Emergencies can be scary, right? But the key to handling them is simple: stay calm and follow a structured approach. If someone collapses or looks unresponsive, one method that can help is COWS โa first aid acronym that helps you quickly assess someoneโs condition and decide your next steps.
You need to know if someone is responsiveโthis is vital. Responsiveness is one of the main factors in determining whether CPR is required. Using the COWS acronym ensures you donโt waste valuable seconds in those critical early moments of an emergency.
By the way, if you want to feel confident using COWS in real-life situations, My First Aid Course Brisbane offers hands-on, practical cpr training to teach you first aid skills in a friendly, interactive environment. With nationally recognised courses and engaging pre-course video content, we make learning first aid easy and effective. Letโs dive into the details of COWS.
What Does COWS Stand For in First Aid?
COWS is a quick and effective tool for assessing if someone is conscious or responsive in an emergency. Itโs particularly useful in situations where someone appears unconscious or unresponsive. Here’s what it stands for:
- C โ Can you hear me?
- O โ Open your eyes
- W โ What is your name?
- S โ Squeeze my hands
Each letter represents a step to check the personโs level of awareness, ability to respond, and motor function. So how do you use it?
COWS Acronym Step-by-Step
C โ Can You Hear Me?
Speak to the person in a calm, clear voice and ask, โCan you hear me?โ Watch for any response or indication that they can hear. Hopefully they’ll speak back and be responsive. If you don’t get anything back, you’ll need to search deeper for the response. Remember to make sure youโre loud enough (especially in noisy environments)

O โ Open Your Eyes
Ask the person to open their eyes: โOpen your eyes for me.โ A lack of response here can indicate that their consciousness is impaired. If they donโt open their eyes after several prompts, they may need further assistance or CPR.

W โ What Is Your Name?
This checks awareness. Ask, โWhat is your name?โ If they respond, itโs a good signโtheyโre conscious and oriented. If they donโt respond, they might be disoriented, confused, or too weak to speak.

S โ Squeeze My Hands
This step is often overlooked but is incredibly important. Place your hands gently in theirs and say, โSqueeze my hands.โ
Why two hands? A weak or one-sided response may indicate a stroke. Even if someone can hear you or follow commands, squeezing hands lets you check motor function, which is crucial if they canโt speak.

When Should You Use COWS?
Use the COWS acronym whenever you encounter someone who may be unconscious, unresponsive, or in need of help. This could be in situations like:
- Collapsing or fainting: Someone suddenly drops and is unresponsive.
- Suspected head injuries: Checking for consciousness.
- After an accident: Ensuring the person is alert before moving them.
- Before CPR: To confirm if the person needs chest compressions.
COWS is especially important as part of the DRSABCD action plan (Danger, Response, Send for Help, Airway, Breathing, CPR, and Defibrillation). Itโs the “Response” stepโhelping you determine if theyโre alert or need immediate intervention.
How Does COWS Save Lives?
Letโs break it down into simple terms:
- Quickly Identifying the Problem:
COWS helps you figure out if someone is conscious or unconscious within seconds. This is vital because if theyโre unresponsive, you know itโs time to call for help and start CPR. - Guides Your Next Steps:
For example:- If they respond but canโt open their eyes, they may need help but not CPR.
- If they squeeze your hand but canโt speak, they might have had a stroke (more on this below).
- If they respond, you can move onto others who might not be responsive, or start to address the persons injuries.
By following COWS, youโre not just “checking”โyouโre actively gathering clues that could save someoneโs life.
Pro Tip: Read more about managing emergencies on the Anzcor Website
Why Choose My First Aid Course Brisbane?
Knowing COWS in theory is greatโbut what about real-life practice? Thatโs where My First Aid Course Brisbane comes in. Hereโs why weโre the go-to choice for learning first aid:
- Hands-On Training:
Youโll practice the COWS method and other critical first aid skills in an interactive, supportive environment. Our instructors ensure you leave with real confidenceโnot just theory. - Engaging Video Content:
Our pre-course material includes engaging videos that demonstrate COWS and other techniques. This means you can start learning at home, so you feel prepared before stepping into the classroom. - Nationally Recognised Courses:
Our first aid training is aligned with Australian Resuscitation Council (ARC) standards, giving you the skills and certification you need for work or personal confidence.
Want to master life-saving skills like COWS? Join one of our courses today and become the confident, capable responder your loved ones can count on. Explore Our Courses Now!
Conclusion
The COWS acronym is simple, powerful, and designed to help you make smart, life-saving decisions in emergencies. Whether youโre at home, at work, or out and about, understanding and using COWS could make all the difference.
Want to take it a step further? My First Aid Course Brisbane provides hands-on training so you can practice COWS and other first aid techniques in a safe, supportive environment.
Donโt waitโbe prepared. Book a course today and start learning how to save lives!


