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ABSTRACT Introduction: The incidence of cardiac arrest outside the hospital is still a frequent and even increasing frequency. While CPR volunteer assistance has been widely reported at low rates in various parts of the world (Abella, 2008). This requires the existence of other recommended methods and methods so that the level of availability and knowledge of CPR volunteers becomes greater. Teaching to early age is recommended because the earlier they know the management of CPR, the better their knowledge will be in the future. Children are learners who are quick and easy to motivate. This then encourages researchers to examine alternative methods that can be used to increase the knowledge and number of CPR Volunteers. Objective: The purpose of this study was to find out the benefits of using Puzzle games in increasing knowledge about CPR in elementary student of SD Kedungpedaringan Kepanjen. Method: Research method was Quasy experimental. The sample used was 44 people by simple random sampling. Samples were divided into 2 experimental groups, group 1 used standard teaching techniques (SAP), Group 2 used Puzzle games. Results: There was a significant effect (p <0.01) between learning using SAP / Module and Puzzle Games on the level of knowledge of respondents before and after treatment. Responded stated that he preferred learning using the Puzle game. Discussion: Puzle game is a form of educational game which functions not only as a means of play but also a form of education to students. The function of the game is to create a pleasant atmosphere for students. With a pleasant atmosphere, students can receive and understand information that is conveyed more easily.