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First aid training in conflict zones: An interventional training study and a post-training knowledge assessment
Kinan Jafar1, Rami Janoud2, Ahmed Sheikh Sobeh3
1Faculty of Medicine, Damascus University, Damascus, Syria.
SAGE Open Medicine
|May 12, 2026
Summary
First aid training significantly improved theoretical knowledge among Syrian university students, highlighting its role in building community emergency response capacity in conflict zones. Key knowledge gaps remain in managing shock and poisoning.
Area of Science:
- Public Health
- Emergency Medicine
- Medical Education
Background:
- Health systems in conflict zones like Syria are severely disrupted.
- First aid training for laypersons is crucial for reducing preventable mortality.
- This study focuses on evaluating first aid knowledge among university students in Syria.
Purpose of the Study:
- To assess the post-training theoretical knowledge of Syrian university students in First Aid principles.
- To evaluate the effectiveness of an evidence-based first aid course in a conflict-affected region.
Main Methods:
- An interventional study involving 55 university students in Swaida, Syria.
- A 10-hour, evidence-based first aid course aligned with international guidelines.
- Post-training knowledge assessed via a validated 14-question instrument; data analyzed using non-parametric tests.
Main Results:
- High post-course knowledge demonstrated, with a median score of 13/14.
- No significant differences in scores based on faculty or prior training.
- Moderate positive correlation between academic year and knowledge score (r=0.425, p<0.01).
- Common knowledge gaps identified in managing shock and poisoning.
Conclusions:
- Structured first aid courses enhance theoretical knowledge in conflict settings.
- This training has the potential to build community-level emergency response capacity.
- Context-adapted first aid education should be integrated into public health initiatives in crisis-affected regions to improve resilience.
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