Senior First Aid (SFA) courses for the public involve teaching skills to deal with everyday emergencies. The courses generally run for three days and teach a range of knowledge and skills. In contrast, CPR and basic life support courses typically run for three hours, teaching only basic skills. There are more than 150 providers of fi rst aid training in Australia.
1Few studies have addressed the issues of community awareness and competence in fi rst aid; what proportion of the community has been trained; and whether the training affects knowledge and competence. Kaye and colleagues found that regardless of the population or the course, performance and retention of basic knowledge and skills were poor. 2 We aimed to evaluate the extent of SFA training in Western Australia (WA), and to compare the theoretical knowledge of those trained with those not trained, by telephone interview of a sample of the WA community. Further, we sought to determine the effi cacy of training by assessing practical skills in an emergency scenario.
MethodsThe study methodology has previously been described.3 Briefly, subjects were selected using a stratifi ed random sample approach, with four strata of respondents: males, females, urban, and rural. The sample surveyed was representative of the WA (08) 9346 1665; e-mail: dania.lynch@health.wa.gov.au community except in some age distributions for those practically assessed.3,4 The response rate for the survey was 55%, producing 803 responses.Respondents answered seven multiplechoice questions on how they would respond to certain situations. Each correct answer scored one point. Of the 289 respondents who volunteered to have practical skills assessed, a convenience sample of 100 who were available had their practical skills tested. The 100 volunteers did not differ from the remaining survey respondents with regard to gender (p=0.82); however, there was signifi cant differences in age with over-representation of 55-64 year age groups (p=0.028) and under-representation of 65-74 year age groups (p=0.033).Participants described and demonstrated their responses to a snakebite scenario using a Laerdal mannikin as the victim of suspected snake bite. Two assessors simultaneously and independently scored performance on these items: establishing safety and consciousness; reassuring and resting the casualty; compression bandaging; splinting; and call for medical aid/ambulance. Two points were awarded for correct practice, one point for an attempt or insufficient demonstration (total correct score 16 points). Inter-rater reliability was signifi cantly correlated for all assessment scores (p<0.01).Analysis was with SPSS V.10. Univariate analysis was undertaken on all variables, producing means and standard deviations for Brief Report