Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Preparedness for peer first response to mining emergencies resulting in injuries: a cross-sectional study
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.ORCID iD: 0000-0002-8665-9302
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery. Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0003-3716-6445
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Anaesthesiology.ORCID iD: 0000-0003-2935-7161
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
Show others and affiliations
2020 (English)In: BMJ Open, E-ISSN 2044-6055, Vol. 10, article id e036094Article in journal (Refereed) Published
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.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2020. Vol. 10, article id e036094
National Category
Surgery Anesthesiology and Intensive Care Nursing
Research subject
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-174286DOI: 10.1136/bmjopen-2019-036094ISI: 000595708200020Scopus ID: 2-s2.0-85096082067OAI: oai:DiVA.org:umu-174286DiVA, id: diva2:1459456
Funder
Swedish National Board of Health and WelfareEuropean Regional Development Fund (ERDF)Available from: 2020-08-20 Created: 2020-08-20 Last updated: 2023-09-05Bibliographically approved
In thesis
1. Saving lives during major underground mining incidents: becoming prepared for a collaborative response
Open this publication in new window or tab >>Saving lives during major underground mining incidents: becoming prepared for a collaborative response
2020 (English)Doctoral thesis, comprehensive summary (Other academic)
Alternative title[sv]
Samverkan för att rädda liv : utveckling av beredskap för allvarliga skadehändelser i underjordsgruvor
Abstract [en]

Background: Major incidents in underground mines are uncommon, but they can have severe consequences. In Sweden, the municipal rescue service and the regional emergency medical service (EMS) are dispatched to mining incidents, and together with the privately owned/state owned mineral and metalliferous mining company they perform a rescue operation. The major fire incident of 2013 in a Swedish underground mine led to the realization that there was a general lack of preparedness for managing these underground emergencies.

Aim: The overall aim was to analyze the preparedness for response to major incidents in Swedish underground mines among personnel from mining companies, the rescue service, and emergency medical service.

Methods: In Study I, questionnaires (n=741) assessing Swedish underground mining company personnel’s self-assessed preparedness for emergencies were analyzed by descriptive statistics, exploratory factor analysis, and multiple logistic regression. In Study II, individual interviews with EMS personnel (n=13) were analyzed with qualitative content analysis to identify the latent content. In Study III, six focus group interviews with personnel from mining companies (n=15), the rescue service (n=9), and EMS (n=4) were analyzed with qualitative content analysis and complemented with information from ten individual interviews with EMS personnel. In Study IV, documents (n=144) from collaboration meetings and full-scale exercises were analyzed deductively using the theory of expansive learning.

Results: Most of the Swedish underground mining company personnel considered themselves prepared to act in case of major incidents, and about two thirds of the mining company personnel considered themselves moderately confident that they know how to take care of a seriously injured peer. Their self-perceived preparedness was associated with their familiarity with rescue procedures, their risk perception, and their experience of using self-protective and first aid equipment (Study I). Study II showed that EMS personnel trusted the rescue service and mining company personnel to perform the rescue operation and considered themselves as having a supportive role. In Study III, the mining company, rescue service, and EMS personnel considered that because of the unfamiliar underground mining environment, they have to prepare their organizations for major underground incidents in collaboration with each other. In Study IV, a tentative model was created for the development of an expansive learning process for the organizations’ exercise organizers during a set of collaboration meetings and full-scale exercises.

Conclusion: The preparedness of the mining company, rescue service, and EMS personnel was analyzed through experiences from both real events and full-scale exercises. A holistic perspective of organizational preparedness for major incidents in underground mines has been generated. All organizations have their perspective of rescue operation response, but the shared objective is to save lives and care for the injured mining company personnel by performing an effective rescue operation in collaboration.

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.

Place, publisher, year, edition, pages
Umeå: Umeå universitet, 2020. p. 87
Series
Umeå University medical dissertations, ISSN 0346-6612 ; 2083
Keywords
Major incidents, preparedness, collaboration, underground mine fires, emergency medical service, rescue service, mining company, full-scale exercises, collaboration project
National Category
Surgery
Identifiers
urn:nbn:se:umu:diva-174292 (URN)978-91-7855-258-0 (ISBN)978-91-7855-257-3 (ISBN)
Public defence
2020-09-18, N Hörsal N320, Naturvetarhuset, Umeå, 09:00 (Swedish)
Opponent
Supervisors
Funder
Swedish National Board of Health and WelfareSwedish Agency for Economic and Regional Growth
Available from: 2020-08-28 Created: 2020-08-21 Last updated: 2023-07-04Bibliographically approved

Open Access in DiVA

fulltext(925 kB)491 downloads
File information
File name FULLTEXT01.pdfFile size 925 kBChecksum SHA-512
af760e40491b9300beef5b63d2bc335e8fb1c8028d3d2168482117e9fdc04941507b9de8612cf40c93952af39b3371b4a133e3319680305b90a52464563bc3c2
Type fulltextMimetype application/pdf

Other links

Publisher's full textScopus

Authority records

Karlsson, SofiaSaveman, Britt-IngerHultin, MagnusBjörnstig, UlfGyllencreutz, Lina

Search in DiVA

By author/editor
Karlsson, SofiaSaveman, Britt-IngerHultin, MagnusBjörnstig, UlfGyllencreutz, Lina
By organisation
SurgeryDepartment of NursingAnaesthesiology
In the same journal
BMJ Open
SurgeryAnesthesiology and Intensive CareNursing

Search outside of DiVA

GoogleGoogle Scholar
Total: 496 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 422 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf