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International Journal of Community Medicine and Public Health | July 2017 | Vol 4 | Issue 7 Page 2555
International Journal of Community Medicine and Public Health
Gore CA et al. Int J Community Med Public Health. 2017 Jul;4(7):2555-2557
http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040
Original Research Article
A study on knowledge regarding first aid among
undergraduate medical students
Chaitali A. Gore1
*, Sruthi Sankar2
, Shabnam Sheriff2
, Swetha Anand2
,
Smrithika L.2
, Swathi Maiya2
INTRODUCTION
Life is characterized by precarious twists and turns and
risky conditions that emerge all the time. All throughout
the globe, people suffer from heart attacks, loss of
consciousness, severe wounds, surface injuries, burns,
strokes and many more. Along with this, drowning
incidents are more common among children. The high
mortality associated with them can be easily prevented
most of the times by some very simple maneuvers and
skills like mouth to mouth and mouth to nose respirations
which were among the earliest resuscitative efforts using
artificial respiration.1
First aid is the immediate action taken to save a life and
reduce the effects of injury and illness until medical help
is obtained.2
First aid provider should be able to handle
the situation without panicking.3
Since today’s medical
ABSTRACT
Background: Life is characterized by precarious twists and turns and risky conditions that emerge all the time. First
aid is the immediate action taken to save a life and reduce the effects of injury and illness until medical help is
obtained. This study aims at assessing the knowledge regarding first aid among undergraduate medical students and
comparing the knowledge among different terms.
Methods: A cross-sectional study was done among 150 undergraduate medical students of Vydehi Medical College,
Bangalore. A questionnaire with 15 questions regarding the awareness and skills involved in first aid were used to
assess the levels of awareness among undergraduate medical students. Data was entered in Microsoft Excel Sheet.
Analysis was done using Statistical Package for Social Sciences version 21. Data was analysed using percentages and
Chi-square test.
Results: A total of 150 medical students filled the questionnaire, 50 each from 5th
(2nd
year), 7th
(3rd
year) and 9th
terms (4th
year). The overall scores were, 43 out of 150 students had excellent knowledge, 71 out of 150 needed
improvement, 35 out of 150 had adequate knowledge and only 1 out of 150 had poor knowledge about First-Aid. The
association between terms and level of knowledge was found to be statistically significant.
Conclusions: First Aid knowledge among medical students needs improvement. Level of knowledge improved with
increasing term but this was not sufficient and more training should be given to all medical students on first aid and
basic life support.
Keywords: Medical students, First aid, Knowledge
1
Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore,
Karnataka, India
2
Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
Received: 15 May 2017
Revised: 10 June 2017
Accepted: 13 June 2017
*Correspondence:
Dr. Chaitali A. Gore,
E-mail: drchaitaligore@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20172858
Gore CA et al. Int J Community Med Public Health. 2017 Jul;4(7):2555-2557
International Journal of Community Medicine and Public Health | July 2017 | Vol 4 | Issue 7 Page 2556
students are tomorrow’s doctors, it is of utmost
importance that they are equipped with sufficient
knowledge and skills to save a life in case of
emergencies. In India, there is very little data regarding
awareness of the medical personnel including students,
doctors, and paramedical staff about first aid. Hence, this
study was undertaken to assess the level of knowledge
about first aid among undergraduate medical students and
to compare the knowledge among different terms of
undergraduate medical students.
METHODS
A cross-sectional study was done among 150
undergraduate medical students of Vydehi Medical
College, Bangalore. This included 50 students each from
2nd
, 3rd
and 4th
years respectively, who were chosen by
random selection method. Study period was from October
to November 2017. Approval was obtained from the
Ethical Committee. Informed consent was obtained from
the students before the study and they were explained
about the purpose of the study. Confidentiality and
anonymity of the information was assured. Data
collection was done on a predesigned, prestructured and
pretested questionnaire. A questionnaire with 15
questions regarding the awareness and skills involved in
first aid were used to assess the levels of awareness
among undergraduate medical students. Knowledge of
the following common first aid emergencies was
assessed: drowning, diabetic emergencies, choking,
electrocution, profuse external bleeding (including
epistaxis), fractures and dislocations, poisoning,
unconsciousness, seizures and heat exhaustion. Each
correct response was given one mark and wrong response
zero. Scores were calculated out of 15.
