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  • 1.
    Gyllencreutz, Lina
    et al.
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences.
    Rådestad, Monica
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences.
    Templates for handling multi-agency collaboration activities and priorities in mining injury incidents: a Delphi study2020In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this study was from a Swedish perspective to map experts' opinions on theoretical statements of essential collaboration activities for management of mining injury incidents.

    Design/methodology/approach: A Delphi technique was performed, asking opinions from experts in iterative rounds to generate understanding and form consensus on group opinion around multi-agency management. The experts were personnel from emergency medical service, rescue service and mine industry, all with operative command positions.

    Findings: Three iterative rounds were performed. The first round was conducted as a workshop to collect opinions about the most important multi-agency collaboration activities to optimize victim's outcome from an injury incident in an underground mine. This resulted in 63 statements and additional three were added during the second round. The statements were divided into one trajectory and seventh time phases and comprised, e.g. early alarm routines, support of early life-saving interventions, relevant resources and equipment for the assignment and command and control center and functions with predefined action plans for response. It also comprised shared and communicated decisions about each agency's responsibility and safety. All statements reached consensus among the experts in Round 3.

    Research limitations/implications: The experts included in this study seem to be adequate but there could be other experts and different statements that other researchers might consider.

    Practical implications: These statements could be used to evaluate collaboration in major incidents exercises. The statements can also be quality indicators for reporting results from multi-agency management.

    Originality/value: This paper contributes to the research field of collaboration and joint practices between and among personnel involved in rescue operations.

  • 2.
    Holgersson, Annelie
    et al.
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Strandh, Veronica
    Umeå University, Faculty of Social Sciences, Department of Political Science.
    Emergency organizations' diverging perceptions of terrorist attacks2016In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 5, no 1, p. 82-94Article in journal (Refereed)
    Abstract [en]

    Purpose – The purpose of this paper is to analyse how the police, the rescue services and the emergency medical services perceive the threat of terrorism and preparedness for a terrorist-induced crisis. It also aims to unravel differences among the emergency organizations and to discuss their potential implications for emergency preparedness.

    Design/methodology/approach – Data were collected using a questionnaire distributed to operational personnel from the emergency services in eight Swedish counties; 864 responses were received and analysed.

    Findings – There were significant differences between the police, rescue and ambulance services regarding perceptions of event likelihood, willingness to respond, estimated management capability and level of confidence with tasks to be performed on-scene. Perceived likelihood of events appeared affected by institutional logic; events within their respective domain of responsibility were perceived as more likely. The police stood out in many aspects, with more personnel with experience of violence on duty and a high grading of the probability of terrorist attacks compared to the other organizations. Fewer police had high estimates of their organizations’ management capability and knowledge of tasks on-scene.

    Practical implications – Differences in perspectives of terrorism preparedness and response among the emergency services were shown, highlighting the importance of enabling inter-organizational insights on safety culture, with risk awareness and management strategies, as well as knowledge of the other organizations’ institutional logics and main tasks, so as to achieve an effective, collaborative response to terrorism-induced crises.

    Originality/value – Little research has been conducted comparatively with regard to the emergency services and their perceptions of terrorism-specific threats and preparedness, particularly in the Swedish context.

     

  • 3.
    Karlsson, Sofia
    et al.
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
    Saveman, Britt-Inger
    Umeå University, Faculty of Medicine, Department of Nursing.
    Gyllencreutz, Lina
    Umeå University, Faculty of Medicine, Department of Nursing.
    The medical perspective on mining incidents: Interviews with emergency medical service (EMS) personnel2019In: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, no 3, p. 236-246Article in journal (Refereed)
    Abstract [en]

    Purpose: The purpose of this paper is to examine emergency medical service (EMS) personnel’s perceptions and experiences of managing underground mining injury incidents.

    Design/methodology/approach: In total, 13 EMS personnel were interviewed according to a semi-structured interview guide. The interviews were transcribed verbatim and analyzed using qualitative content analysis.

    Findings: An underground mining environment was described as unfamiliar and unsafe and, with no guidelines for operational actions in an extreme environment, such as underground mines, the EMS personnel were uncertain of their role. They therefore became passive and relied on the rescue service and mining company during a major incident. However, the medical care was not considered to be different from any other prehospital care, although a mining environment would make the situation more difficult and it would take longer for the mine workers to be placed under definitive care.

    Originality/value: This study complements earlier studies by examining the EMS personnel’s perceptions and experiences of major incidents.

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