Provision Of First Aid Research Articles

Perinatal depressive and anxiety symptoms of pregnant women during the coronavirus disease 2019 outbreak in China

BackgroundOn January 20, 2020, a new coronavirus epidemic with human-to-human transmission was officially declared by the Chinese government, which caused significant public panic in China. In light of the coronavirus disease 2019 outbreak, pregnant women may be particularly vulnerable and in special need for preventive mental health strategies. Thus far, no reports exist to investigate the mental health response of pregnant women to the coronavirus disease 2019 outbreak.ObjectiveThis study aimed to examine the impact of coronavirus disease 2019 outbreak on the prevalence of depressive and anxiety symptoms and the corresponding risk factors among pregnant women across China.Study DesignA multicenter, cross-sectional study was initiated in early December 2019 to identify mental health concerns in pregnancy using the Edinburgh Postnatal Depression Scale. This study provided a unique opportunity to compare the mental status of pregnant women before and after the declaration of the coronavirus disease 2019 epidemic. A total of 4124 pregnant women during their third trimester from 25 hospitals in 10 provinces across China were examined in this cross-sectional study from January 1, 2020, to February 9, 2020. Of these women, 1285 were assessed after January 20, 2020, when the coronavirus epidemic was publicly declared and 2839 were assessed before this pivotal time point. The internationally recommended Edinburgh Postnatal Depression Scale was used to assess maternal depression and anxiety symptoms. Prevalence rates and risk factors were compared between the pre- and poststudy groups.ResultsPregnant women assessed after the declaration of coronavirus disease 2019 epidemic had significantly higher rates of depressive symptoms (26.0% vs 29.6%, P=.02) than women assessed before the epidemic declaration. These women were also more likely to have thoughts of self-harm (P=.005). The depressive rates were positively associated with the number of newly confirmed cases of coronavirus disease 2019 (P=.003), suspected infections (P=.004), and deaths per day (P=.001). Pregnant women who were underweight before pregnancy, primiparous, younger than 35 years, employed full time, in middle income category, and had appropriate living space were at increased risk for developing depressive and anxiety symptoms during the outbreak.ConclusionMajor life-threatening public health events such as the coronavirus disease 2019 outbreak may increase the risk for mental illness among pregnant women, including thoughts of self-harm. Strategies targeting maternal stress and isolation such as effective risk communication and the provision of psychological first aid may be particularly useful to prevent negative outcomes for women and their fetuses.

Competences of preschool children in the provision of first aid - results of a pilot study

Teaching basic first aid activities is one of the most important area of children`s health education. The aim of the study was to analyse the educational effects of the pilot implementation of the author's curriculum in the provision of premedical first aid for preschool children. The knowledge and skills of pre-schoolers in the provision of first aid were analysed. The research was carried out in a private kindergarten in Warsaw. As a result, the knowledge and skills of preschool children about the principles of providing first aid was insufficient. After conducting the educational program, the level of knowledge and skills of children in this area increased significantly. Educational programs introduced as early as possible, already at the stage of preschool education, can contribute to greater awareness of health-related attitudes, may affect the skills of recognizing, responding to and providing basic rescue operations, and may influence the attention to the important role of health education.

Impact of a postcrash first aid educational program on knowledge, perceived skills confidence, and skills utilization among traffic police officers: a single-arm before-after intervention study

BackgroundAn overwhelming proportion of road traffic deaths and injuries in low- and middle-income countries (LMICs) occur in prehospital environments. Lay first responders such as police officers play an important role in providing initial assistance to victims of road traffic injuries either alone or in collaboration with others. The present study evaluated a postcrash first aid (PFA) educational program developed for police officers in Tanzania.MethodA 16-h PFA educational program was conducted in Dar es Salaam, Tanzania, for 135 police officers. Participants completed training surveys before, immediately and 6 months after the training (before, N = 135; immediately after, N = 135; after 6 months, N = 102). The primary outcome measures were PFA knowledge, perceived skills confidence, and skills utilization. Parametric and nonparametric tests were used to analyse changes in outcome.ResultsThe mean PFA knowledge score increased from 44.73% before training (SD = 20.70) to 72.92% 6 months after training (SD = 18.12), p < .001, N = 102. The mean PFA perceived skills confidence score (measured on a 1–5 Likert scale) increased from 1.96 before training (SD = 0.74) to 3.78 6 months after training (SD = 0.70), p < .001, N = 102. Following training, application of the recovery position skill (n = 42, 46%) and application of the bleeding control skill (n = 45, 49%) were reported by nearly half of the responding officers. Less than a quarter of officers reported applying head and neck immobilization skills (n = 20, 22%) following training.ConclusionA PFA educational program has shown to improve police officers’ knowledge and perceived skills confidence on provision of first aid. However qualitative research need to be conducted to shed more light regarding reasons for low utilization of trained first aid skills during follow-up.

ACUTE CORONARY SYNDROME – ARE WE AWARE?

Introduction: Despite the progress of medicine and the implementation of the latest treatment methods, the problem of Acute Coronary Syndrome (ACS) and the patients’ knowledge of the factors favoring the emergence of the disease, manifesting symptoms and providing first aid to a person with suspected myocardial infarction are still part of the discussion not only medical but also economic. The aim: Assessment of the state of knowledge of patients after cardiac surgery about acute coronary syndromes. Material and methods: The study evaluated the knowledge of patients after cardiac surgery about acute coronary syndrome. Patients were treated at the Department of Cardiosurgery, University Hospital in Bialystok from January to March 2018. The study involved 60 patients after cardiac surgery, of which 43 were men and 17 were women (aged 37 – 83 years). Own survey consisting of 10 single-choice closed questions and metrics has been used. Results: The respondents’ answers to the questions about risk factors for coronary artery disease were satisfactory due to the fact that as many as 82% of the respondents indicated the proper reasons for the development of acute coronary syndromes. The respondents had difficulties with questions regarding the provision of first aid in the event of ACS symptoms. When asked if they are willing to change their lifestyle to healthier and safer for their organism – 90% of respondents expressed a desire. Conclusions: The basis for forming patient awareness is a good knowledge of factors predisposing to the development of clinical disorders. It is proposed to create expert groups composed of cardiologists, diabetologists, hypertensiologists, psychologists, family doctors, dietitians and other physicians who may adapt the risk assessment to the specificities of individual countries, gender, age and co-morbidities. It has been estimated for reducing mortality that 50% corresponds to good control of the most important risk factors, and the remaining 50% are appropriate pharmacotherapy.

Правила техники безопасности в процессе занятий физическими упражнениями. Профилактика травматизма и оказание доврачебной помощи

Правила техники безопасности в процессе занятий физическими упражнениями. Профилактика травматизма и оказание доврачебной помощи

High Mortality Rates from Road Traffic Accidents in the Russian Federation: Possible Causes and Ways to Overcome Challenges

Road traffic accidents cause enormous material and moral damage both to the society as a whole and to individual citizens. According to the data, the Russian Federation is among countries with highest road traffic mortality rates within European Region of the World Health Organization.The objective of the study was to attempt to identify possible causes of high mortality rates from traffic accidents on the roads of the Russian Federation and to reveal ways to reduce those rates.To that purpose a survey of citizens of the Russian Federation who are driver’s license owners and who are experienced drivers was conducted in different regions of the country. The results identified low medical literacy in terms of provision of first aid to the injured persons as one of the causes.Other factors, potentially capable to reduce the number of fatalities in road traffic accidents, once their performance indicators improve, have also been considered. Those indicators comprise time of arrival of ambulance crews at the site of an accident with enough medical equipment and medicines, interaction of emergency services, growth of efficiency of training in providing primary medical care at driving schools.

First aid glucose administration routes for symptomatic hypoglycaemia.

First aid glucose administration routes for symptomatic hypoglycaemia.

First aid glucose administration routes for symptomatic hypoglycaemia

First aid glucose administration routes for symptomatic hypoglycaemia

The Level of Public’s Practical Skills in Provision of First Aid to Patients with Major Epileptic Seizure