The scoring was graded as follows:
 ≥70% excellent
 51% to 69% adequate
 31% to 50% needs improvement
 ≤30% poor
Data was entered in Microsoft excel sheet. Analysis was
done using Statistical package for social sciences version
21. Data was analysed using percentages and Chi-square
test.
RESULTS
A total of 150 medical students filled the questionnaire,
50 each from 5th
(2nd
year), 7th
(3rd
year) and 9th
terms (4th
year). The overall scores were, 43 out of 150 students had
excellent knowledge, 71 out of 150 needed
improvements, 35 out of 150 had adequate knowledge
and only 1 out of 150 had poor knowledge about first-aid
as shown in Table 1.
The average score of 5th
term students were 56.77%, 7th
term students were 59.68% and that of 9th
term students
were 67.16%. Only 18 out of the total 150 students
answered 12 or more questions correctly out of the 15
questions. None of the students were able to answer all
questions correctly.
Table 1: Knowledge of students about first-aid.
Knowledge No. Percentage
Poor (<30%) 1 0.7
Adequate (31-50%) 35 23.3
Needs improvement (51-69%) 71 47.3
Excellent (>70%) 43 28.7
Table 2: Distribution of students according to knowledge.
Terms
Knowledge
Needs improvement Adequate Excellent
No. % No. % No. %
5th 19 52.8 20 28.2 11 25.6
7th 11 30.6 31 43.7 8 18.6
9th 6 16.7 20 28.2 24 55.8
Total 36 100 71 100 43 100
P value 0.00.
The knowledge of students improved with increase in
their terms. Excellent knowledge was observed among 24
(55.8%) of 9th
term students, whereas it was observed
only among 11 (25.6%) of 5th
term students. Majority of
5th
term students 19 (52.8%) needed improvement in their
knowledge. Adequate knowledge was observed among
31 (43.7%) 7th
term students. The association between
terms and level of knowledge was found to be
statistically significant as shown in Table 2.
DISCUSSION
In a study done in Mangalore 13.8% students had good
knowledge, 68.4% had moderate and 17.8% had poor
Gore CA et al. Int J Community Med Public Health. 2017 Jul;4(7):2555-2557
International Journal of Community Medicine and Public Health | July 2017 | Vol 4 | Issue 7 Page 2557
knowledge about first-aid. The level of knowledge
improved with the term, which is similar to our study.4
In
the Karachi study 7.7% students had excellent knowledge
about first aid, in our study that was 28.7%.2
Another
study conducted by department of community medicine
in BJ Medical College, Ahmedabad on awareness
regarding first aid and fire safety among the second year
undergraduate medical students stated that knowledge
regarding first aid among the medical student was 33.6%,
whereas in our study it was 56.7%.5
According to a study
by Dr. Shantha Chandrashekharan on awareness of basic
life support among medical providers, it was seen that
awareness of Basic Life Support (BLS) among students,
doctors and nurses of medical, dental, homeopathy and
nursing colleges was very poor and needed
improvement.6
A study done in UAE also concluded that
there was lack of knowledge about first-aid among
medical students.7
With the increase in the academic year
the knowledge of the students improved in the study done
in Saudi Arabia, which corroborates with our study.8
Most studies recommend that first aid training should be
included in the medical curriculum.9,10
CONCLUSION
First Aid knowledge among medical students needs
improvement. Out of 150 medical students who
participated in the study only 28.7% of the students were
able to score 70% and above. The knowledge of 9th
term
students was found to be better than those of 7th
and 5th
term students. Level of knowledge improved with the
term but this was not sufficient and more training should
be given to all medical students on first aid.
ACKNOWLEDGEMENTS
We thank the management of Vydehi Institute of Medical
Science and Research Centre for all the facilities
provided for this study and the students for participating
in the study. We would also like to thank Tanmaya,
Sumedh, Yosha, Sandhya, Shweta for their help in
conducting the study.
Funding: No funding sources
Conflict of interest: None declared
Ethical approval: The study was approved by the
Institutional Ethics Committee
REFERENCES
1. Zaheer H, Haque Z. Awareness about BLS (CPR)
among medical students: status and requirements. J
Pak Med Assoc. 2009;59(1):57-9.
