CPR
How many chest compressions per minute are recommended?
100-120
What’s the first step in providing First Aid?
Check Scene Safety
What’s the first thing you do when you get the AED?
Turn it on
Where is the EpiPen injected?
Outer Thigh
What is the compression-to-breath ratio for 1-rescuer CPR for a child?
30:2
You enter into the chow hall to see an inmate who appears to be in distress. He has both hands around his throat and is wheezing. What do you do ?
Call Code 4. Isolate other inmates.
Perform abdominal thrusts with the intent to dislodge the object.
Before applying AED pads, what critical step must you take to ensure the shock is delivered safely?
Ensure no one is touching the victim and say “clear” before pressing the shock button.
You’ve administered an EpiPen to someone with severe allergies. They’re feeling better. What’s your next step?
Still call for medical evaluation. Symptoms may return after the medication wears off
When do you stop CPR?
When help arrives, the person recovers, or you're too exhausted to continue
What are signs of a seizure, and what should you do during and after?
Jerking, loss of consciousness, protect from injury, recovery position after
Where are AED pads placed on the chest?
Upper Right Chest and lower left side.
What are signs of anaphylaxis?
Swelling, Hives, Difficulty breathing
A teacher escorting a youth visitor in the front lobby collapses and stops breathing. A correctional officer nearby hesitates, unsure if they can perform CPR on a minor in this setting.
What’s the correct action, and what are your legal and moral responsibilities?
Begin pediatric CPR immediately (30:2 ratio, smaller compressions).
Good Samaritan laws protect trained responders acting in good faith.
Call a Code 4 indicating the location and that it is a minor.
Document all actions and witness information.
what challenges might delay the start of CPR and how can you prepare for them?
Locked doors, radio delays, PPE access—training and drills help
What do you do if someone is bleeding heavily and doesn’t stop with pressure?
Apply an improvised Tourniquet
While going to report your count, you find the sergeant collapsed in the Sgt's Officer. You call for help. You’re the closest one with CPR training, but the AED is stored in a different area. What is the safest, most effective plan?
Start CPR immediately and tell someone retrieves the AED.
Call CODE 4 Staff.
Once AED arrives, apply pads and follow prompts.
Document everything for medical and incident reports.
You've administered EpiPen, but the individual is not improving and EMS is still 15 minutes out. What can you do ?
Administer another dose if available.
An inmate intentionally injures themselves using contraband in the recreation yard. There's blood, onlookers, and the inmate is semi-conscious.
How do you provide care while maintaining safety?
Isolate the other inmates
Try to retrieve whatever the inmate used to create this wound
Wear gloves
Apply pressure
Call Code 4
How do we maintain personal safety while giving CPR in a prison environment?
Using PPE, Locking other inmates in, calling for responders
During yard, and inmate falls on a rod and it becomes impaled in their abdominal area. Blood is slowly oozing, and the inmate is screaming in pain. What do you do—and what should you absolutely not do in this situation?
Do not remove the impaled object.
Call for medical help immediately.
Stabilize the object by placing rolled gauze or cloth around it to keep it from moving.
Keep the inmate calm and still to prevent further injury.
Monitor for signs of shock (pale skin, rapid breathing, weak pulse).
There is a child in the visiting room who seems to have suffered a SCA. There are only Adult AED pads available at the institution. What do you do ?
Use the adult pads on the child. More shock is better than none.
During an honor visit and inmate starts reacting at the table with his family. You go over and hi slips and tongue are swollen, he is covered in hives. What do you do ?
Call a Code 4, Get visitors out of the area, Clear the area for medical and be prepared to do CPR.
You're working in a housing unit when an inmate runs to your post yelling that his cellmate has passed out and is not responding. When you arrive, you see the inmate on the ground, pale, clammy, with rapid breathing and a weak pulse. There’s an empty homemade container nearby with a strong chemical odor.
What are your next steps and what condition do you suspect?
Suspect possible inhalant poisoning or drug overdose.
Ensure scene safety (avoid inhaling fumes, ventilate if possible)
Call for medical backup immediately
Do not touch unknown substances
Check for responsiveness and breathing
Begin CPR if needed
Report all observations (container, odor, behavior)
Preserve the scene for investigation