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  • 1.
    Eklund, Annika
    et al.
    Department of Health Sciences, University West, Trollhättan, Sweden.
    Karlsson, Sofia
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Gyllencreutz, Lina
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Building “common knowledge” when responding to major road tunnel incidents: an inter-organisational focus group study2023Ingår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 12, nr 2, s. 145-160Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: Major incidents in tunnel environment will pose several challenges for the emergency service organisations in terms of heat, visibility and lack of experiences from working in confined environments. These aspects, in turn, could pose challenges to establish collaboration. This study aims to contribute to the field of collaborative tunnel responses by exploring how “common knowledge” (Edwards, 2011) is built by the emergency services organisations, that is, what the organisations consider important while working on a potentially common problem, and their motives for the interpretations and actions if a major tunnel incident occurs.

    Design/methodology/approach: Participants from the road traffic control centre, emergency dispatch centre, emergency medical service, rescue service and police were included in the study. Data from four focus group sessions was analysed using thematic analysis.

    Findings: The study revealed that the tunnel environment presents specific aspects of how common knowledge was produced related to lifesaving and safety. The themes structuring mechanisms to reduce uncertainty, managing information for initial priorities, aligning responsibilities without hampering each other's work and adjusting actions to manage distance, illustrated how common knowledge was produced as crucial aspects to a collaborative response. Organising management sites, grasping and communicating risks, accessing the injury victims, was challenged by the confined environment, physical distances and imbalance in access to information and preparedness activities in tunnel environments.

    Originality/value: This study offers new insights of common knowledge, by illustrating a motive perspective on collaborative responses in tunnel incidents. Creating interoperability calls not just for readiness for action and tunnel safety, but also training activities acknowledging different interpretations and motives to further develop tunnel responses.

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  • 2.
    Gyllencreutz, Lina
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Carlsson, Carl-Pontus
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi. Emergency Department, Region Västerbotten, Umeå, Sweden.
    Karlsson, Sofia
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Hedberg, Pia
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Preparedness for chemical, radiologic and nuclear incidents among a sample of emergency physicians' and general practitioners': a qualitative study2023Ingår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 12, nr 2, s. 161-170Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Purpose: This study describes preparedness of emergency physicians and general practitioners following chemical, radiological and nuclear incidents.

    Design/methodology/approach: Five emergency physicians and six general practitioners were interviewed individually, and data was analysed using qualitative content analysis.

    Findings: The study results showed that physicians' preparedness for chemical, radiological and nuclear incidents is linked to one main category: to be an expert and to seek expertise and two categories: preparations before receiving CRN patients, and physical examination and treatment of CRN patients with subcategories.

    Research limitations/implications: The results have implications for further research on the complexity of generalist vs specialist competence and knowledge when responding to chemical, radiological and nuclear incidents.

    Originality/value: This study provides insights regarding chemical, radiological and nuclear preparedness among physicians at emergency departments and primary healthcare centres.

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  • 3.
    Gyllencreutz, Lina
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Karlsson, Sofia
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Sjölander, Andreas
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Björnstig, Johanna
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Hedberg, Pia
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Chemical incident preparedness among emergency medical service personnel2024Ingår i: International Journal of Paramedicine, E-ISSN 2831-6967, nr 5, s. 103-117Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: Hazardous chemicals are essential for modern society but the use and transportation of them bears the risk of major incidents. Past incidents have revealed the importance of preparation and training of emergency medical service (EMS) personnel when responding to these incidents. However, studies have shown the level of preparedness to be insufficient. There is a lack of knowledge as to how EMS personnel perceive their preparedness and response when facing chemical incidents.

    Aim: The aim of this study was to qualitative investigate working procedures regarding chemical incidents among a cohort of EMS personnel.

    Method: Seventeen ambulance nurses from rural and urban areas were individually interviewed using four different realistic scenarios (vignettes). The transcribed text from the interviews was analyzed using qualitative content analysis.

