Survey of Willingness of Police Force in New Taipei City to Participate in Prehospital Resuscitation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 4,867
- 试验地点
- 1
- 主要终点
- Willingness to Perform CPR and Use an AED at the Scene of an Emergency
研究概览
简要总结
Out-of-hospital cardiac arrest (OHCA) remains a time-critical emergency where early cardiopulmonary resuscitation (CPR) and timely defibrillation using an automated external defibrillator (AED) are key to improving survival and neurological outcomes. Although Taipei has implemented dispatch-assisted CPR, delays remain between arrest recognition and AED application due to manpower and policy limitations. International guidelines, including the Global Resuscitation Alliance's ten steps to improve OHCA outcomes, recommend involving police as first responders. Prior studies from the United States and Switzerland demonstrate that police often arrive before emergency medical services (EMS), underscoring their potential role in reducing response times. However, police have not been officially included in OHCA dispatch systems in any region of Taiwan. This study aims to evaluate the willingness of police officers in New Taipei City to participate in prehospital resuscitation through a structured questionnaire. The survey also explores perceived facilitators and barriers to involvement. Findings will inform future training programs and strategies to promote police integration into prehospital emergency response systems, with the ultimate goal of improving OHCA survival rates.
详细描述
For patients with emergency cardiopulmonary arrest before arriving at the hospital, every second counts, especially good early cardiopulmonary resuscitation (Cardiopulmonary Resuscitation, CPR) and early use of automated external defibrillator (Automated External Defibrillator, referred to as AED), which can increase the patient's recovery of autonomous cardiopulmonary opportunity to cycle. After the introduction of online Dispatch-assisted CPR from Taipei, the survival rate and the rate of discharge with good neurology improved. Unfortunately, due to the limitations of manpower space and policies, the proportion and time from the successful identification of cardiopulmonary arrest to the first use of public electric shock is still relatively long. Ten guidelines recommended by the Global Resuscitation Alliance to improve survival for patients with pre-hospital cardiac arrest also recommend including police as first responders. Through more intensive manpower distribution, response times and shock times can be reduced, and these advances have also successfully improved survival rates. According to studies in the United States and Switzerland in 2002 and 2017, respectively, the police arrived at the scene faster than the emergency medical technician, which is also in line with the purpose of reducing reaction time and improving the survival rate of patients. No county or city in Taiwan has officially included the police in the OHCA dispatch. This study uses a questionnaire survey to understand the New Taipei City police's willingness to participate in the first aid and resuscitation of patients with cardiopulmonary arrest before hospitalization. At the same time, we will further analyze and understand the assistance and resistance of participating in emergency resuscitation. After the study is completed, courses such as education and training will be designed according to the results, and efforts will be made to reduce resistance, so that the police can be more involved in pre-hospital emergency resuscitation, in order to further improve the survival chances of patients with pre-hospital cardiopulmonary arrest.
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Cross Sectional
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •New Taipei City Government Police
排除标准
- •Those who are unwilling to fill out this questionnaire or feel physically or mentally unwell while filling it out
结局指标
主要结局
Willingness to Perform CPR and Use an AED at the Scene of an Emergency
时间窗: Baseline
This outcome assesses whether participants are willing to go to the scene of an emergency under the command of the duty center to directly perform CPR and use AED to help patients. Options include: Yes; No.
Willingness to Receive AED Location Notification and Assist in Delivery and Use
时间窗: Baseline
This outcome assesses whether participants are willing to receive alerts from the dispatch center about nearby AED locations and assist in delivering the AED to the emergency scene and using it. Options include: Yes; No.
次要结局
- Ability to Identify AED in Public(Baseline)
- Sex(Baseline)
- Year of Birth(Baseline)
- Education Level(Baseline)
- Marital Status(Baseline)
- Years of Service(Baseline)
- Co-residence with Elderly(Baseline)
- Awareness of AED(Baseline)
- Willingness to Use CPR + AED in Emergencies(Baseline)
- Concerns About Performing CPR + AED (Multiple Selection)(Baseline)
- Confidence in Performing CPR(Baseline)
- Confidence in Using AED(Baseline)
- Belief in Ability to Accurately Perform CPR(Baseline)
- Belief in Ability to Accurately Use AED(Baseline)
- Previous Training in CPR + AED(Baseline)
- Timing of Most Recent CPR + AED Training(Baseline)
- Type and Duration of Last Training(Baseline)
- Perceived Eligibility to Use AED(Baseline)
- Willingness to Use CPR + AED on Strangers(Baseline)
- Reasons for Unwillingness to Perform CPR + AED on Strangers (Multiple Selection)(Baseline)
- Belief that the Public Should Learn CPR + AED(Baseline)
- Willingness to Attend Free CPR + AED Course(Baseline)
- Willingness to Spend Time on Free CPR + AED Course(Baseline)
- Main Reason for Not Attending Free CPR + AED Course(Baseline)
- Awareness of Good Samaritan Law(Baseline)
- Impact of Good Samaritan Law on Willingness to Perform CPR + AED(Baseline)
- Reasons for Unwillingness to Deliver and Use an AED (Multiple Selection)(Baseline)
- Incentives That May Increase Willingness to Deliver and Use an AED (Multiple Selection)(Baseline)
- Reasons for Unwillingness to Perform CPR and Use an AED at the Scene (Multiple Selection)(Baseline)
- Incentives That May Increase Willingness to Perform CPR and Use an AED at the Scene (Multiple Selection)(Baseline)
- Perceived Effectiveness of Police Administering CPR and AED Before EMS Arrival(Baseline)