Effect Of Basic Life Support Training Simulation (BHD) On Knowledge And Motivation Of Students About Handling Traffic Accident Incidents Eka Yudha Chrisanto1. Made Novitasari2. Usastiawati3 1,2,3 Universitas Malahayati *corresponding author: ekayudha@malahayati. ABSTRACT Basic Life Support is the main foundation used to save someone who is experiencing cardiac arrest. Accidents are events that can cause injury or even cause death. Based on a survey at the South Lampung Police, there were 295 accident data in 2020. To know the effect of basic life support training simulation on knowledge and motivation of first aid in road traffic accidents among high school students. A quantitative, using a quasi-experimental design, and two-group . ntervention group and control grou. pretest-posttest design was carried out at Yadika Natar High School. Lampung. The population of all students with a sample of 32 participants. Collecting data using a questionnaire distributed to participants. Data analysis by univariate . requency distributio. and bivariate (Wilcoxson tes. Finding that most of the participants' knowledge and motivation before the simulation was 6 . 5%) for knowledge and motivation less than 8 . 0%). After a simulation of the knowledge level of 16 . %) participants with 16 . %) participants having prime motivation. There is a relationship between the basic life support training simulation on increasing knowledge and motivation about handling traffic accidents with a Pvalue of 0. 001 for knowledge and a P-value of 000 for participants' motivation. There is a relationship between the basic life support training simulation with increasing students' knowledge and motivation about handling traffic accidents at Yadika Natar High School South Lampung in 2021 with an MASD value before the simulation of 56A1. 711 for participant knowledge and 47. 06A9. 657 for participant motivation. Meanwhile, after the simulation, the MASD value was 7. 88A1. 408 for participant knowledge and 67. 94A3. 586 for participant motivation. The researcher hopes that the school can cooperate with the trainers to provide health education and counseling regularly to students about first aid measures in the event of a traffic Keywords: Basic life support training. Simulation. Knowledge. Motivation. First aid. Road traffic High school students 96 1st International Health Conference STIKes Panca Bhakti (IHCPB) INTRODUCTION Accidents are events that can cause injury or even death all walks of life. As is the case traffic accident, when it happened increasing especially in the countrydeveloped like Indonesia (Wahyuddin, 2. Globally, we still need to fight for can reduce the number of traffic accidents because a traffic accident killed him nearly 1. 3 million people, as well as millions of others injured. We need to know that there are more than 30% of victims of past accidentstraffic namely children and adolescents who are agedless than 25 years. Traffic accidentis the most dangerous killer among childrenyoung people aged 15-29 years (Sukmandari, & Subject, 2. According to the 2018 Land Transportation Statistics data in Lampung province, in 2017, traffic accident statistics in Indonesia totaled 2,297 accident cases, of which 912 people died, 174 people had serious injuries, 2. 144 people had minor injuries (LR). In 2018 there were 2,188 cases of traffic accidents in which 817 people died (MD), 1,211 suffered serious injuries (LB), 1,943 people experienced minor injuries (LR) due to accidents (Indonesia, 2018 In the results of the initial data collection survey on February 25 2021 at the South Lampung Resort Police regarding the number of traffic accident incidents in 2020, data obtained that there were 295 cases. During this incident, 123 people died (MD), 232 people suffered serious injuries (LB), and 220 people suffered minor injuries (LR). The survey results also showed that based on the education of traffic accident victims, most of them had senior high school education (SMA) compared to junior high school, elementary and university education. The number of high school (SMA) victims reached 347 people, with the vulnerable age that experienced the most accidents, namely the ages of 16-30 years as many as 34 people Basic life support is an intervention designed to restore and maintain the function of vital organs in victims of cardiac and respiratory arrest. These interventions include providing chest compressions and rescue breathing. Trauma or non-trauma can cause an emergency, which can cause respiratory arrest, heart attack, organ damage, and bleeding (Syapitri. Hutajulu. Gultom, & Sipayung, 2. 