2. Khan A, Shaikh S, Shuaib F, Sattar A, Samani SA,
Shabbir Q, Rasheed AZ. Knowledge attitude and
practices of undergraduate students regarding first
aid measures. J Pak Med Assoc. 2010;60(1):68-72.
3. First Aid for Colleges and Universities. In: Karren
KJ, Hafen BQ, Mistovich JJ, Limmer DJ, editors.
10th ed. Benjammin Cummings; 2011.
4. Joseph N, Kumar G, Babu Y, Nelliyanil M,
Bhaskaran U. Knowledge of first aid skills among
students of a medical college in mangalore city of
South India. Ann Med Health Sci Res.
2014;4(2):162-6.
5. Singh A, Mansuri S, Chaudhari A,Brahmbhatt N,
Bhabhor H, Talsania N. An Interventional Study on
Awareness Regarding First Aid and Fire Safety
Among the Second Year Undergraduate Medical
Students of BJ Medical College, Ahmedabad. Int J
Sci Study. 2015;3(4):94-7.
6. Chandrasekaran S, Kumar S, Bhat SA,
Saravanakumar, Shabbir PM, Chandrasekaran VP.
Awareness of basic life support among medical,
dental, nursing students and doctors. Indian J
Anaesthesia. 2010;54(2):121-6.
7. Mathew S, Salman P, Khurshid S, Luke AM.
Awareness of First Aid Among Undergraduate
Students in Ajman, UAE. IOSR J Dental Med Sci.
2016;15(6):30-8.
8. Al-Musa HM, Bharti RK, Alsamghan AS, Asiri M,
Alqahtani MS, Al-qahtani D, et al. Knowledge of
First Aid Skills among Medical Students in King
Khalid University, Abha, Saudi Arabia. People’s J
Sci Res. 2017;10(1):1-6
9. Abbas A, Bukhari SI, Ahmad F. Knowledge of first
aid and basic life support amongst medical
students:a comparison between trained and un-
trained students. J Pak Med Assoc. 2011;61(6):613-
6.
10. Tipa RO, Bobirnac G. Importance of basic life
support training for first and second year medical
students. J Med Life. 2010;3(4):465-7.
Cite this article as: Gore CA, Sankar S, Sheriff S,
Anand S, Smrithika L, Maiya S. A study on
knowledge regarding first aid among undergraduate
medical students. Int J Community Med Public
Health 2017;4:2555-7.

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1496-6049-1-PB.pdf

  • 1. International Journal of Community Medicine and Public Health | July 2017 | Vol 4 | Issue 7 Page 2555 International Journal of Community Medicine and Public Health Gore CA et al. Int J Community Med Public Health. 2017 Jul;4(7):2555-2557 http://www.ijcmph.com pISSN 2394-6032 | eISSN 2394-6040 Original Research Article A study on knowledge regarding first aid among undergraduate medical students Chaitali A. Gore1 *, Sruthi Sankar2 , Shabnam Sheriff2 , Swetha Anand2 , Smrithika L.2 , Swathi Maiya2 INTRODUCTION Life is characterized by precarious twists and turns and risky conditions that emerge all the time. All throughout the globe, people suffer from heart attacks, loss of consciousness, severe wounds, surface injuries, burns, strokes and many more. Along with this, drowning incidents are more common among children. The high mortality associated with them can be easily prevented most of the times by some very simple maneuvers and skills like mouth to mouth and mouth to nose respirations which were among the earliest resuscitative efforts using artificial respiration.1 First aid is the immediate action taken to save a life and reduce the effects of injury and illness until medical help is obtained.2 First aid provider should be able to handle the situation without panicking.3 Since today’s medical ABSTRACT Background: Life is characterized by precarious twists and turns and risky conditions that emerge all the time. First aid is the immediate action taken to save a life and reduce the effects of injury and illness until medical help is obtained. This study aims at assessing the knowledge regarding first aid among undergraduate medical students and comparing the knowledge among different terms. Methods: A cross-sectional study was done among 150 undergraduate medical students of Vydehi Medical College, Bangalore. A questionnaire with 15 questions regarding the awareness and skills involved in first aid were used to assess the levels of awareness among undergraduate medical students. Data was entered in Microsoft Excel Sheet. Analysis was done using Statistical Package for Social Sciences version 21. Data was analysed using percentages and Chi-square test. Results: A total of 150 medical students filled the questionnaire, 50 each from 5th (2nd year), 7th (3rd year) and 9th terms (4th year). The overall scores were, 43 out of 150 students had excellent knowledge, 71 out of 150 needed improvement, 35 