Faruq Ghani Alamsyah, Komang Rama Satria Mahotama, Nathanael Farrel Monika, Justin Marvelino Taswin, Ni Komang Reyna Nadhira Dewi, I Gusti Ngurah Bagus Ananta Surya Diputra, Talitha Haidi Putri, Ni Made Lia Amanda Setiawati, Komang Puspita Cintya Dewi, I Gusti Ngurah Pramesemara

Community-based medical emergency education in aquatic environments and Basic Life Support (BLS) simulation in Purwakerti Village, Abang District, Karangasem Regency, Bali

Introduction

Community-based medical emergency education in aquatic environments and basic life support (bls) simulation in purwakerti village, abang district, karangasem regency, bali. Community-based education in Bali significantly boosts coastal residents' knowledge of aquatic medical emergencies & Basic Life Support (BLS), reducing drowning risks effectively.

Abstract

Background: Medical emergencies in aquatic environments, such as drowning and cardiac arrest, are common in coastal communities like Purwakerti Village, Karangasem, Bali. Many residents, particularly fishermen and tour guides, lack adequate knowledge and skills to respond to these incidents effectively, which can potentially worsen outcomes. Therefore, this study aims to evaluate the effectiveness of community-based education and simulation in aquatic emergency response and Basic Life Support (BLS) in enhancing public readiness and reducing mortality risks. Methods: This community intervention involved 33 residents of Purwakerti Village, selected through purposive sampling. Participants attended educational sessions on aquatic medical emergencies and Basic Life Support (BLS), delivered through lectures, discussions, and hands-on simulations, including cardiopulmonary resuscitation (CPR). Data collection involved pre- and post-test questionnaires to measure knowledge improvement. Statistical analysis was performed using the Wilcoxon test to determine the significance of changes. Results: All 33 participants, primarily fishermen (72.7%), completed the activities. The average age was 41.72 ± 9.65 years. Post-intervention assessments showed a significant increase in knowledge scores, from a mean of 67.2 ± 28.4 before training to 89.6 ± 14.1 after training (p = 0.005). Notably, the understanding of key emergency principles, such as the importance of rescuer safety and the long-term effects of near-drowning, showed marked improvement. The interactive, simulation-based approach was particularly effective in increasing both basic and advanced knowledge of emergency response. Conclusion: This educational and simulation program significantly improved aquatic emergency and BLS knowledge among the coastal residents of Purwakerti Village. The findings underscore the importance of targeted community training in building capacity to manage water-related emergencies and highlight the potential to reduce drowning incidents in high-risk coastal areas.

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