Introduction. Despite the significant progress in medicine, epilepsy is still a severe medical and social problem. It is the most common primary chronic neurological disease; it is of various aetiology, course and treatment, affecting people of all genders, age, race or social status.Aim. The article aims at verification of basic public’s knowledge about the disease of epilepsy and identification of the extent of capabilities of general and professional public in helping a patient with a major epileptic seizure.Material and Methods. Quantitative study using questionnaire and experiment. The study included a total of 200 respondents from general (GP) and professional non-medical public (CW).Results. 39% of GP respondents and 54% of CW respondents were capable of providing first aid. The most frequent mistake was forcing an object into the mouth in 17% of GP and 10% of CW. In the GP group, the level of skills significantly depends on respondents’ gender (p = 0.028), age (p = 0.012) and education (p = 0.003). Attainment of first aid course does not play a role in the level of knowledge and skills. In the CW group, significant results were found between evaluation of first aid provision and the age of respondents (p = 0.032) and provision of first aid and the category of health care workers (p = 0.014).Conclusions. Respondents’ basic knowledge and practical skills show signs of insufficiency. First aid courses need to be repeated regularly. (JNNN 2019;8(2):54–61)

Knowledge and attitude of Saudi female university students about first aid skills.

BACKGROUND:First aid is the first and most essential life saving care that can reduce the morbidity of an individual in a health-threatening circumstance. The aim of this study was to assess the knowledge and attitude toward the provision of first aid among students attending Princess Norah University (PNU).MATERIALS AND METHODS:A cross-sectional study was conducted at PNU in Riyadh, Saudi Arabia, from October 2017 to December 2017. A total of 1000 female students from 15 different colleges completed a self-administered questionnaire.RESULTS:The mean age was 21 years (range 18-26); 36% study participants were from health colleges and remaining from other colleges. Only 34.7% had good knowledge, 57.5% had moderate knowledge, and 7.8% had poor knowledge on first aid skills. Analysis of knowledge in specific emergency situations showed that the students were more knowledgeable in cases of epistaxis, ingestion of toxins, burns, hypoglycemia, and loss of consciousness. However, they were found to be less knowledgeable in handling situations of seizures, choking, and snake bite. About 20.2% of the students had encountered situations where cardiopulmonary resuscitation was required and 65.3% of these students had not provided first aid because of the lack of knowledge, nervousness, and other issues. Good knowledge was associated with previous first aid training and being a student in a health college.CONCLUSION:Overall, students had a positive attitude toward first aid; however, they still did not have the knowledge necessary to be able to act in emergency situations. There is a need for increased public health awareness. It is also advisable to introduce first aid courses in all universities and secondary schools.

Provision of post-crash first aid by traffic police in Dar es Salaam, Tanzania: a cross-sectional survey

BackgroundThe availability of prehospital trauma care is an important means of reducing serious injuries and fatalities associated with road traffic injuries (RTIs). Lay responders such as traffic police play an important role in the provision of prehospital trauma care to RTI victims, especially where there is no established prehospital care system. Therefore, the objective of the present study was to investigate knowledge, self-reported practice, and attitudes toward post-crash first aid among traffic police officers in Tanzania.MethodA cross-sectional survey was conducted in Dar es Salaam, Tanzania between July–September 2017 to investigate knowledge, self-reported practice and attitude among traffic police officers during provision of post-crash care. We used simple random technique to recruit 340 traffic police officers, self -administered questionnaires were used to collect data. The researchers used descriptive statistics and Pearson’s chi-square tests to analyze the data.ResultsA total of 340 traffic police officers were surveyed. Nearly two thirds (65.3%) reported having had post-crash first aid on-the job training; a slightly larger proportion (70.9%) reported that they had cared for RTI victims in the previous year. The survey responses showed that, generally, traffic police officers’ level of knowledge about post-crash first aid to RTI victims was low—about 3% of the surveyed officers possessed knowledge at a level considered good. Also, there was a statistically significant correlation between higher educational attainment and greater knowledgeability (p = 0.015). Almost all of the officers (96%) had a positive attitude toward providing post-crash first aid to RTI victims.ConclusionsImproved training of Tanzania traffic police officers, by means of an updated post-crash first aid curriculum and updated resources is recommended. Also, user-friendly post-crash first aid leaflets should be provided to traffic police for their reference.

