Dataset Information

[Development and validation of a course concept for Tactical Medical Mining Rescue : Standardized training curriculum for mine rescue teams].

ABSTRACT:

Background

Structural changes in modern mining industry increase the potential for medical emergencies. Furthermore, rescue times in mining are prolonged and public medical resources are not consistently available.

Objectives

We sought to train mine rescue brigade lay people to cover medical emergencies in mining.

Materials and methods

A standardized tactical-medical approach including specific equipment was developed and taught in a didactically optimized way in 16 lessons. Objective Structured Practical Examinations (OSPE) were conducted in 3 groups of 4 mine rescue personnel and compared to the identical exam of the reference group (17 paramedics of different educational and experience levels).

Results

The tactical-medical scheme includes vital functions and body checks, advanced life support, nasal and intraosseous drug administration, airway management, thoracocentesis, bleeding control, tourniquet, fracture repositioning, splinting and transport bedding. In OSPE evaluation, the scores of the trained mine rescue personnel (mean [M] = 3.42, 95% confidence interval [CI_95%] = [3.24; 3.60]) were statistically equal to those of advanced paramedics (M = 3.28, CI_95% = [3.09; 3.46]), but much better than basic German paramedic level (M = 2.43, CI_95% = [2.10; 2.77]). Competency retention of mine rescue personnel remained on the same level after a period of 6 months without further training (M = 3.54, CI_95% = [3.31; 3.73]).

Conclusion

The competency level after the Tactical Mining Rescue Course is comparable to the advanced paramedics level in the spectrum of competencies addressed. Medical lay people can be trained to deliver an acceptable treatment level within a clearly defined treatment algorithm, and thus potentially close the gap towards professional medical emergency rescue in mining.

SUBMITTER: Reuter F

PROVIDER: S-EPMC9553787 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature

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Publications

[Development and validation of a course concept for Tactical Medical Mining Rescue : Standardized training curriculum for mine rescue teams].

Reuter Frank F Fichtner Andreas A Brunner Benedikt B Preuss Denise D Herrmann Beate B Herrmann Martin M

Medizinische Klinik, Intensivmedizin und Notfallmedizin 20210920 7

<h4>Background</h4>Structural changes in modern mining industry increase the potential for medical emergencies. Furthermore, rescue times in mining are prolonged and public medical resources are not consistently available.<h4>Objectives</h4>We sought to train mine rescue brigade lay people to cover medical emergencies in mining.<h4>Materials and methods</h4>A standardized tactical-medical approach including specific equipment was developed and taught in a didactically optimized way in 16 lessons ...[more]

PMID: 34542642

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Project description:BackgroundTreadmill training augmented with visual images projected on the belt's surface can help improve walking adaptability. Moreover, patient-tailored automatization and standardization can increase the feasibility of walking-adaptability therapy. We developed C-Gait, a treadmill protocol consisting of a baseline walking-adaptability assessment involving 7 putatively distinct walking-adaptability tasks and a decision algorithm, to automatically update training content and execution parameters to a patients' performance and perceived challenge.ObjectivesThe main objective was to examine the feasibility, acceptability, and clinical potential of C-Gait training. The secondary objective was to evaluate the validity of the baseline assessment.DesignThis was a longitudinal proof-of-concept study with pretraining, posttraining, and retention tests encompassing baseline assessment and walking-related clinical measures.MethodsTwenty-four healthy adults, 12 healthy older persons, and 28 patients with gait and/or balance deficits performed the baseline assessment; the gait deficit group received 10 C-Gait training sessions over a 5-week period. Baseline assessment scores and walking-related clinical measures served as outcome measures.ResultsC-Gait training exhibited significant progression in training content and execution, with considerable between-patient variation and minimal overruling by therapists. C-Gait training was well accepted and led to improvements in walking adaptability and general walking ability, which persisted after training cessation. Baseline assessment scores differed over groups and difficulty levels, had no-to-moderate correlations with walking-related clinical measures, and had limited correlations among walking-adaptability tasks.LimitationsC-Gait was evaluated in a small yet diverse cohort. More encompassing studies are required to further establish its apparent merits. The validity of treadmill-based walking-adaptability assessment against an overground standard remains to be established.ConclusionsC-Gait offers automatized, standardized, and patient-tailored walking-adaptability training that is feasible and well accepted, with good potential for improving task-specific and generic measures of walking.

Dataset Information

[Development and validation of a course concept for Tactical Medical Mining Rescue : Standardized training curriculum for mine rescue teams].

Background

Objectives

Materials and methods

Results

Conclusion

Publications

[Development and validation of a course concept for Tactical Medical Mining Rescue : Standardized training curriculum for mine rescue teams].

Similar Datasets

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