Extended Emergency Rescue in Mining – First Aiders close the Gap between Accident and Emergency Services

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If a serious accident occurs underground or in remote industrial plants, rapid medical assistance is often not immediately available. A new training concept for extended first aiders – developed at the TU Bergakademie Freiberg, Freiberg/Germany – shows how this gap in care can be closed effectively and with legal certainty. This article is based on the German-language version published in the BG RCI Magazin 4/2025.


Author: Dipl.-Ing. Roman Preißler, Head of the Emergency Management Prevention Department, German Social Accident Insurance Institution for the raw materials and chemical industry (BG RCI), Clausthal-Zellerfeld/Germany


Emergency rescue exercise on a first aid manikin. Photo: Roman Preißler/BG RCI

In an emergency, minutes can make the difference between life and death. In the raw materials industry, however, it can take a long time for the public rescue service to arrive at locations that are difficult to access. There is a risk that injured people may remain without professional medical assistance for a long time.

This is where the concept of “extended trauma rescue by first responders” comes in. Tactical Medical Mining Rescue (TMR®) was developed specifically for mines and similar working environments. It trains mine rescue teams and company paramedics in standardised, medically didactically tested procedures to safely carry out life-saving measures without an emergency doctor – such as haemostasis, pain therapy, resuscitation or ventilation.

A documented case from the Zielitz potash mine shows how this training works in practice: After a serious accident at a depth of 800 metres, a miner was stabilised thanks to the quick and considered actions of the mine rescue team. The first aiders stopped the bleeding, alleviated the pain and kept the injured man in a stable condition until they were able to hand him over to the emergency doctor – around an hour after the accident.

In addition to the medical benefits, the legal and mining law framework conditions are also important: companies are obliged to provide appropriate first aid if the public rescue service is not available in time. By standardising and certifying the TMR® concept, companies, first aiders and doctors gain legal certainty.

There is a detailed specialist article on the topic and the accident in the potash mine outlined above entitled “Advanced trauma rescue by first aiders – standardised training and emergency competence – a legal classification using the example of the raw materials industry”. It is  available on the BG RCI website: www.bgrci.de, page ID: #ATVR and under this link

 

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