First Aid

Scouts BSA · Merit Badge · Health & Safety, Eagle-required

Printable worksheet (PDF)

First Aid is about staying calm and knowing how to help when someone is hurt or sick. You'll practice treating everything from small cuts to serious emergencies, and learn when to call for more help. It's Eagle-required, and it may be the most useful badge you ever earn.

Why it's worth it

Someday you'll be the first person on the scene: a friend falls off a bike, a patrol member gets dizzy on a hot hike, or someone at dinner can't breathe. This Eagle-required badge trains you to stay calm, check the scene, call for help, and do the right things until help arrives. The skills fit in your head and your pack, and you'll use them more often than almost anything else you learn in Scouting.

Start this week

  1. Open your family's or patrol's first-aid kit and check what's there. Make a list of anything missing or expired.
  2. Ask your Scoutmaster for the name of a First Aid counselor, and contact them with a parent copied.
  3. Ask a parent to look over your health form with you, so you know what's on it and why.
  4. Look for a CPR and AED class near you through the Red Cross, a hospital, or your fire department, and ask a parent to sign you up.

Stay safe

  • Check that a scene is safe before you help, wear gloves when there's blood, and call 911 for anything serious. Your training lets you help until professionals arrive; it doesn't replace them.

Requirements · 15

Every official requirement and part, numbered to match Scouting America, in plain language. Sign off against the official wording (opens in a new tab).

  1. Requirement 1

    Handling a first aid emergency

    Tips for this section: Practice the steps of checking a scene for safety, checking the person, and calling for help. Role-play a few scenarios with your patrol.

    Example for this section: Practice out loud: "Scene safe? Yes, no traffic. I'm a Scout trained in first aid, can I help? He's breathing but confused. You, in the red shirt, call 911 and come back." Then check for bleeding and shock.

    1. Requirement 1a

      Explain the steps for sizing up and handling a first aid emergency, including checking that the scene is safe

    2. Requirement 1b

      Explain how you'd get emergency medical help from home and from a remote spot on a wilderness campout

    3. Requirement 1c

      Show the precautions that lower the chance of passing an infection between you and the person you're helping, including safely throwing away used supplies

    4. Requirement 1d

      Show how to check and manage a person's airway and breathing

    5. Requirement 1e

      Show how to do a thorough exam of an injured person

    6. Requirement 1f

      Talk about why shock is an emergency

    7. Requirement 1g

      Define triage and describe situations where you might need it

  2. Requirement 2

    Preparing for emergencies

    Tips for this section: Look over your own health form with a parent, then go through a troop or family first-aid kit and restock anything missing.

    Example for this section: A patrol first-aid kit might hold adhesive bandages, gauze pads, roller gauze, tape, elastic wrap, gloves, a CPR mask, tweezers, antiseptic wipes, blister care, and a small notebook. Check expiration dates before each trip.

    1. Requirement 2a

      Get the Scout Annual Health and Medical Record form and discuss why its details (immunizations, allergies, medications, health history, and exams) matter for first aid at Scouting events

    2. Requirement 2b

      First-aid kits

      1. Requirement 2b1

        Using a checklist from the First Aid pamphlet or one your counselor approves, put together your own first-aid kit for hiking and backpacking, and show your counselor how to use each item in it

      2. Requirement 2b2

        Using a checklist from the pamphlet or one your counselor approves, check a first-aid kit for a unit, home, vehicle, or camp with your counselor and talk about what you found

  3. Requirement 3

    For each wound below (none bleed on the outside), describe its signs and symptoms, show the first aid, and explain how to prevent it:

    Tip: Practice cooling a burn and caring for bruises and blisters on a partner, talking through each step out loud.

    1. Requirement 3a

      Closed wounds, such as a bruise (contusion) or hematoma

    2. Requirement 3b

      Superficial, partial thickness, and full thickness heat burns or scalds

    3. Requirement 3c

      Chemical burns

    4. Requirement 3d

      Electrical burns

    5. Requirement 3e

      Sunburn

    6. Requirement 3f

      Snow blindness

    7. Requirement 3g

      Immersion foot, frostnip, frostbite, and ice burns

    8. Requirement 3h

      Abrasions such as chafing and rope burns

    9. Requirement 3i

      Blisters on the hands, feet, buttocks, and shoulders

    10. Requirement 3j

      Puncture wounds from splinters, rope splinters, nails, and fishhooks

    11. Requirement 3k

      Poisonous plant rashes

    12. Requirement 3l

      Bites from chiggers, ticks, mosquitoes, and biting gnats

    13. Requirement 3m

      Bee stings

    14. Requirement 3n

      Spider bites

    15. Requirement 3o

      Scorpion stings

    16. Requirement 3p

      Bites from a pet, a wild mammal, or a human

    17. Requirement 3q

      Venomous snakebite

  4. Requirement 4

    For each bleeding injury below, describe its signs and symptoms, show the first aid, and explain how to prevent it:

    Tip: Use a partner and practice applying direct pressure and bandages. Speed and calm matter most with severe bleeding.

    For example: Practice on a partner: put on gloves, press firmly with a gauze pad, add more gauze on top if blood soaks through (don't lift the first one), and wrap a pressure bandage. Explain when a tourniquet is used for life-threatening bleeding.

    1. Requirement 4a

      Nosebleed

    2. Requirement 4b

      An open wound that bleeds mildly or moderately, such as a scratch, scrape (abrasion), or shallow cut (laceration)

    3. Requirement 4c

      An open wound that bleeds heavily, like a deep arm or leg cut

    4. Requirement 4d

      Explain when one or more tourniquets should and shouldn't be used, list some benefits and dangers, and show how to apply a tourniquet without tightening it

  5. Requirement 5

    For each breathing problem below, describe its signs and symptoms, show the first aid, and explain how to prevent it:

    Tip: Learn the signs of choking and other breathing problems, and practice the response on a manikin or with a trained instructor.

    1. Requirement 5a

      Choking

    2. Requirement 5b

      Asthma attack

    3. Requirement 5c

      Anaphylaxis caused by an insect bite or sting, or by a food or product allergy

    4. Requirement 5d

      Inhalation injuries

    5. Requirement 5e

      Altitude sickness

  6. Requirement 6

    For each cause of passing out below, describe its signs and symptoms, show the first aid, and explain how to prevent it:

    Tip: Make a quick list of things that can cause someone to pass out and what you'd do for each.

    1. Requirement 6a

      Fainting

    2. Requirement 6b

      Hypoglycemia

    3. Requirement 6c

      Seizure

    4. Requirement 6d

      Drug overdose and alcohol poisoning

    5. Requirement 6e

      Underwater hypoxic blackout

    6. Requirement 6f

      Cold water shock and drowning

    7. Requirement 6g

      Lightning strike and electric shock

  7. Requirement 7

    Heart attack

    Tips for this section: Learn the warning signs of a heart attack and when to call for help. Then take a hands-on CPR and AED class to practice on a manikin with an instructor.

    Example for this section: In a CPR class you'll push hard and fast in the center of the chest, about 100 to 120 times a minute, and practice with an AED trainer that talks you through each step. Know heart attack signs, like chest pressure and pain spreading to the arm or jaw.

    1. Requirement 7a

      Explain what a heart attack is

    2. Requirement 7b

      Describe the signs and symptoms of a heart attack and the first aid for it

    3. Requirement 7c

      Describe what must be true before you give someone CPR

    4. Requirement 7d

      Show correct CPR on a training device your counselor approves

    5. Requirement 7e

      Explain what an automated external defibrillator (AED) is used for

    6. Requirement 7f

      Show or simulate how to use an AED, on an AED trainer if one is available

    7. Requirement 7g

      Find where AEDs are usually kept in public places near you (school, place of worship, meeting place, sports facility, camp) or with a phone app, and discuss why they're placed there

  8. Requirement 8

    Muscle and bone injuries

    Tips for this section: Practice splinting with things you'd have on a campout, like sticks, rolled clothing, or trekking poles.

