I actually feel that there is very little that a teacher can do (apart from what they may learn to do in first aid) except act quickly and make sure that medical services are alerted urgently in this childs situation.(Besides keeping the child comfortable and knowing how to deal with a child in shock perhaps).  By the sounds of it you are a teacher with a knowledge of CAH and possibly the ability to administer a cortisol shot if you have trained due to your own child having CAH.  However, 99.9% of teachers would not have a clue of the seriousness of such a situation or that this child needs urgent and speedy medical help without such a letter.  The letter Roberta's doctor has given her to give to her child's carers/school is there for emergency services to act upon.  It may look intimidating, but in my opinion they will see something like that and recognize the fact that they need to act urgently, and that they can do nothing   for this child except get emergency services to act upon and use. I would not be a happy parent if my child's teacher sat reading pages of stuff before she decided to do something for my child.    If it were anything less than intimidating, wouldn't teacher's delay things and not act as speedily as they need to in a situation like that?    Ambulance services do not carry solu cortef here, I don't know about there.  This means that they need to move fast and I am quite sure that if a teacher produced that letter upon their arrival they would realise the seriousness of the situation and act accordingly.  They can also radio ahead to the hospital quoting the contents of the letter word for word to make sure that 'upon arrival' that child get's the vital shot or treatment that they need instad of wating around in A & E with a teacher that has no idea.  If we do not inform our children's teachers of the seriousness of such a situation, then it can only place our children at serious  disadvantage.  Our children spend half their time at school during the week and infact more of their waking hours there.  They swim play sport and play rough.  They are more prone to injury as there are far more children to adult ratio for them to be 'all' kept an eye on at the same time.  They are more open to injury because of all the above and certainly far more than they are at home.  It will not be pages and pages of writing that you want to look through if a child injures himself in this situation.  They will just  need to know the urgency, and pick a phone up.  Simple as that.  Even if the child is just sick, they need their parents there to pick their children up.  I ask my childs teachers to ring me if Jared feels sick or doesn't appear to well.  In emergency however, it is different and the above letter, I feel is about the best one I have seen yet.   Simple, to the point and showing the seriousness of the situation at the same time.  Something Gatorade ain't going to fix!

 

JH