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Immune Thrombocytopenic Purpura (ITP) is a bleeding disorder characterized by a low platelet count (<100,000/µL) caused by decreased platelet production or opsonization by antibodies, leading to platelet destruction by the reticuloendothelial system. ITP is one of the most common etiologies of bleeding disorders, especially in children. The prevalence of ITP in children is estimated to be around 1.9 to 6.4 cases per 100,000 children annually, while in adults, the prevalence is lower, at about 3.3 cases per 100,000 people per year. In the United States, the incidence of ITP is reported to be around 1.6 per 10,000 people annually. Clinical manifestations of ITP include petechiae, purpura, and/or ecchymosis, which are usually found on the upper and lower extremities. Mucocutaneous bleeding symptoms such as epistaxis and gum bleeding are also common in patients. These symptoms can vary depending on the severity of thrombocytopenia and individual responses to the condition. Diagnosis of ITP is made through a thorough medical history, physical examination, and rapid supportive tests to confirm the diagnosis and differentiate ITP from other conditions with similar symptoms. Proper and timely management is crucial to prevent further complications, including more severe bleeding or organ damage. With effective management, the quality of life of patients can be improved, and the risks associated with ITP can be minimized. Therefore, early detection and optimal management are key in addressing ITP, particularly in children who are more vulnerable to this bleeding disorder.

Epistaxis or commonly called nosebleed is bleeding in the nasal vestibule, nasal cavity, or nasopharynx that is acute. Fainting is an emergency situation where someone experiences a life-threatening condition that requires immediate assistance. This usually occurs in school students who are performing ceremonies, or outdoor activities. The purpose of this community service is to improve first aid skills in epistaxis and syncope management with the DOFLET method in adolescents. The partners of this community service are 21 adolescents at SMK X. This service method uses the DOFLET method (demonstration and leaflet) by providing training to demonstrate/demonstrate how to handle using available tools directly to improve first aid skills in epistaxis and syncope management in adolescents at SMK X. Based on the results obtained, the results before being given first aid training for epistaxis and syncope management were mostly in the sufficient category and after being given training, most were in the good category. The results of the statistical analysis also showed the influence of the strategy for optimizing first aid for epistaxis and syncope management with the ability to provide first aid in adolescents. The strategy for optimizing first aid education for epistaxis and syncope is expected to help students understand how to provide first aid correctly, as well as increase students' insight into preventing epistaxis and syncope.