    Example for this section: Splint a forearm with what's at camp: a rolled foam pad or trekking pole, padded with a fleece jacket, tied above and below the injury with bandanas. Check fingers for warmth and color before and after.

    1. Requirement 8a

      Explain how a strain, muscle tear, tendon rupture, sprain, dislocation, simple fracture, and compound fracture are alike and different

    2. Requirement 8b

      Describe the signs and symptoms of a muscle strain, muscle tear, and tendon rupture, and the first aid for each

    3. Requirement 8c

      Describe the signs, symptoms, and possible complications of a fracture, a sprain, and a dislocation

    4. Requirement 8d

      Show how to bandage each of these injuries:

      1. Requirement 8d1

        Arm sling for a broken forearm, upper arm, or collarbone

      2. Requirement 8d2

        Elastic wrap and cravat bandages for a sprained ankle

      3. Requirement 8d3

        Elastic wrap and cravat bandages for a sprained wrist or hand injury

    5. Requirement 8e

      Show how to handle and splint a possible closed or open fracture or dislocation of each of these:

      1. Requirement 8e1

        Finger and toe

      2. Requirement 8e2

        Forearm or wrist

      3. Requirement 8e3

        Upper leg

      4. Requirement 8e4

        Lower leg or ankle

  9. Requirement 9

    Head and spine injuries

    Tips for this section: Learn why it's important not to move someone with a possible head or spine injury, and practice keeping them still.

    1. Requirement 9a

      Describe the signs and symptoms of head, neck, and back injuries, how they relate, their possible complications, and how to prevent them

    2. Requirement 9b

      Describe the signs and symptoms of a concussion and how to give first aid for one

    3. Requirement 9c

      Show first aid for an open head wound using a triangular or other bandage

    4. Requirement 9d

      Show first aid for someone who may have a neck or back injury

  10. Requirement 10

    Moving a patient

    Tips for this section: Talk through when moving someone is the right choice and when it isn't, then practice a few carries with your patrol.

    1. Requirement 10a

      Describe when a hurt person should be moved and when they shouldn't

    2. Requirement 10b

      Explain how you'd choose the best way to move a sick or injured person who must be moved, and show those methods

    3. Requirement 10c

      Show how to get a person out of a smoke-filled room, both alone and with a partner

    4. Requirement 10d

      Alone and with a partner, show how to carry a person with a sprained ankle at least 25 yards

    5. Requirement 10e

      Supervise helpers as you build an improvised stretcher and move a person acting unconscious at least 25 yards

  11. Requirement 11

    For each heat-, cold-, or exertion-related condition below, describe its signs and symptoms, show the first aid, and explain how to prevent it:

    Tip: Learn the signs of heat exhaustion, heat stroke, and hypothermia. Think about how to prevent them on your next outing.

    For example: Heat exhaustion on a summer hike: pale, sweaty, nauseous. Move to shade, loosen clothing, sip water, and cool with wet cloths. If they get confused or stop sweating, it may be heat stroke: call 911 and cool them fast.

    1. Requirement 11a

      Dehydration and over-hydration

    2. Requirement 11b

      Heat cramps and muscle pain after exercise

    3. Requirement 11c

      Heat exhaustion

    4. Requirement 11d

      Heat stroke

    5. Requirement 11e

      Chest pain linked to cold exposure

    6. Requirement 11f

      Hypothermia

  12. Requirement 12

    Mental health conditions

    Tips for this section: Learn the warning signs that someone is in crisis and how to listen and get help from a trusted adult. It's OK to ask for help yourself too.

    Example for this section: Know the warning signs, like a friend saying they feel hopeless or talking about not wanting to be here. Listen without judging, stay with them, and tell a trusted adult right away. In the U.S., anyone can call or text 988.

