Community First Aid Training for Disaster Preparedness: A Review of Education Content


Disasters pose a substantial risk to people’s health and well-being on a global scale. Community-based training on the initial response to traffic accidents has a considerable impact on reducing morbidity and mortality. There is no information on the most effective type of community-based training for such incidents or on how to integrate this into disaster response. The goal of this study was to characterize the content of first aid training and its effect on providing assistance during a disaster. The MEDLINE, PsycINFO, Scopus, and Web of Science databases were searched. The terms ”basic life support” OR ”bleed control” OR ”cardiopulmonary resuscitation (CPR)” OR ”first aid” AND ”bystander” OR ”layperson” OR ”public” were used. We chose the general public as our sample. We included only publications that were available in English and published between January 2000 and September 2021 due to time and resource constraints. Four of the included studies were conducted in the United States and one in Indonesia. The sample size ranged from 24 to 465 members of the general public or bystanders. Community members gained increased knowledge and abilities regarding disaster preparedness strategies and procedures. The first aid training content focused on prehospital trauma care, including training on the ABCs, dealing with disasters in the community, calling for help, identifying the location of life-threatening bleeding and applying pressure, and packing a wound and applying a tourniquet for bleeding control. A training program emphasizing both first aid methods and inhibitors of behaviors to help in an emergency was found to be significantly associated with increased rates of assistance during emergency situations.

Keywords: community first aid, training, disaster preparedness, review

[1] Beaton R, Murphy S, Houston JB, et al. The role of public health in mental and behavioral health in children and families following disasters. Journal of Public Health Management and Practice. 2009;15:1-11.

[2] Process of translation and adaptation of instruments. Geneva: World Health Organization; 2019. Available from: translation

[3] National Agency for Disaster Managemen. Diserter report. 2018.

[4] Covington J, Simpson D. An overview of disaster preparedness literature: Building blocks for an applied bay area template. 2006.

[5] Adams RM, Eisenman DP, Glik D. Community advantage and individual self-efficacy promote disaster preparedness: A multilevel model among persons with disabilities. International Journal of Environmental Research and Public Health. 2019;16(15):2779.

[6] Sun JH, Wallis LA. The emergency first aid responder system model: Using community members to assist life-threatening emergencies in violent, developing areas of need. Emergency Medicine Journal (EMJ). 2012;29(8):673–8.

[7] Tiska MA, Adu-Ampofo M, Boakye G, Tuuli L, Mock CN. A model of prehospital trauma training for lay persons devised in Africa. Emergency Medicine Journal (EMJ). 2004;21(2):237–9.

[8] Jayaraman S, Mabweijano JR, Lipnick MS, et al. First things first: Effectiveness and scalability of a basic prehospital trauma care program for lay first-responders in Kampala, Uganda. PLoS One. 2009;4(9):6955.

[9] Ejeta LT, Ardalan A, Paton D, Yaseri M. Emotional and cognitive factors influencing flood preparedness in Dire Dawa town, Ethiopia. Natural Hazards. 2018;93(2):715–37.

[10] Eisenman DP, Glik D, Gonzalez L, et al. Improving latino disaster preparedness using social networks. American Journal of Preventive Medicine. 2009;37(6):512–7.

[11] Cochrane effective practice and organisation of care group. The data collection checklist. 2007.

[12] Best evidence medical education collaboration. Appendix IIIA prototype BEME coding sheet. BME collaboration; 2007. Available from:

[13] Younossi ZM, Ratziu V, Loomba R, et al. Obeticholic acid for the treatment of nonalcoholic steatohepatitis: interim analysis from a multicentre, randomised, placebocontrolled phase 3 trial. Lancet. 2019;394(10215):2184–96.

[14] Subandi A, Alim S, Haryanti F, Prabandari YS. Training on modified model of programme for enhancement of emergency response flood preparedness based on the local wisdom of Jambi community.

[15] Journal of Disaster Risk Studies: Jàmbá. 2019;11(1):1–9.

[16] Delaney PG, Bamuleke R, Lee YJ. Lay first responder training in eastern Uganda: Leveraging transportation infrastructure to build an effective prehospital emergency care training program. World Journal of Surgery. 2018;42(8):2293–302.

[17] Smith TO, Baker SD, Roberts K, Payne SA. Engaging active bystanders in mass casualty events and other life-threatening emergencies: A pilot training course demonstration. Disaster Medicine and Public Health Preparedness. 2016;10(2):286– 92.

[18] Hawks SR, Egan M. The impact of three different first aid curricula on emergency helping among college students. JHE ( Journal of Health Education). 1998;29(5):289– 93.

[19] Norman GR. International handbook of research in medical education. ven der Vleuten CPM, Newble DI, editors. Boston: Springer; 2002.

[20] van de Velde S, de Buck E, Vandekerckhove P, Volmink J. Evidence-based African first aid guidelines and training materials. PLoS Med. 2011;8(7):1–4.

[21] Axelsson AB, Herlitz J, Holmberg S, Thorén A-B. A nationwide survey of CPR training in Sweden: Foreign born and unemployed are not reached by training programmes. Resuscitation. 2006;70(1):90–7.

[22] Bohn A, Van Aken H, Lukas RP, Weber T, Breckwoldt J. Schoolchildren as lifesavers in Europe - Training in cardiopulmonary resuscitation for children. Best Practice & Research: Clinical Anaesthesiology. 2013;27(3):387–96.

[23] Bollig G, Wahl HA, Svendsen MV. Primary school children are able to perform basic life-saving first aid measures. Resuscitation. 2009;80(6):689–92.