Major incident preparedness and on-site work among Norwegian rescue personnel – a cross-sectional study

Fattah, Sabina; Krüger, Andreas; Andersen, Jan E.; Vigerust, Trond; Rehn, Marius

doi:10.1186/1865-1380-5-40

Cited by 13 publications

(8 citation statements)

References 21 publications

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“…This may reflect the significant relationship between preparedness and a higher degree of role clarity during the terror events, and thereby highlight the importance of regular systematic training. This is in accordance with studies of systematic team-based training in trauma care that showed beneficial in-hospital effects [ 4 ], well-functioning cooperation [ 22 ] and increasing role clarity after systematic multidisciplinary team training [ 23 ].…”

Section: Discussionsupporting

confidence: 90%

Emergency Preparedness and Role Clarity among Rescue Workers during the Terror Attacks in Norway July 22, 2011

et al. 2016

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BackgroundFew studies address preparedness and role clarity in rescue workers after a disaster. On July 22, 2011, Norway was struck by two terror attacks; 77 people were killed and many injured. Healthcare providers, police officers and firefighters worked under demanding conditions. The aims of this study were to examine the level of preparedness, exposure and role clarity. In addition, the relationship between demographic variables, preparedness and exposure and a) role clarity during the rescue operations and; b) achieved mastering for future disaster operations.MethodsIn this cross-sectional study, healthcare providers (n = 859), police officers (n = 252) and firefighters (n = 102) returned a questionnaire approximately 10 months after the terror attacks.ResultsThe rescue personnel were trained and experienced, and the majority knew their professional role (healthcare providers M = 4.1 vs. police officers: M = 3.9 vs. firefighters: M = 4.2, p < .001, [scale 1–5]). The police officers reported significantly more lack of control (p < .001). In the multivariable analysis, being female (OR 1.4, p < .05), having more years of work experience (OR 2.3, p = < .001), previous training (OR 1.6, p < .05) and the experience of an event with > 5 fatalities (OR 1.6, p < .05) were all associated with role clarity, together with a feeling of control, not being obstructed in work and perceiving the rescue work as a success. Moreover, independent predictors of being more prepared for future operations were arousal during the operation (OR 2.0, p < .001) and perceiving the rescue work as a success (OR 1.5, p < .001).ConclusionMost of the rescue workers were experienced and knew their professional role. Training and everyday-work-experience must be a focal point when preparing rescue workers for disaster.

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Section: Discussionsupporting

confidence: 90%

Emergency Preparedness and Role Clarity among Rescue Workers during the Terror Attacks in Norway July 22, 2011

et al. 2016

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“…Patients thus become a “boundary object,” where cross‐boundary work is actualized (Lindberg & Czarniawska, ). Emergency response learning in Norway was studied by Pollestad and Steinnes (), Fattah, Krüger, Andersen, Vigerust, and Rehn (), and Sommer ().…”

Section: Introductionmentioning

confidence: 99%

Single‐ and double‐loop organizational learning through a series of pipeline emergency exercises

Metallinou

2017

Contingencies & Crisis Mgmt

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Onshore pipelines represent a risk to society due to potential leaks. Training and exercising emergency response systems are therefore part of the legislation in affected countries. In the present work, a series of three biannual exercises, simulating leaks from Norwegian onshore hydrocarbon pipelines, is assessed. Single‐ and double‐loop learning theory is used to analyse the learning processes. Seven single‐loop and two double‐loop learning processes are documented. Among others, public notification and establishment of evacuation centres were greatly improved. A conceptual change in risk assessment, followed by development of artefacts and improved communication lines, also occurred. It is demonstrated that a series of full‐scale exercises, with successive learning steps, is a sound way to improve the performance of emergency response systems.

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“…Hydraulic tools and chains are also needed. RE was introduced in the Interdisciplinary Emergency Service Cooperation (TAS) courses in 2002 [ 5 , 6 ]. Some 16500 participants from fire departments, police and EMS in Norway have participated in the more than 450 TAS courses held so far.…”

Section: Introductionmentioning

confidence: 99%

Rapid extrication of entrapped victims in motor vehicle wreckage using a Norwegian chain method – cross-sectional and feasibility study

et al. 2014

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BackgroundRoad traffic injury (RTI) is a global problem causing some 1,2 million deaths annually and another 20–50 million people sustain non-fatal injuries. Pre-hospital entrapment is a risk factor for complications and delays transport to the hospital. The Rapid Extrication (RE) method combines winching and cutting of both front poles and utilising two larger vehicles to pull car wreckage apart to extricate patients. A previous study indicates that RE is an efficient alternative to previously existing methods.MethodsAll Fire Departments in Norway were questioned on: background, frequency of training, use and implementation of the method, protocol and equipment. Times used for extrication from motor vehicle wreckage were measured at the National Championship in RE. Questionnaires presented to participants asked about frequency of training, inter-disciplinary cooperation and self-perceived safety for both providers and patients on a 1–7 Likert scale (1 - worst and 7 - best).ResultsParticipating Fire Departments use RE in 95% of cases on passenger cars and 77% of cases on larger vehicles. Teams participating in the National Championship scored self-perceived security of crew as median 7 and IQR (6, 7), patient safety 7 (6, 7), communication between personnel 7 (6, 7), teamwork 7 (6, 7), and how well the technique functioned 7 (6, 7).All teams had extricated and transported the patient into the ambulance within 20 minutes.ConclusionInterdisciplinary and regular training of RE can lead to safe extrication of a critically injured patient in less than 20 minutes and may be life saving.

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Major incident preparedness and on-site work among Norwegian rescue personnel – a cross-sectional study

Cited by 13 publications

References 21 publications

Emergency Preparedness and Role Clarity among Rescue Workers during the Terror Attacks in Norway July 22, 2011

Emergency Preparedness and Role Clarity among Rescue Workers during the Terror Attacks in Norway July 22, 2011

Single‐ and double‐loop organizational learning through a series of pipeline emergency exercises

Rapid extrication of entrapped victims in motor vehicle wreckage using a Norwegian chain method – cross-sectional and feasibility study

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