out of 150 had adequate knowledge and only 1 out of 150 had poor knowledge about First-Aid. The association between terms and level of knowledge was found to be statistically significant. Conclusions: First Aid knowledge among medical students needs improvement. Level of knowledge improved with increasing term but this was not sufficient and more training should be given to all medical students on first aid and basic life support. Keywords: Medical students, First aid, Knowledge 1 Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India 2 Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India Received: 15 May 2017 Revised: 10 June 2017 Accepted: 13 June 2017 *Correspondence: Dr. Chaitali A. Gore, E-mail: drchaitaligore@gmail.com Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20172858
  • 2. Gore CA et al. Int J Community Med Public Health. 2017 Jul;4(7):2555-2557 International Journal of Community Medicine and Public Health | July 2017 | Vol 4 | Issue 7 Page 2556 students are tomorrow’s doctors, it is of utmost importance that they are equipped with sufficient knowledge and skills to save a life in case of emergencies. In India, there is very little data regarding awareness of the medical personnel including students, doctors, and paramedical staff about first aid. Hence, this study was undertaken to assess the level of knowledge about first aid among undergraduate medical students and to compare the knowledge among different terms of undergraduate medical students. METHODS A cross-sectional study was done among 150 undergraduate medical students of Vydehi Medical College, Bangalore. This included 50 students each from 2nd , 3rd and 4th years respectively, who were chosen by random selection method. Study period was from October to November 2017. Approval was obtained from the Ethical Committee. Informed consent was obtained from the students before the study and they were explained about the purpose of the study. Confidentiality and anonymity of the information was assured. Data collection was done on a predesigned, prestructured and pretested questionnaire. A questionnaire with 15 questions regarding the awareness and skills involved in first aid were used to assess the levels of awareness among undergraduate medical students. Knowledge of the following common first aid emergencies was assessed: drowning, diabetic emergencies, choking, electrocution, profuse external bleeding (including epistaxis), fractures and dislocations, poisoning, unconsciousness, seizures and heat exhaustion. Each correct response was given one mark and wrong response zero. Scores were calculated out of 15. The scoring was graded as follows:  ≥70% excellent  51% to 69% adequate  31% to 50% needs improvement  ≤30% poor Data was entered in Microsoft excel sheet. Analysis was done using Statistical package for social sciences version 21. Data was analysed using percentages and Chi-square test. RESULTS A total of 150 medical students filled the questionnaire, 50 each from 5th (2nd year), 7th (3rd year) and 9th terms (4th year). The overall scores were, 43 out of 150 students had excellent knowledge, 71 out of 150 needed improvements, 35 out of 150 had adequate knowledge and only 1 out of 150 had poor knowledge about first-aid as shown in Table 1. The average score of 5th term students were 56.77%, 7th term students were 59.68% and that of 9th term students were 67.16%. Only 18 out of the total 150 students answered 12 or more questions correctly out of the 15 questions. None of the students were able to answer all questions correctly. Table 1: Knowledge of students about first-aid. Knowledge No. Percentage Poor (<30%) 1 0.7 Adequate (31-50%) 35 23.3 Needs improvement (51-69%) 71 47.3 Excellent (>70%) 43 28.7 Table 2: Distribution of students according to knowledge. Terms Knowledge Needs improvement Adequate Excellent No. % No. % No. % 5th 19 52.8 20 28.2 11 25.6 7th 11 30.6 31 43.7 8 18.6 9th 6 16.7 20 28.2 24 55.8 Total 36 100 71 100 43 100 P value 0.00. The knowledge of students improved with increase in their terms. Excellent knowledge was observed among 24 (55.8%) of 9th term students, whereas it was observed only among 11 (25.6%) of 5th term students. Majority of 5th term students 19 (52.8%) needed improvement in their knowledge. Adequate knowledge was observed among 31 (43.7%) 7th term students. The association between terms and level of knowledge was found to be statistically significant as shown in Table 2. DISCUSSION In a study done in Mangalore 13.8% students had good knowledge, 68.4% had moderate and 17.8% had poor
