The invention discloses a first aid simulation training method and system. The method comprises steps of scene entering, consciousness judgment, emergency first aid and CPR simulation. The CPR simulation comprises external chest compression, airway opening and artificial respiration. In the case of the CPR simulation or after the CPR simulation, simulated electrocardiogram monitor connection is entered, whether to be a defibrillation heart rate is judged, and if yes, simulated defibrillation is entered. Simulated defibrillation comprises defibrillation mode selection, defibrillation energy selection, conductive paste coating, electrode plate placement, charging and discharging. According to the above first aid simulation training method and the virtual simulation first aid training system,an operator is guided by a prompt to perform the first aid, the operation is judged and evaluated timely, the judgment and the evaluation are timely fed back to the operator, the operator is guided for operation, guidance is timely given, how to perform CPR is guided, how to operate on a defibrillator for defibrillation is guided, the operation is guided step by step, the operation is judged andevaluated timely, and the first aid operation ability of the operator is improved.