    Result: The results were derived into two categories with underlying sub-categories: a struggle to organize the onsite work situation (insufficient managerial support, limited resources, trust in rescue services, difficult decision making, stressful responsibilities); and decontamination—a demanding and risky situation (risk management, work in protective gear, aggravating circumstances). Participants often lack real life experience in facing a chemical incident and training that improves preparedness and the ability to respond adequately.

    Conclusion: Chemical incidents pose many challenges for EMS personnel, but with proper training efforts many of these challenges could be solved. This study has shown the need for more accessible chemical incident training targeting EMS personnel: especially focusing on risk assessment; managerial support; resource management; equipment; and decontamination, including stress management and decision-making. Research in the area of chemical incidents is sparse and there remains much to understand concerning work procedures during chemical incidents.

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  • 4.
    Hedberg, Hans
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Hedberg, Pia
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Aléx, Jonas
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Karlsson, Sofia
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Haney, Michael
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Effects of an advanced first aid course or real-time video communication with ambulance personnel on layperson first response for building-site severe injury events: a simulation study2024Ingår i: BMC Emergency Medicine, E-ISSN 1471-227X, Vol. 24, nr 1, artikel-id 2Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Background: The risk of high-energy trauma injuries on construction sites is relatively high. A delayed response time could affect outcomes after severe injury. This study assessed if an advanced first aid course for first aid response for laypersons (employees or apprentices) in the construction industry or real-time video communication and support with ambulance personnel, or neither, together with access to an advanced medical kit, would have an effect on immediate layperson vital responses in a severe injury scenario.

    Method: This was a controlled simulation study. Employees or apprentices at a construction site were recruited and randomly allocated into a group with video support or not, and advanced first aid course or not, and where one group had both. The primary outcomes were correct behavior to recognize and manage an occluded airway and correct behavior to stop life-threatening bleeding from a lower extremity injury. Secondary outcomes included head-to-toe assessment performed, placement of a pelvic sling, and application of remote vital signs monitors.

    Results: Ninety participants were included in 10 groups of 3 for each of 4 exposures. One group was tested first as a baseline group, and then later after having done the training course. Live video support was effective in controlling bleeding. A first aid course given beforehand did not seem to be as effective on controlling bleeding. Video support and the first aid course previously given improved the ability of bystanders to manage the airway, the combination of the two being no better than each of the interventions taken in isolation. Course exposure and video support together were not superior to the course by itself or video by itself, except regarding placing the biosensors on the injured after video support. Secondary results showed an association between video support and completing a head-to-toe assessment. Both interventions were associated with applying a pelvic sling.

    Conclusion: These findings show that laypersons, here construction industry employees, can be supported to achieve good performance as first responders in a major injury scenario. Prior training, but especially live video support without prior training, improves layperson performance in this setting.

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  • 5.
    Karlsson, Sara
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Nyström, Hanna
    Umeå universitet, Medicinska fakulteten, Wallenberg centrum för molekylär medicin vid Umeå universitet (WCMM). Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    The extracellular matrix in colorectal cancer and its metastatic settling: alterations and biological implications2022Ingår i: Critical reviews in oncology/hematology, ISSN 1040-8428, E-ISSN 1879-0461, Vol. 175, artikel-id 103712Artikel, forskningsöversikt (Refereegranskat)
    Abstract [en]

    Colorectal cancer (CRC) remains one of the most common cancers worldwide. Metastatic disease is ultimately fatal when incurable. Cancer research has evolved to take the importance of the tumour microenvironment (TME) into account. The extracellular matrix (ECM) has been viewed merely as a structural scaffold, but it is now evident that the ECM is a highly active part of the TME and affects tumour cell behaviour and metastatic capability. The ECM context and composition are linked to patient outcome and the response to surgical and oncological therapy in CRC patients and may be an area for developing novel biomarkers and targeted therapy. In this review we focus on the components of the ECM in human primary and metastatic CRC. We discuss future aspects of the ECM for targeted therapy, as a source of novel biomarkers, current knowledge of the area and important considerations when studying the ECM in human CRC.

