Conflict of interest: the authors stated that was no conflict of interest

The goal . To analyze the reform of the regulatory framework governing from 09/01/2024 first aid in the Russian Federation. Tasks. To consider changes in legislation in the context of compliance with international standards and achievements of scientific and technological progress, as well as the logic of the educational process in the field of first aid. Materials and methods . To determine the practical significance, a survey was conducted of different categories of students of first aid courses conducted by the Department of Simulation Training of N. N. Burdenko VSMU. Results. A survey of first aid course participants showed that the implemented structuring and differentiation of first aid will allow, at the preparation stage, to offset certain negative consequences of rescuers› actions associated with the lack of an approved procedure for providing assistance in life-threatening situations, as well as to introduce tools and devices corresponding to the current level of scientific and technological progress in combating life-threatening situations already at the first aid stage. At the same time, the issues of mass introduction of automatic external defibrillation at the first aid level remain unresolved. Conclusion . The analysis of the regulatory framework for first aid and the results of the survey reveal the importance of the legislative changes made with regard to the volume of first aid, its differentiation and ordering. The experience of implementing these changes will optimize the further diversification of first aid depending on the level and conditions of its provision in the form of new Procedures, orders on the composition, use, storage and placement of first-aid kits, an adjusted educational and methodological complex. Work has begun on the mass introduction of automatic external defibrillation at the first aid level. This is of particular importance for the emergency medical service, since effective and timely first aid is the initial link in the «life chain», the continuity of which largely affects the favorable outcome in life-threatening conditions.