Basic life support skills and health emergency preparedness among school teachers in India: a questionnaire-based study in an urban population


  • Ranjiini Srinivasan Department of Paediatric Medicine, St. Johns Medical College Hospital, Bangalore, Karnataka, India
  • Surya G. Krishnan Department of Paediatric Medicine, St. Johns Medical College Hospital, Bangalore, Karnataka, India
  • Shashank Bhojaraja Department of Paediatric Medicine, St. Johns Medical College Hospital, Bangalore, Karnataka, India
  • Mithuna Srinivasan Senior Economist, IMPAQ International, Washington D.C.



Basic life support, Teachers, Knowledge, School preparedness, Health emergencies


  • Background: The purpose of this study was to assess basic life support (BLS) knowledge and attitudes among school teachers in India, and to elicit school preparedness in handling medical emergencies.

    Methods: Using a two stage sampling technique, 198 teachers from 10 schools in a metropolitan city participated in the study. A pre-validated questionnaire was administered to assess school teacher knowledge of BLS, and the principals of the schools provided information regarding the facilities available to manage health emergencies.

    Results: Although more than half of the surveyed teachers were aware of the term BLS, only 7 percent were trained in resuscitation. Thirteen percent of teachers had encountered emergencies in the classroom. Most of the schools maintained a basic first aid kit but lacked other equipment necessary to manage more serious health emergencies.

    Conclusions: Our study suggests that although teachers may be aware of BLS, they lack formal training and schools may be poorly equipped to tackle medical emergencies. It is therefore necessary to regularly train teachers in BLS and ensure that schools are provided with resuscitation equipment to enable them to handle health emergencies in children.


Ezeonu CT, Okike CO, Anyansi MN, Ojukwu JO. Health emergency preparedness: an assessment of primary schools in Abakaliki, South-Eastern Nigeria. Int J Community Med Public Health. 2017;4:1436-41.

Hazinski MF, Markenson D, Neish S, Gerardi M, Hootman J, Nichol G, et al. Response to cardiac arrest and selected life-threatening medical emergencies: the medical emergency response plan for schools: a statement for healthcare providers, policymakers, school administrators, and community leaders. Pediatr. 2004;113:155-168.

Kung HC, Hoyert DL, Xu J, Murphy SL. Deaths: final data for 2005. Natl Vital Stat Rep. 2008;56(10):1-120.

Corrado D, Basso C, Schiavon M, Thiene G. Screening for hypertrophic cardiomyopathy in young athletes. N Engl J Med. 1998;339(6):364-9.

Driscoll DJ, Edwards WD. Sudden unexpected death in children and adolescents. J Am Coll Cardiol. 1985;5(6):118-21.

Wren C. Sudden death in children and adolescents. Heart. 2002;88(4):426-31.

Neuspiel DR, Kuller LH. Sudden and unexpected natural death in childhood and adolescence. JAMA.1985;254(10):1321-5.

Shen WK, Edwards WD, Hammill SC, Bailey KR, Ballard DJ, Gersh BJ. Sudden unexpected non traumatic death in 54 young adults: a 30-year population-based study. Am J Cardiol. 1995;76(3):148-52.

Sapien RE, Allen A. Emergency preparation in schools: a snapshot of a rural state. Pediatr Emerg Care. 2001;17(5):329-33.

Robert M, Gereige S. Medical Emergencies Occurring at School. Pediatr. 2008;2171:887-94.

Stromsoe A, Svensson L, Claesson A, Lindkvist J, Lundstrom A, Herlitz J. Association between population density and reported incidence, characteristics and outcome after out-of-hospital cardiac arrest in Sweden. Resuscit. 2011;82:1307-13.

Mpotos N, Vekeman E, Monsieurs K, Derese A, Valcke M. Knowledge and willingness to teach cardiopulmonary resuscitation: a survey amongst 4273 teachers. Resuscit. 2013;84:496-500.

Solanki KP. The compulsory medical preparedness in schools bill, 2014. Bill No. 166 of 2014.

Singh VP, Raju BMK. Manual on statistics and indicators of school education. Department of Educational Surveys and Data Processing, National Council of Educational Research and Training, Sri Aurobindo Marg, New Delhi, India: 2006.

Alharbi MM, Youssef F, Oqab HM, Bassam AH, Mohammad AS, Faisal AH, et al. Exploring the extent of knowledge of CPR skills among school teachers in Riyadh, KSA. J Taibah Univ Med Sci. 2016;11(5):497-501.

Total population-both sexes. World Population Prospects, the 2015 Revision. United Nations Department of Economic and Social Affairs, Population Division, Population Estimates and Projections Section, 2015. Accessed 1 June 2016.

National Family Health Survey (NFHS) IV (2015-2016). International Institute for Population Sciences, Ministry of Health and Family Welfare, Government of India. 2016. Available at Accessed 16 June 2017.

Kaur N, Kaur S, Kaur M. A descriptive study to assess the level of knowledge regarding the first aid management among school teachers in selected schools of district Mohali, Punjab. J Health Med Informat. 2017;8(4):288.

Semwal J, Bakshi RK, Deepshikha JR, Vyas S, Kandpal SD. Study of knowledge and attitudes to first aid among school children of Doiwala block, Dehradun. Int J Community Med Public Health. 2017;4(8):2934-8.

Kanstad BK, Nilsen SA, Fredriksen K. CPR knowledge and attitude to performing bystander CPR among secondary school students in Norway. Resuscit. 2011;82(8):1053-9.

Lockey AS, Barton K, Yoxall H. Opportunities and barriers to cardiopulmonary resuscitation training in English secondary schools. Eur J Emerg Med. 2016;23(5):381-5.

Rao A, Rao A, Ramya S. Are schools and teachers prepared to respond to health emergencies in children? A questionnaire study in Mangalore, India. Int J Adv Res.2014;2:1123-6.

McCluskey D, Moore P, Campbell S, Topping A. Teaching CPR in secondary education: the opinions of head teachers in one region of the UK. Resuscit. 2010;81(11):1601.

Enizi AA, Saquib N, Zaghloul MS, Alaboud MS, Shahid MS, Saquib J. Knowledge and attitudes about basic life support among secondary school teachers in Al-Qassim, Saudi Arabia. Int J Health Sci. 2016;10:415-22.

Olympia RP, Dixon T, Brady J. Emergency planning in school-based athletics: a national survey of athletic trainers. Pediatr Emerg Care. 2007;23(10):703-8.




How to Cite

Srinivasan, R., Krishnan, S. G., Bhojaraja, S., & Srinivasan, M. (2019). Basic life support skills and health emergency preparedness among school teachers in India: a questionnaire-based study in an urban population. International Journal Of Community Medicine And Public Health, 6(9), 3780–3786.



Original Research Articles