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School first aid is dominated by a short list: asthma attacks, allergic reactions, seizures, playground fractures, head bumps and diabetic episodes. Anaphylaxis and asthma between them account for a large share of genuinely time-critical incidents, and both depend on staff knowing which children are affected and where their medication is kept, which is an administrative problem as much as a training one.
Location matters enormously in a school. An incident happens in a classroom, a corridor, a playground, a gym or a field, and the response differs by distance from help and from the medical room. Playground incidents are the most common and often the furthest from equipment, which is why duty staff carrying a basic kit and a radio is worth more than a well-stocked room nobody can reach in time.
Train breadth rather than depth. A school with two highly trained first aiders and no one else is fragile: they teach, they have free periods, they go on trips. Every member of staff who supervises children benefits from knowing how to recognize anaphylaxis, use an auto-injector, help with an inhaler and put an unresponsive child in the recovery position. Those four things cover most of what a school needs from most of its staff.
Updated for 2026. Updated in 2026. What follows is the position as it stands today.
The skills evaluation is always conducted face to face with an instructor, on manikins and real equipment. It is never done by webcam or on a virtual manikin.
On timings: the CPR/AED course runs 275 minutes (4 hours 35 minutes) in the classroom, including a 10 minute skills examination and a 20 minute written examination.
Reviewed by Jackie Stern, Lifeguard Instructor, Firefighter and EMT. Jackie Stern has taught lifeguarding for more than 20 years and works as a firefighter, EMT and swim instructor. She reviews course content, prerequisites and rescue standards against current certification requirements.