy.

14. Scenario #4 cont.
What is the role of the athletic trainer (with regard to sharing of medical information)?
Should the coach be told what happened?
How should this situation be handled by the athletic trainer?

15. Scenario #5
You are the sports medicine professional working with a soccer team and you know that one of the players on your team has HIV. During a collision, the athlete with HIV sustains a nose bleed and some of the blood gets on the opposing player.

16. Scenario #5 cont.
Do you have the right to tell the opposing player that your player is HIV positive?
How should this situation be handled?

17. Scenario #6
You arrive in a classroom and see that one of your friends is sweating profusely and complaining of chest pain and tightness. You are First Aid/CPR certified and you recognize that these are signs of a heart attack. While talking to him, your friend loses consciousness and falls to the floor. You begin giving CPR, but your friend unfortunately passes away.

18. Scenario #6 Would you be found negligent in this case?
What about if your friend survived, but you broke a couple of the individuals ribs and he sued you?

19. Homework Reading:46-51 (up to general first aid)
Current Event due Friday
Study for Quiz (Friday)
Quiz covers sports med, athletic training, and legal liability
Print out Crutch Lab for Wednesday (under “Labs”) and anatomical terms handout (online under “handouts”) for class on Friday