- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07695766
CPR and Agonal Breathing Recognition Training for Police Officers (CPR-AB Police)
Evaluation of CPR Training and Agonal Breathing Recognition Among New Taipei City Police Officers in Out-of-Hospital Cardiac Arrest Events
This study will evaluate an educational training program for police officers in New Taipei City, Taiwan. Police officers may arrive at out-of-hospital cardiac arrest events before emergency medical services and may be able to provide early cardiopulmonary resuscitation and automated external defibrillator support. However, abnormal gasping or agonal breathing can be mistaken for normal breathing and may delay recognition of cardiac arrest.
Participants will receive a single training session consisting of an adult CPR refresher course and agonal breathing recognition training. Anonymous online questionnaires will be completed before and immediately after the training. The study will compare pre-training and post-training questionnaire results to assess changes in agonal breathing recognition accuracy, CPR-related knowledge, and course satisfaction.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
This is a single-arm, before-and-after educational intervention study conducted among active police officers in New Taipei City, Taiwan. The study is embedded in routine annual first aid training for police officers.
The intervention consists of a single training session. The first component is a 20-minute adult CPR refresher course covering the emergency response sequence, chest compression quality, compression depth and rate, and complications of chest compression. The second component is a 40-minute agonal breathing recognition session covering the pathophysiology and clinical presentation of agonal breathing, video-based recognition practice using real cases, and analysis of common recognition errors.
Before the training session, study information is provided and participants are invited to complete an anonymous online pre-training questionnaire using a QR code. Immediately after the training session, participants are invited to complete an anonymous online post-training questionnaire using a QR code. Questionnaire data will be used to evaluate changes in agonal breathing recognition accuracy, CPR-related knowledge, and overall learning outcomes. Course satisfaction will be assessed using the post-training questionnaire.
Participation is voluntary. The study collects anonymous questionnaire responses and does not involve patient-level clinical data or direct patient intervention. There is no long-term participant follow-up.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
New Taipei City, Taiwan, 220
- Far Eastern Memorinal Hospital
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Active police officers serving in New Taipei City, Taiwan
- Officers attending routine annual first aid or CPR training
- Officers who voluntarily complete the anonymous online pre-training and/or post-training questionnaire
Exclusion Criteria:
- None
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: CPR Refresher and Agonal Breathing Recognition Training
Participants receive a single-session educational intervention consisting of adult CPR refresher training and agonal breathing recognition training.
Anonymous online questionnaires are completed immediately before and immediately after the training session.
|
A single-session educational training program consisting of a 20-minute adult CPR refresher course and a 40-minute agonal breathing recognition training session.
The CPR refresher covers the emergency response sequence, chest compression quality, compression depth and rate, and complications of chest compression.
The agonal breathing recognition session covers pathophysiology, clinical presentation, real-case video-based recognition practice, and analysis of common recognition errors.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in Agonal Breathing Recognition Accuracy
Time Frame: Immediately before and immediately after the training session
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Difference between pre-training and post-training accuracy in recognizing agonal breathing, measured using a study-specific anonymous online questionnaire.
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Immediately before and immediately after the training session
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in CPR-Related Knowledge Score
Time Frame: Immediately before and immediately after the training session
|
Difference between pre-training and post-training CPR-related knowledge scores, measured using a study-specific anonymous online questionnaire.
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Immediately before and immediately after the training session
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Change in Total Learning Outcome Score
Time Frame: Immediately before and immediately after the training session
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Difference between pre-training and post-training total questionnaire scores, measured using a study-specific anonymous online questionnaire.
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Immediately before and immediately after the training session
|
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Course Satisfaction Score
Time Frame: Immediately after the training session
|
Course satisfaction measured using a study-specific anonymous online post-training questionnaire.
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Immediately after the training session
|
Collaborators and Investigators
Sponsor
Collaborators
Publications and helpful links
General Publications
- Stein P, Spahn GH, Muller S, Zollinger A, Baulig W, Bruesch M, Seifert B, Spahn DR. Impact of city police layperson education and equipment with automatic external defibrillators on patient outcome after out of hospital cardiac arrest. Resuscitation. 2017 Sep;118:27-34. doi: 10.1016/j.resuscitation.2017.06.017. Epub 2017 Jun 24.