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  • 6.
    Karlsson, Sofia
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Saving lives during major underground mining incidents: becoming prepared for a collaborative response2020Doktorsavhandling, sammanläggning (Övrigt vetenskapligt)
    Abstract [sv]

    Bakgrund: Allvarliga skadehändelser i underjordsgruvor är ovanliga, men när de inträffar kan de få allvarliga konsekvenser. I Sverige är det den kommunala räddningstjänsten och den regionala ambulanssjukvården som tillsammans med det privat eller statligt ägda gruvbolaget genomför en räddningsinsats. Den allvarliga brandincidenten 2013 i en svensk underjordsgruva ledde till insikten att den generella beredskapen för att hantera dessa underjordsskadehändelser är låg.

    Syfte: Det övergripande syftet var att analysera beredskapen för att hantera allvarliga skadehändelser i svenska underjordsgruvor hos personal från gruvbolag, räddningstjänst och ambulanssjukvård.

    Metoder: I Studie I undersöktes den svenska underjordsgruvpersonalens självskattade beredskap för skadehändelse med en enkät (n=741) och analyserades med deskriptiv analys, explorativ faktoranalys samt multipel logistisk regression. I Studie II genomfördes individuella intervjuer med ambulanspersonal (n=13) vilka analyserades med kvalitativ innehållsanalys för att identifiera det latenta innehållet. I Studie III genomfördes sex fokusgruppsintervjuer med personal från gruvföretag (n=15), räddningstjänst (n=9) och ambulanssjukvård (n=4). Materialet analyserades med kvalitativ innehållsanalys för att identifiera det manifesta innehållet och analysen kompletterades med tio individuella intervjuer med ambulanspersonal. I Studie IV analyserades dokument (n=144) från samverkansmöten och fullskaliga övningar deduktivt baserat på teorin om expansivt lärande.

    Resultat: Majoriteten av den svenska underjordsgruvpersonalen ansåg sig vara förberedda för att kunna agera vid allvarliga skadehändelser och runt två tredjedelar av gruvpersonalen ansåg sig vara måttligt förtrogna med hur de skulle omhänderta en svårt skadad arbetskamrat. Gruvpersonalens självskattade beredskap var associerad med kännedom om räddningsprocedurer, riskuppfattning och erfarenhet av att använda skydds- och första hjälpenutrustning (Studie I). Studie II visade att ambulanspersonal förlitar sig på att räddningstjänstens och gruvbolagets personal genomför räddningsinsatsen och att de själva har en stödjande roll. I Studie III ansåg personal från de tre organisationerna att den obekanta miljön medför att de i samverkan behöver förbereda sina organisationer för allvarliga skadehändelser i underjordsgruvor. I Studie IV utvecklades en preliminär modell för expansivt lärande baserad på de samverkansmöten och fullskaliga övningar som organisationernas övningsledare genomförde tillsammans.

    Slutsats: Beredskapen hos gruv-, räddningstjänst- och ambulanspersonal har analyserats utifrån deras erfarenheter från verkliga skadehändelser och fullskaliga övningar. En helhetsbild har skapats av organisationernas beredskap för allvarliga skadehändelser i underjordsgruvor. De tre organisationerna har skilda perspektiv vid räddningsinsats men alla har det övergripande gemensamma målet att rädda liv och omhänderta skadade genom att i samverkan utföra en effektiv räddningsinsats.

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  • 7.
    Karlsson, Sofia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Gyllencreutz, Lina
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Situation awareness of emergency response centre personnel during chemical incidents: an interview study in a Swedish context2023Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 13, nr 6, artikel-id e071347Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives: If a chemical incident occurs, the emergency response centre (ERC) personnel are the first that are notified. They need to quickly attain situation awareness, based on the information from the caller, in order to dispatch the correct emergency units. The aim of this study is to examine the situation awareness of the personnel working at ERCs-how they perceive, comprehend, project and act during chemical incidents.