  • 3. Gore CA et al. Int J Community Med Public Health. 2017 Jul;4(7):2555-2557 International Journal of Community Medicine and Public Health | July 2017 | Vol 4 | Issue 7 Page 2557 knowledge about first-aid. The level of knowledge improved with the term, which is similar to our study.4 In the Karachi study 7.7% students had excellent knowledge about first aid, in our study that was 28.7%.2 Another study conducted by department of community medicine in BJ Medical College, Ahmedabad on awareness regarding first aid and fire safety among the second year undergraduate medical students stated that knowledge regarding first aid among the medical student was 33.6%, whereas in our study it was 56.7%.5 According to a study by Dr. Shantha Chandrashekharan on awareness of basic life support among medical providers, it was seen that awareness of Basic Life Support (BLS) among students, doctors and nurses of medical, dental, homeopathy and nursing colleges was very poor and needed improvement.6 A study done in UAE also concluded that there was lack of knowledge about first-aid among medical students.7 With the increase in the academic year the knowledge of the students improved in the study done in Saudi Arabia, which corroborates with our study.8 Most studies recommend that first aid training should be included in the medical curriculum.9,10 CONCLUSION First Aid knowledge among medical students needs improvement. Out of 150 medical students who participated in the study only 28.7% of the students were able to score 70% and above. The knowledge of 9th term students was found to be better than those of 7th and 5th term students. Level of knowledge improved with the term but this was not sufficient and more training should be given to all medical students on first aid. ACKNOWLEDGEMENTS We thank the management of Vydehi Institute of Medical Science and Research Centre for all the facilities provided for this study and the students for participating in the study. We would also like to thank Tanmaya, Sumedh, Yosha, Sandhya, Shweta for their help in conducting the study. Funding: No funding sources Conflict of interest: None declared Ethical approval: The study was approved by the Institutional Ethics Committee REFERENCES 1. Zaheer H, Haque Z. Awareness about BLS (CPR) among medical students: status and requirements. J Pak Med Assoc. 2009;59(1):57-9. 2. Khan A, Shaikh S, Shuaib F, Sattar A, Samani SA, Shabbir Q, Rasheed AZ. Knowledge attitude and practices of undergraduate students regarding first aid measures. J Pak Med Assoc. 2010;60(1):68-72. 3. First Aid for Colleges and Universities. In: Karren KJ, Hafen BQ, Mistovich JJ, Limmer DJ, editors. 10th ed. Benjammin Cummings; 2011. 4. Joseph N, Kumar G, Babu Y, Nelliyanil M, Bhaskaran U. Knowledge of first aid skills among students of a medical college in mangalore city of South India. Ann Med Health Sci Res. 2014;4(2):162-6. 5. Singh A, Mansuri S, Chaudhari A,Brahmbhatt N, Bhabhor H, Talsania N. An Interventional Study on Awareness Regarding First Aid and Fire Safety Among the Second Year Undergraduate Medical Students of BJ Medical College, Ahmedabad. Int J Sci Study. 2015;3(4):94-7. 6. Chandrasekaran S, Kumar S, Bhat SA, Saravanakumar, Shabbir PM, Chandrasekaran VP. Awareness of basic life support among medical, dental, nursing students and doctors. Indian J Anaesthesia. 2010;54(2):121-6. 7. Mathew S, Salman P, Khurshid S, Luke AM. Awareness of First Aid Among Undergraduate Students in Ajman, UAE. IOSR J Dental Med Sci. 2016;15(6):30-8. 8. Al-Musa HM, Bharti RK, Alsamghan AS, Asiri M, Alqahtani MS, Al-qahtani D, et al. Knowledge of First Aid Skills among Medical Students in King Khalid University, Abha, Saudi Arabia. People’s J Sci Res. 2017;10(1):1-6 9. Abbas A, Bukhari SI, Ahmad F. Knowledge of first aid and basic life support amongst medical students:a comparison between trained and un- trained students. J Pak Med Assoc. 2011;61(6):613- 6. 10. Tipa RO, Bobirnac G. Importance of basic life support training for first and second year medical students. J Med Life. 2010;3(4):465-7. Cite this article as: Gore CA, Sankar S, Sheriff S, Anand S, Smrithika L, Maiya S. A study on knowledge regarding first aid among undergraduate medical students. Int J Community Med Public Health 2017;4:2555-7.