If a coach requests not to have CPR performed on them, how should the athletic trainer respond?

The appropriate response in this scenario is to inform the athletic director and turn the matter to the school board. This is because the request not to have CPR performed raises significant ethical and legal concerns. Individuals have the right to refuse medical treatment; however, in cases where someone's life is at immediate risk, especially in a professional environment, it becomes critical to ensure that proper protocols are followed.

By involving the athletic director and the school board, the athletic trainer ensures that the request is evaluated by higher authority figures who understand both the legal ramifications and the ethical responsibilities of the athletic department. This ensures that the coach's wishes are documented and considered within the context of the school's policies, legal obligations, and best practices for emergency care. It helps safeguard the interests of the coach while ensuring that the situation is handled appropriately and professionally.

Simply ignoring the request could lead to serious consequences if an emergency arises, while seeking consent from the coach’s family might not be feasible in life-threatening situations. Refusing care outright could also have legal implications, especially if the trainer is in a position where a duty to rescue exists. Therefore, the response involving the athletic director and school board is the most responsible course of action.