    Methods: Semi-structured individual interviews with 12 participants from the Swedish ERCs were performed. The interviews were analysed with qualitative content analysis.

    Results: Three categories of responses were identified. Responses focused on the complexity of identifying chemical incidents, the importance of ensuring the safety of citizens and personnel of emergency organisations and the situation-based dispatch of organisations.

    Conclusions: The correct identification of the chemical incident and the involved chemical by the ERC personnel are necessary in order to notify, inform and dispatch the correct units, as well as to ensure the safety of citizens and emergency personnel. More research is needed about the dichotomies of the ERC personnel needing as much information as possible for everyone's safety versus their responsibility for the safety of the caller as well as between using emergency dispatch index interview guides and trusting their gut feeling.

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  • 8.
    Karlsson, Sofia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Gyllencreutz, Lina
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Engström, Gunnar
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi. Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin.
    Björnstig, Ulf
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Saveman, Britt-Inger
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Preparedness for mining injury incidents: interviews with Swedish rescuers2017Ingår i: Safety Science Monitor, ISSN 1443-8844, Vol. 20, nr 1, artikel-id 5Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objectives. To explore the perceptions and experiences of mining-, rescue service- (RS), and emergency medical service (EMS) personnel regarding how to handle incidents in an underground mine.

    Methods. Six focus-group interviews and 10 individual interviews were carried out with groups of mining-, RS and EMS personnel, who served the underground mining industry located in small municipalities in a sparsely populated area of northern Sweden. The transcripts of the interviews were analysed using qualitative content analysis.

    Results. The three groups mostly described experiences of minor incidents and announced a limited preparedness for handling major mining incidents. Collaboration was described as being difficult because of limited knowledge about the others’ responsibilities and capacities. Few non-mining personnel were trained, or prepared to fulfil their tasks in an underground environment, and some expressed that they would even refuse to go underground because of concerns for their own safety.

    Conclusions. There is a need for more collaboration and joint practices between and among the groups involved in rescue operations. Collaboration between mine- and RS personnel exists, but the EMS personnel is largely excluded from this interaction. Therefore, the EMS personnel are insecure about how to handle underground mining incidents. A closer collaboration between all organizations in preparing for mining incidents is emphasized, and would have positive effects on the rescue operation. Some experiences may also be used under similar circumstances, such as incidents in railway and road tunnels.

  • 9.
    Karlsson, Sofia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Gyllencreutz, Lina
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad. Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Hylander, Johan
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Eklund, Annika
    Department of Social and Behavioural studies, Division of Psychology, Pedagogy and Sociology, University West, Trollhättan, Sweden.
    Tactical leaders' and collaborative organizations' non-technical skills during major road tunnel incidents – An iterative focus group study2023Ingår i: International Emergency Nursing, ISSN 1755-599X, E-ISSN 1878-013X, Vol. 71, artikel-id 101357Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Introduction: Leadership during major incidents has been described as challenging and dependent on the non-technical skills of leaders. The complex tunnel environment contributes to an even more challenging incident response. Hence, this study aims to identify elements of non-technical skills when leading collaborative road-tunnel incident responses.

    Methods: The study was conducted using four focus group discussions with tactical leaders from the rescue services, emergency medical services, police, and collaborative organizations from the emergency dispatch center and road-traffic control center. The data was analyzed using a non-technical skills taxonomy.

    Results: Twelve non-technical skill elements emerged. Abilities to gather, sort, and proactively share relevant information and dispatch the correct resources were described. Additionally, abilities to prioritize actions and cooperate to establish a shared operational picture were found. Abilities to adjust leadership to the tunnel environment and conditions and assess the severity of the incident to make decisions were also described.

