Emergency PreparednessTest + SkillsTeam EventPopular

CPR/First Aid

Two-person teams take a 50-question BLS and first aid test, then top teams run a 12-minute two-rescuer scenario combining CPR or AED use with a first aid emergency.

The AI judge does not score skill stations. Use the practice test for Round One.

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

Skill I-A / I-B: Adult BLS/CPR, Rescuer 1 initiates and Rescuer 2 assistsSkill II-A / II-B: Adult BLS with AED, Rescuer 1 initiates and Rescuer 2 assistsSkill III-A / III-B: Infant BLS/CPR, Rescuer 1 initiates and Rescuer 2 assistsSkill IV: Severe Bleeding and ShockSkill V: ChokingSkill VI: Open Fracture and SplintingSkill VII: Severe BurnsSkill VIII: Heat-Related EmergencySkill IX: Administer Auto-inject EpiPenSkill X: Administer Naloxone (Nasal Spray NARCAN)

What's on the test

Basic Life Support: General ConceptsBasic Life Support: BLS/CPR for Adults, Children and InfantsBasic Life Support: AED for Adults, Children and InfantsBasic Life Support: CPR with Advanced AirwayBasic Life Support: Mouth-to-Mouth/Rescue BreathingBasic Life Support: Relief of ChokingFirst Aid: BasicFirst Aid: Medical EmergenciesFirst Aid: Injury EmergenciesFirst Aid: Environmental Emergencies