EFFECTIVENESS OF FIRST AID AND OSH TRAINING ON IMPROVING THE KNOWLEDGE OF KINDERGARTEN TEACHERS IN GRESIK

In Indonesia every year, 750,000 children die from accidents and 400 million children are seriously injured. In 2010 child mortality due to accidents, poisoning and trauma in Indonesia was recorded at 7.3% and was one of the five highest causes of child mortality. Accidents can be prevented and can be overcome if the teacher knows what to do to prevent and provide first aid in accidents or medical emergencies. The purpose of this study was to identify the average value of kindergarten teacher knowledge about occupational safety and health (OSH) in the school environment before and after training to improve first aid and OSH knowledge and skills. This type of research is quasy exprimental with one group pre test and post test design research design. The population is all kindergarten teachers in Menganti District, Gresik Regency. The purposive sampling technique was 20 teachers who were representatives of 3 HIMPAUDI clusters. Results of the study Before and after training participants were given a questionnaire aimed at knowing participants' understanding of knowledge and materials about first aid and knowledge of occupational safety and health (OSH). The average knowledge before first aid training was 65.75 while after the training it increased to 89.75.The average knowledge about OSH before training was 61.5 and after training increased to 90. The results of paired test tests obtained p value> 0.005 that is 0.000 which means that there is a very significant mean difference between before and after the provision of first aid and OSH training in school environments . It can be said that the training can increase the knowledge of playgroup teachers who are trainees about first aid knowledge and knowledge about OSH in the school environment. First Aid and OSH training can improve knowledge of kindergarten teachers at Menganti District, Gresik. Keywords: First aid, Ocupational Health and Safety, Knowledge , Kindergarten teacher

Disaster medicine: object of study and scientometric analysis of domestic scientific articles (2005–2017)

Relevance.Despite the decrease in the absolute indicators of emergencies, accidents and catastrophes, and the reduction of related injuries in Russia, there is still a high level of mortality and injuries associated with the impact of external causes, surpassing similar indicators in the leading countries of the world. Therefore, research to optimize the provision of first aid and emergency medical care to the injured is needed.Intention.To conduct a content analysis of domestic articles within the branch of knowledge “Disaster Medicine. Service of Disaster Medicine” and to reveal their scientometric indicators.Methodology.The object of research was an electronic database of domestic publications (scientific articles, reviews and brief reports) indexed in the Russian Scientific Citation Index in 2005–2017.Results and Discussion.During the electronic search, 2431 publications on the disaster medicine were found. The polynomial trend with a high coefficient of determination (R2 = 0.90) showed an increase in indicators. Over the research period, the average annual number of publications was (186 ± 23) articles. The general provisions of the disaster medicine were covered in 10.1 % , tasks and organization of the service of disaster medicine – in 5.8 %. forecasting and modeling of health consequences in emergencies – in 16.6 %, organization of health care – in 25.3 %, medical care and treatment of injured – in 13.5 %, medical control, examination and rehabilitation of rescuers – in 4.1 % , training of specialists in disaster medicine – in 9.4 %, biological problems – in 5.3%, psychiatric and psychological aspects – in 9.9 % of articles. The average weighted impact-factor of the journals in which the articles were published is 0.302, the average number of articles per 1 co-author was 0.40, the average number of citations per article is 1.54, for 1 co-author 0.55, the number articles quoted at least once, 43.8 %, the number of self-citations, 19.2 %, the Hirsch index was 19. The median of the chronology of citations was 4.5 years. Scientometric analysis of articles on leading authors, journals and organizations was conducted.Conclusion. The performed analysis helps to optimize scientific research on disaster medicine. The electronic database of the Scientific Electronic Library provides great information opportunities, for example, on May 12, 2018, 70.5 % of articles within the created collection of publications had the full text, including 60.2% of articles that were provided free charge to registered readers of the library.

First Aid Practices and Health-Seeking Behaviors of Caregivers for Unintentional Childhood Injuries in Ujjain, India: A Community-Based Cross-Sectional Study.

Data on types of community first aid use and treatment provided post-injury from many low‒middle-income countries, including India, are lacking. This cross-sectional study was conducted among children aged one month to 18 years of age, in Ujjain, India, to understand types of first aid given and health-seeking post-injury. A total of 1087 injuries in 1049 children were identified in the past year. A total of 729 (67%) injured children received first aid and 758 (70%) sought some form of health care. Children with burns received the most (86%) first aid, and most children (84%) with road traffic accidents (RTA) sought health care. Most children (52%) sought health care from a private health care facility; most children (65%) were transported to a health care facility within the golden hour. Motorbikes were the most preferred (50%) mode of transport. Only 1% of the injured used ambulance services. Commonly reported methods or substances for first aid included the use of coconut oil on wounds from falls (38%) and burns (44%), the use of antiseptic cream on wounds from RTA (31%), the application of turmeric for wounds from falls (16%), and rubbing of metal on a bitten area (47%). For most injuries, appropriate, locally available substances were used. Potentially harmful substances applied included lime, toothpaste, clay, and mud. The findings will help design community interventions to increase the provision of appropriate first aid for childhood injuries.

