CCO First Aid and Emergency Response 2 — Questions and Answers
Question 1: An inmate is found unresponsive and not breathing normally. After calling for help, what is the correct compression-to-ventilation ratio for adult CPR?
- 15 compressions to 2 breaths
- 30 compressions to 2 breaths (Correct answer)
- 20 compressions to 1 breath
- 10 compressions to 1 breath
Correct answer: 30 compressions to 2 breaths
Current AHA guidelines recommend 30 chest compressions followed by 2 rescue breaths for adult CPR.
Question 2: When using an AED on an inmate, you should pause CPR to deliver a shock and then:
- Wait 2 minutes before resuming CPR
- Immediately resume CPR starting with chest compressions (Correct answer)
- Check for a pulse for at least 30 seconds
- Deliver a second shock before resuming compressions
Correct answer: Immediately resume CPR starting with chest compressions
After AED shock delivery, immediately resume CPR beginning with chest compressions to maintain circulation.
Question 3: A corrections officer responds to a cell where an inmate has a severe laceration on the forearm with heavy bleeding. The first action should be to:
- Apply a tourniquet above the wound
- Apply direct pressure with a clean cloth or gloved hand (Correct answer)
- Elevate the arm above heart level before doing anything else
- Irrigate the wound with water to remove contamination
Correct answer: Apply direct pressure with a clean cloth or gloved hand
Direct pressure is the primary and immediate method to control bleeding before considering other interventions.
Question 4: Which sign is most consistent with a tension pneumothorax in an inmate who has suffered blunt chest trauma?
- Flushed skin and high blood pressure
- Tracheal deviation away from the injured side (Correct answer)
- Bilateral lung sounds with rapid breathing
- Bradycardia and low-grade fever
Correct answer: Tracheal deviation away from the injured side
Tension pneumothorax causes mediastinal shift, pushing the trachea away from the side of air accumulation.
Question 5: During a mass casualty incident in a correctional facility, the START triage system categorizes an inmate with a respiratory rate of 8 breaths per minute as:
- Minor (green)
- Delayed (yellow)
- Immediate (red) (Correct answer)
- Expectant (black)
Correct answer: Immediate (red)
In START triage, respirations below 10 or above 30 per minute classify the victim as Immediate (red tag).
Question 6: An inmate reports crushing chest pain radiating to the left arm. While awaiting EMS, which position is generally most appropriate?
- Prone with head turned to the side
- Semi-reclined at 45 degrees if the inmate is comfortable (Correct answer)
- Flat supine with legs elevated 12 inches
- Seated upright with arms raised overhead
Correct answer: Semi-reclined at 45 degrees if the inmate is comfortable
A semi-reclined (Fowler's) position reduces cardiac workload and eases breathing for suspected cardiac events.
Question 7: A corrections officer suspects an inmate has an opioid overdose. The facility has naloxone available. When should naloxone be administered?
- Only after a physician gives verbal authorization
- Only if the inmate is confirmed to have used opioids
- Whenever opioid overdose is suspected, following facility protocol (Correct answer)
- Only after CPR has failed to restore normal breathing
Correct answer: Whenever opioid overdose is suspected, following facility protocol
Naloxone should be administered promptly when opioid overdose is suspected per facility protocol, as delay risks death.
CCO First Aid and Emergency Response 2
An inmate is found unresponsive and not breathing normally.
After calling for help, what is the correct compression-to-ventilation ratio for adult CPR?