About this event
CPR / First Aid is a two-person team event for the Secondary and Postsecondary/Collegiate divisions, sponsored by the American Red Cross. Each member takes a 50-question multiple-choice test in 60 minutes drawn from the current Red Cross and American Heart Association BLS and first aid manuals plus DHO: Health Science; the team's average score decides who advances. Basic life support is 40 percent of the test (adult, child and infant CPR, AED, advanced airway, rescue breathing, choking) and first aid is 60 percent (basic care, medical, injury and environmental emergencies). Skills were updated this year to the AHA February 2026 and Red Cross December 2025 guidelines, and teams tell the judges which organization's protocol they are following. In Round Two the team gets a secret scenario and a 12-minute limit to read it and treat the patients. Rescuer 1 starts a BLS skill (adult CPR, adult CPR with AED, or infant CPR, using pocket mask and bag-valve mask) while Rescuer 2 handles a first aid skill (severe bleeding and shock with a tourniquet, choking, open fracture and splinting, severe burns, a heat emergency, an epinephrine auto-injector or nasal naloxone), then changes gloves and joins the CPR for two-rescuer cycles until EMS arrives. Teams bring their own first aid kit from the published list. A 70 percent combined skill score is needed to place; the averaged test score is added to the skill score and ties go to the higher average test score.
Test day
What to expect
Round One test, then skill stations
Round One is a 50-question test in 60 minutes; the top scorers advance to Round Two, the skill stations. Official format: 50-question test, 60 minutes (team average), then a 12-minute two-rescuer skill scenario for top teams.
Written from the test plan
Questions follow the event's published test plan, section by section, and are written from the listed reference texts. Practice questions here are drawn in the same proportions.
How you advance
How many advance from regionals to states and on to the International Leadership Conference (ILC) depends on your association's rules. Study the official test plan: it lists each section and its share of the test.
What judges score
What's on the test
Study resources
Bookmark to saveCurated by ChapterPrep. Free unless noted. External links open in a new tab.