Systematic review and meta-analysis of Mental Health First Aid training: Effects on knowledge, stigma, and helping behaviour.

ObjectiveTo provide an up-to-date assessment of the effectiveness of the Mental Health First Aid (MHFA) training program on improving mental health knowledge, stigma and helping behaviour.DesignSystematic review and meta-analysis.MethodsA systematic search of electronic databases was conducted in October 2017 to identify randomised controlled trials or controlled trials of the MHFA program. Eligible trials were in adults, used any comparison condition, and assessed one or more of the following outcomes: mental health first aid knowledge; recognition of mental disorders; treatment knowledge; stigma and social distance; confidence in or intentions to provide mental health first aid; provision of mental health first aid; mental health of trainees or recipients of mental health first aid. Risk of bias was assessed and effect sizes (Cohen’s d) were pooled using a random effects model. Separate meta-analyses examined effects at post-training, up to 6 months post-training, and greater than 6 months post-training.ResultsA total of 18 trials (5936 participants) were included. Overall, effects were generally small-to-moderate post-training and up to 6 months later, with effects up to 12-months later unclear. MHFA training led to improved mental health first aid knowledge (ds 0.31–0.72), recognition of mental disorders (ds 0.22–0.52) and beliefs about effective treatments (ds 0.19–0.45). There were also small reductions in stigma (ds 0.08–0.14). Improvements were also observed in confidence in helping a person with a mental health problem (ds 0.21–0.58) and intentions to provide first aid (ds 0.26–0.75). There were small improvements in the amount of help provided to a person with a mental health problem at follow-up (d = 0.23) but changes in the quality of behaviours offered were unclear.ConclusionThis review supports the effectiveness of MHFA training in improving mental health literacy and appropriate support for those with mental health problems up to 6 months after training.Trial registrationPROSPERO (CRD42017060596)

Road Traffic Accident : What Is Being Practiced on the Scene to RTA Casualties in Al-Ahsa City, Saudi Arabia ?

Background: In Saudi Arabia, road traffic accidents (RTA) is a burden to health, economy and community because of the increasing number of deaths and disabilities. Many victims of RTA had poor pre-hospital care undertaken by untrained lay people. Provision of first aid to RTA victims has helped in reduction the related morbidity and mortality. Aim: To assess how the car drivers’ attitude and practice in case of RTA in Al-Ahsa city, Eastern Province, Saudi Arabia. Methods: This is a descriptive cross-sectional study between March and May, 2017 among drivers in Al-Ahsa city situated in the eastern part of Saudi Arabia. Using pretested interview-based questionnaires. More than 252 responses have been collected by trained medical students, and 249 responses have been included. Results: All the participants were male. 44.2% were bachelors and 45.4% students. A large number of the participants are non-first aid trained (73.9%). 70.7% of the participants do not have willingness to provide first aid for road traffic accident victim. The majority (71.1%) have witnessed an RTA sustaining injured individuals and 36.9% have intervened. 67.5% of the responders have been involved in RTA themselves, and 29.3% of them have sustained at least one injury. Conclusion: There is an insufficient experience in dealing with RTA. The knowledge of the drivers about first aid should be sought further and explored. RTA in Saudi Arabia is a major problem that require an action and consideration from both the community and the government by increasing awareness and putting strict rules to enhance the community to assume a safe driving and improve their skills.

Incorporation of Humanitarian Programs: Ukraine’s Experience

Mr Aeschlimann tells the story of the establishment of the International Committee of the Red Cross and its main activities. He notes that the Committee was founded by Henri Dunant from Switzerland. The symbol of Red Cross was not a coincidence; Henri Dunant associated it with health protection. It is also noteworthy that the symbol resembles the flag of Switzerland. Since the very inception, the primary responsibility of the organisation was taking care of injured soldiers and captives; later on, it started to help abused people. Soon enough, the organisation began to provide food to the people in need. Mr Aeschlimann also emphasises that the International Committee of the Red Cross has worked in line with the principles of international humanitarian law and cooperated with states for its improvement since its foundation and adoption of the First Geneva Convention. The legal aspect is also an important part of the organisation’s work. In general, the Committee has a broad range of activities, totally depending on the state of a conflict or domestic violence. The International Committee of the Red Cross launched aggressive activities in 2014, following the outbreak of the military conflict in the east of Ukraine. The organisation pays much attention to the following aspects related to its operation in Ukraine: the conflict was unleashed between nations with similar mentality and is of highly politicised and polarised character. Representatives of the organisation act not only in the territory under Ukrainian control but also in the occupied territory. Mr Aeschlimann mentions that the most challenging aspect of working in Ukraine is to adjust to the fast pace of drastic changes in the country due to sweeping reforms and transition economy. Moreover, the organisation faced certain difficulties in providing humanitarian assistance, but currently all the subtleties have been settled and the ICRC is operating in favourable conditions. Among the priority tasks of the International Committee of the Red Cross, the following can be singled out: expansion of activities, namely measures on the search for missing persons, expansion of a program of support of psychosocial and psychological health. Special attention is drawn to provision of first aid to people near to the collision line. Mr Aeschlimann also tells how he chose this profession, his free time taking into account a busy working schedule, and his favourite places in Ukraine. Keywords: the International Committee of the Red Cross, the ICRC mission, the First Geneva Convention, humanitarian assistance, conflict.

Improving Competence in Dental Avulsion Management among Military First-Aid Providers

Dental traumas consist 2-8% of all trauma related emergencies in Israeli Defense Forces (IDF); and information on dental trauma is currently provided as part of the medics basic training. Nevertheless, the combat medics knowledge in providing first aid and preservation of avulsed teeth is usually insufficient.

Skills for life: First aid and cardiopulmonary resuscitation in schools

Objective: This review considers initiatives in various countries to include mandatory first aid and cardiopulmonary resuscitation (CPR) training in schools, key educational considerations and the supporting empirical evidence, in particular the relevance of first aid and CPR training to broader educational goals of student capability, resilience and self-efficacy. Method: Policy documents and reports from international first aid service providers (e.g. British Red Cross) were identified from websites while a parallel search of key bibliographical databases provided relevant papers on teaching first aid and CPR to school children in a range of countries. Results: Systematic reviews all show evidence to support the provision of first aid and CPR training courses and programmes in schools, with interventions effective in improving first aid knowledge and skills both post-training and in some studies up to 12 months afterwards. Important factors include ensuring the content is relevant and practical for the target group and offering an opportunity for young people to explore and discuss helping behaviour in emergency situations. Conclusion: Age-appropriate first aid and CPR instruction should be integrated into the school curriculum beginning in the primary years and developed/refreshed annually. Topics covered should include calling for help, bleeding, choking, burns, unconsciousness and resuscitation – all within the broader context of being confident and willing to help others. With the right training and support, schoolteachers can effectively deliver first aid instruction to their students. Future research should concentrate on gaps in evidence-based practice, especially measurements to demonstrate the effectiveness of first aid training, in order to advance the case for mandatory first aid education in schools.

Lip and tooth injuries at public swimming pools in Austria.

There is an increased risk of orofacial injuries in swimming pool facilities. Nevertheless, only a few studies have addressed this issue. The aim of this study was to identify the frequency of lip and tooth injuries at public swimming pools in Austria. A further aim was to examine which gender and age groups were affected, where and why these injuries occurred, and whether pool attendants had sufficient knowledge of dental first-aid measures. A total of 764 pool attendants in Austria were contacted by telephone and 689 participated in the study (90.2%). The attendants were interviewed retrospectively about accident occurrences in 2014 by a standardized questionnaire. Responses to the provision of first aid and choice of storage medium for avulsed teeth were subsequently evaluated. The frequency of lip injuries was 19.0%, and tooth injuries were 11.3%. Male bathers (P<.05) and children under 12years (P<.001) most frequently suffered injuries. The waterslide was the most common accident site. The most common cause of lip injuries was slipping on wet surfaces (39.0%), and for tooth injuries it was collisions with other persons or objects (each 28.1%). The pool attendants' responses were predominantly good or sufficient on first aid, with the exception of what storage medium to choose. Tooth rescue boxes were available in only 8.6% of all pool facilities. Orofacial injuries are a frequently occurring problem in swimming pool facilities. The pool attendants' knowledge on first-aid care of tooth injuries could still be improved.