    Conclusion: When managing a road-tunnel incident response, tactical leaders utilizes a range of non-technical skills. The elements of these skills were found to be specific both to the tunnel environment and the collaborative nature of the response. Further studies into and development of these skills are needed to facilitate a timely response and minimize potential risks to personnel or evacuees in future tunnel incident responses.

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  • 10.
    Karlsson, Sofia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Saveman, Britt-Inger
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Gyllencreutz, Lina
    Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    The medical perspective on mining incidents: Interviews with emergency medical service (EMS) personnel2019Ingår i: International Journal of Emergency Services, ISSN 2047-0894, E-ISSN 2047-0908, Vol. 8, nr 3, s. 236-246Artikel i tidskrift (Refereegranskat)
    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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  • 11.
    Karlsson, Sofia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Saveman, Britt-Inger
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hultin, Magnus
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Björnstig, Ulf
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Gyllencreutz, Lina
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Preparedness for peer first response to mining emergencies resulting in injuries: a cross-sectional study2020Ingår i: BMJ Open, E-ISSN 2044-6055, Vol. 10, artikel-id e036094Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: Identify factors of preparedness for peer first response to underground mining emergencies with injured victims.

    Design: Cross-sectional questionnaire study of Swedish underground mineworkers.

    Setting: Seven out of nine Swedish underground mines.

    Participants: A total of 741 mineworkers out of 1022 (73%) participated in this study.

    Interventions: None.

    Outcome measures: Level of preparedness for emergencies with injuries in underground mines.

    Results: Three factors influenced the preparedness of mineworkers for a peer first response: (1) familiarity with rescue procedures during emergencies with injuries; (2) risk perception of emergencies with injuries and (3) experience of using self-protective and first aid equipment. Mineworkers who believed that they knew how to handle emergencies with injuries (OR 1.30, 95% CI 1.22 to 1.38) and those who were trained in the use of self-protective and first aid equipment (OR 1.19, 95% CI 1.07 to 1.32) considered themselves to be better prepared for a peer first response than those who were unfamiliar with the rescue procedures or who had not used self-protective and first aid equipment. However, mineworkers who rated the risk for emergencies with injuries as high considered themselves to be less prepared than those who rated the risk as low (OR 0.95, 95% CI 0.91 to 0.98).

    Conclusion: This study identified three factors that were important for the peer-support preparedness of underground mineworkers. More research is needed to adapt and contextualise first aid courses to the needs of underground peer responders.

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  • 12.
    Karlsson, Sofia
    et al.
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi.
    Saveman, Britt-Inger
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Hultin, Magnus
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Anestesiologi och intensivvård.
    Eklund, Annika
    Gyllencreutz, Lina
    Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap, Kirurgi. Umeå universitet, Medicinska fakulteten, Institutionen för omvårdnad.
    Expansive Learning Process of Exercise Organizers: The Case of Major Fire Incident Exercises in Underground Mines2020Ingår i: Sustainability, E-ISSN 2071-1050, Vol. 12, nr 14, artikel-id 5790Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A major fire incident in a Swedish underground mine made the personnel from the mining company and the rescue service realize their limited preparedness. It was the beginning of a collaboration project that included the development of a new exercise model for a more effective joint rescue operation practice. The aim of this study was to explore the collaborative learning process of exercise organizers from the rescue service, mining companies, the emergency medical service, a training company, and academia. The analysis was performed through the application of the theory cycle of expansive learning to the material consisting of documents from 16 collaboration meetings and 11 full-scale exercises. The learning process started by the participants questioning the present practice of the rescue operation and analyzing it by creating a flow chart. An essential part of the process was to model new tools in order to increase the potential for collaboration. The tools were examined and tested during collaboration meetings and implemented during full-scale exercises. The exercise organizers reflected that the process led to organizational development and a better understanding of the other organizations’ perspectives. Consequently, a tentative model for developing the learning process of exercise organizers was developed.

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