97 1st International Health Conference STIKes Panca Bhakti (IHCPB) Motivation is a conscious effort to influence one's behavior so that one's heart can act to do something to achieve certain results or goals. Motivation is also the driving force that makes people act or behave in a motivated way, desire, stimulation or impulse. Refers to the causes of certain behaviors (Irman, 2. Through the results of the provisional analysis it was found that the main cause of students' low knowledge and motivation regarding basic life support was due to a lack of exposure to information on how to carry out basic life support in the event of a traffic accident. The lack of student knowledge can cause the student's motivation to be lacking as well. This is because knowledge and motivation have a close relationship, where the higher the level of knowledge, the higher the motivation to apply the knowledge they have. Based on these problems, the researcher is interested in further researching the effectiveness of basic life support training simulations on increasing knowledge and motivation students about handling traffic accidents METHOD Quantitative research with a quasi-experimental design and a two-group pretest posttest research design. The population is SMA Yadika Natar South Lampung with participants as many as 32 students, using purposive sampling. This research was conducted at Yadika Natar High School. South Lampung. The activities are assisted by 2 assistants and 2 presenters who are certified Basic trauma Cardiac Life Support (BTCLS) with active certificates. The procedure for implementing it is that first the researcher contacted 2 assistants who assisted in the research, the researcher conducted 2 days of meetings with the assistants to discuss matters needed in the research process and prepared materials to carry out the research. The researcher contacted the agency again to ask permission from the agency so that participants could come to school to take part in basic life support training simulation activities. When the school has allowed and determined the schedule for carrying out the training simulation, the researcher gave confirmation again to the 2 research assistants to prepare and re-check the material to be 98 1st International Health Conference STIKes Panca Bhakti (IHCPB) In . he intervention grou. on the day of the basic life support training simulation, before entering the room the participants were required to use a hand sanitizer that had been provided by the researcher and wear a mask. Participants are asked to sit down and write down the attendance list that has been prepared by the researcher, and the researcher introduces his name and purpose. The researcher distributed and explained the willingness sheets to become participants in the study and provided writing tools to the participants which were used to answer the questions. After filling in the willingness sheet, the researcher distributed knowledge and motivation pre-test questions to the participants before the start of the presentation of the material about basic life support. then the researcher invited the presenter to deliver material related to basic life support for 30 minutes, after the presenter finished delivering. The material is continued with a demonstration of the steps for carrying out basic life support which is carried out for 30 minutes. After the demonstration is over, the participants are allowed to ask questions to the speaker, before the participants practice basic life support steps as demonstrated by the speaker. Participants were grouped in pairs to re-enact the steps for providing basic life support. One pair of participants takes A 15 minutes to demonstrate it. After completion, the researcher distributed the questionnaire again . ost-tes. and then gave prizes to participants who asked or were able to answer the questions given by the speaker In the control group of 16 participants, they were not required to attend and they only attended lectures in class or online, only collected on the first day and the last day with the intervention group to take part in the pre and posttest regarding students' knowledge and motivation about handling traffic accident incidents RESULTS Tabel. 1 Frequency Distribution of Participant Characteristics Characteristics of Participants Age(Mean SD)(Rang. (Year. Gender Male Female BHD Resources . /%) - From Master From Website Intervensi Group Control Group . 25A0. 27A0. 8/50 8/50 7/43 9/57 2/12. 14/87. 4/25 12/75 99 1st International Health Conference STIKes Panca Bhakti (IHCPB) Tabel. 2 Effect of Training Simulation on Participant Knowledge and Motivation Variabel Knowlege (MeanASD)(Rang. - Before Simulasi - After Simulasi Motivation (MeanASD)(Rang. - Before Simulasi - After Simulasi Intervensi Group Control Group p-value . 56A1. 88A1. 63A2. 98A3. 06A9. 94A3. 08A8. 84A9. DISCUSSION