Objective To study the status and needs of first aid knowledge and skills of primary and middle school students,so as to provide references for conducting systematic and standard first-aid training courses which will be adapt to the students' cognitive level.Methods Convenient sampling method and Selfdesigned questionnaire were used in the investigation.Totals of 302 primary and middle school students from eight provinces and cities were recruited.Results The overall average awareness rate of students' first aid knowledge was less than 50％.They had a good condition in mastering the way to call the emergency phone which accounted for 78.67％,but still lower than the average public first-aid knowledge knowing level.There were only 36.67％ of students who had ever participated in the related first-aid training.However,98％ of the students showed they would like to participate in the training in the future.Conclusions It is worried the present status of first-aid knowledge and skills which primary and middle school students master.It is urgent that some measures will be taken in the aspects of parental supervision,course construction,teaching organization and community participation in order to improve the education training of first aid knowledge and skills of primary and middle school students.