- Lupton JR, Johnson E, Prigmore B, Daya MR, Jui J, Thompson K, Nuttall J, Neth MR, Sahni R, Newgard CD. Out-of-hospital cardiac arrest outcomes when law enforcement arrives before emergency medical services. Resuscitation. 2024 Jan;194:110044. doi: 10.1016/j.resuscitation.2023.110044. Epub 2023 Nov 11.
- Missel AL, Dowker SR, Chiola M, Platt J, Tsutsui J, Kasten K, Swor R, Neumar RW, Hunt N, Herbert L, Sams W, Nallamothu BK, Shields T, Coulter-Thompson EI, Friedman CP. Barriers to the Initiation of Telecommunicator-CPR during 9-1-1 Out-of-Hospital Cardiac Arrest Calls: A Qualitative Study. Prehosp Emerg Care. 2024;28(1):118-125. doi: 10.1080/10903127.2023.2183533. Epub 2023 Mar 13.
- Hasselqvist-Ax I, Nordberg P, Svensson L, Hollenberg J, Joelsson-Alm E. Experiences among firefighters and police officers of responding to out-of-hospital cardiac arrest in a dual dispatch programme in Sweden: an interview study. BMJ Open. 2019 Nov 21;9(11):e030895. doi: 10.1136/bmjopen-2019-030895.
- Juul Grabmayr A, Dicker B, Dassanayake V, Bray J, Vaillancourt C, Dainty KN, Olasveengen T, Malta Hansen C; International Liaison Committee on Resuscitation Basic Life Support Task Force. Optimising telecommunicator recognition of out-of-hospital cardiac arrest: A scoping review. Resusc Plus. 2024 Aug 30;20:100754. doi: 10.1016/j.resplu.2024.100754. eCollection 2024 Dec.
- Brinkrolf P, Metelmann B, Scharte C, Zarbock A, Hahnenkamp K, Bohn A. Bystander-witnessed cardiac arrest is associated with reported agonal breathing and leads to less frequent bystander CPR. Resuscitation. 2018 Jun;127:114-118. doi: 10.1016/j.resuscitation.2018.04.017. Epub 2018 Apr 18.
- Perera N, Riou M, Birnie T, Finn J, Whiteside A, Majewski D, Ball S. How likely is the patient to be in cardiac arrest? Caller breathing descriptors in ambulance calls that were dispatched as cardiac arrest. Resusc Plus. 2025 May 23;24:100990. doi: 10.1016/j.resplu.2025.100990. eCollection 2025 Jul.
- Kirby K, Voss S, Bird E, Benger J. Features of Emergency Medical System calls that facilitate or inhibit Emergency Medical Dispatcher recognition that a patient is in, or at imminent risk of, cardiac arrest: A systematic mixed studies review. Resusc Plus. 2021 Nov 18;8:100173. doi: 10.1016/j.resplu.2021.100173. eCollection 2021 Dec.
- Kitano S, Suzuki K, Tanaka C, Kuno M, Kitamura N, Yasunaga H, Aso S, Tagami T. Agonal breathing upon hospital arrival as a prognostic factor in patients experiencing out-of-hospital cardiac arrest. Resusc Plus. 2024 May 13;18:100660. doi: 10.1016/j.resplu.2024.100660. eCollection 2024 Jun.
- Lin HY, Chien YC, Lee BC, Wu YL, Liu YP, Wang TL, Ko PC, Chong KM, Wang HC, Huang EP, Sun JT, Hsieh MJ, Hou SW, Yang WS, Wang YC, Huang CH, Chiang WC, Ma MH; Taipei City Fire Department Quality Assurance Team. Outcomes of out-of-hospital cardiac arrests after a decade of system-wide initiatives optimising community chain of survival in Taipei city. Resuscitation. 2022 Mar;172:149-158. doi: 10.1016/j.resuscitation.2021.12.027. Epub 2021 Dec 28.
- Chen HA, Hsu ST, Hsieh MJ, Sim SS, Chu SE, Yang WS, Chien YC, Wang YC, Lee BC, Huang EP, Lin HY, Ma MH, Chiang WC, Sun JT. Influence of advanced life support response time on out-of-hospital cardiac arrest patient outcomes in Taipei. PLoS One. 2022 Apr 14;17(4):e0266969. doi: 10.1371/journal.pone.0266969. eCollection 2022.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 115159-W (Other Identifier: IRB / Research Ethics Review Committee exemption approval number, Far Eastern Memorial Hospital)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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