COKO Emergency Response Procedures 2 — Questions and Answers
Question 1: During a cardiac arrest in a fitness facility, which action should a kinesiologist take FIRST after confirming unresponsiveness?
- Begin chest compressions immediately
- Call for an AED and activate emergency services (Correct answer)
- Perform a head-tilt chin-lift
- Check for a pulse for 10 seconds
Correct answer: Call for an AED and activate emergency services
Activating emergency services and calling for an AED should occur simultaneously with or immediately before beginning CPR to ensure professional help is en route.
Question 2: A client exercising on a treadmill suddenly collapses. After establishing unresponsiveness, the kinesiologist finds no normal breathing. What is the correct compression-to-ventilation ratio for adult CPR?
- 15:2
- 30:2 (Correct answer)
- 20:2
- 10:1
Correct answer: 30:2
Current AHA and Heart & Stroke Foundation guidelines recommend a 30:2 compression-to-ventilation ratio for adult CPR.
Question 3: A kinesiologist suspects a client is experiencing an exercise-induced hypoglycemic episode. Which symptom combination is most consistent with this condition?
- Flushed skin, slow pulse, and elevated blood pressure
- Confusion, trembling, diaphoresis, and pallor (Correct answer)
- Chest tightness, jaw pain, and shortness of breath
- Headache, fever, and muscle rigidity
Correct answer: Confusion, trembling, diaphoresis, and pallor
Confusion, trembling, sweating, and pallor are classic signs of hypoglycemia caused by low blood glucose levels during exercise.
Question 4: When applying an AED to a client, one electrode pad should be placed on the upper right chest below the clavicle. Where should the second pad be placed?
- Center of the chest over the sternum
- Left lower rib cage lateral to the nipple (Correct answer)
- Left upper chest below the clavicle
- Right lower rib cage below the nipple
Correct answer: Left lower rib cage lateral to the nipple
The second AED pad is placed on the left lateral chest wall below the axilla, allowing current to pass through the heart.
Question 5: A client performing strength training suddenly complains of severe sudden-onset headache rated 10/10. What condition must the kinesiologist consider and what is the appropriate response?
- Tension headache; reduce load and rest
- Subarachnoid hemorrhage; stop activity and call 911 immediately (Correct answer)
- Migraine; move client to a dark quiet room
- Hypertensive urgency; give water and monitor for 15 minutes
Correct answer: Subarachnoid hemorrhage; stop activity and call 911 immediately
A thunderclap headache (sudden severe onset) during exertion is a red flag for subarachnoid hemorrhage requiring immediate emergency activation.
Question 6: Which of the following is the MOST appropriate way to manage an exercising client who becomes syncopal (faints) during a session?
- Sit them upright and offer water immediately
- Lay them supine and elevate the legs if no spinal injury is suspected (Correct answer)
- Apply cold compress to forehead while seated
- Have them resume light activity once they feel better
Correct answer: Lay them supine and elevate the legs if no spinal injury is suspected
Laying the client supine and elevating the legs promotes venous return to the heart, which is the first-line management for vasovagal syncope.
Question 7: In a fitness facility emergency, what information should a kinesiologist be prepared to provide when calling 911?
- The client's insurance information and fitness goals
- Location, nature of emergency, client's condition, and interventions already taken (Correct answer)
- The facility's liability waiver number and client contact
- Client's workout history and previous injuries only
Correct answer: Location, nature of emergency, client's condition, and interventions already taken
Dispatchers need location, the nature of the emergency, current client status, and what actions have been taken to send appropriate responders and guide ongoing care.
COKO Emergency Response Procedures 2
During a cardiac arrest in a fitness facility, which action should a kinesiologist take FIRST after confirming unresponsiveness?