    1. Requirement 12a

      Describe how people react to at least three stressful situations, such as backpacking in mountains, rappelling, a ropes course, public speaking, calling an adult, a swim test, homesickness, lighting a match, team tryouts, or meeting someone new

    2. Requirement 12b

      Describe what you and others should do to get ready for and handle those situations

    3. Requirement 12c

      Describe warning signs that a person could be a danger to themselves or to others

    4. Requirement 12d

      Describe what you should do if you suspect a person could be a danger to themselves or to others

  13. Requirement 13

    For each condition below, describe its signs and symptoms, show the first aid, and explain how to prevent it:

    Tip: Make flash cards for things like something in the eye, a knocked-out tooth, and the signs of a stroke, and quiz yourself with a buddy.

    1. Requirement 13a

      Something in the eye

    2. Requirement 13b

      A broken, chipped, loose, or knocked-out tooth

    3. Requirement 13c

      Vomiting and diarrhea from food poisoning

    4. Requirement 13d

      Stomach (abdominal) pain

    5. Requirement 13e

      Stroke

  14. Requirement 14

    With your counselor's guidance, make a plan to teach a first-aid topic or skill using EDGE. Go over the plan with your counselor, then teach it to your family or one or more Scouts

    Tip: Pick a skill you know well and teach it to a younger Scout: explain, demonstrate, guide, and then let them do it.

    For example: Teach a younger Scout to treat a blister with EDGE: explain why blisters form, demonstrate cutting a donut-shaped moleskin, guide them as they try, then enable them by checking their feet on the next hike.

  15. Requirement 15

    EMS visit, careers, or hobbies. Choose 1 of 4

    Tips for this section: Ask your local EMS or fire department if you can visit and see an ambulance up close.

    1. Requirement 15a

      Visit an EMS station or training center in person. Learn from the first responders how they serve the community and about their careers, then tell your counselor what you learned

    2. Requirement 15b

      Interview an EMS professional about their job, how they chose it, and their duties. Discuss with your counselor what you learned and whether the career interests you

    3. Requirement 15c

      Name three careers that use EMS skills. Research one: training, education, certification, experience, cost to get started, job outlook, starting pay, and advancement. Discuss it with your counselor and whether it interests you

    4. Requirement 15d

      Find how EMS skills could support a hobby or healthy lifestyle. Research the extra training, costs, and groups to join that would help, then share with your counselor what you learned and your short- and long-term goals

Places to visit

Ask an adult to set it up, and go with your family, den, patrol, or crew.

  • An EMS station or fire station with an ambulance

    See the equipment inside an ambulance and how paramedics treat patients on the way to the hospital.

    How: Have an adult call the station's non-emergency number and ask whether your patrol can visit. Crews may need to leave for a call.

  • A hospital emergency department education program

    Some hospitals offer youth tours or safety classes that show how emergency care works.

    How: An adult can contact the hospital's community education office to ask about youth programs.

Where it can lead

  • EMT or paramedicResponds to 911 medical calls; EMT training can start in high school in some places.
  • Emergency room nurseTreats patients in the busiest part of a hospital.
  • Athletic trainerPrevents and treats injuries for school and pro sports teams.
  • Military combat medic or corpsmanGives emergency care in the field to service members.
  • Emergency physicianDiagnoses and treats emergencies after medical school and residency.

Ask yourself

  • What injury or emergency are you most worried about handling, and how do you feel about it now?
  • How do you think you'd react if you were first on the scene, and what would help you stay calm?
  • Which skill felt awkward at first and then clicked with practice?
  • What did you learn about mental health emergencies that you'd want a friend to know?
  • How has carrying a first-aid kit changed what you pack for outings?

Good questions to ask an EMT, nurse, or first-aid instructor

  • What injuries do you see most often with kids and teens?
  • What's the most important thing a bystander can do before you arrive?
  • How do you stay calm on a scary call?
  • What do people often get wrong when giving first aid?
  • How could someone my age start training for EMS or nursing?

Helpful reads

For leaders & parents

  • Use first aid scenarios with moulage or fake injuries at meetings and campouts to keep practice realistic.
  • Invite a certified instructor to run a CPR and AED session for the troop.

People & places that can help

Into this? Explore more

Tips, examples, and questions are ideas from experienced leaders, not extra requirements. Your unit leader or counselor decides when a requirement is complete.