TMR-CONCEPT FOR EFFICIENT EXTENDED FIRST AID FOR UNDERGROUND AND REMOTE SURFACE MEDICAL EMERGENCIES

Didactically optimized training of a specifically designed assessment and treatment algorithm addressing estimation of compromised vital signs, bleeding control, repositioning and splinting, cardio-respiratory stabilization including resuscitation and defibrillation, pain therapy, nasal and intraosseous drug administration, ventilatory support and artificial ventilation independent from ambient atmosphere, relief of tension pneumothorax, body temperature preservation, specific transport packing and fixation suitable for drag and vertical rescue.

• Initial training: TMR basic course, 16 hours
• Repetitive training: TMR refresher 8 hours every 2 years
• Instructor training: TMR instructor course, 8 hours after basic course
• Repetitive instructor training: 8 hours refresher every 2 years

CRITERIA FOR INSTRUCTOR FACILITIES TO OFFER TMR-COURSES

Facilities must ensure requirements set in addendum 2 to §26/2 of DGUV regulation 1 “basic principles of prevention” and be qualified according to DGUV regulation 304-001 “certification of facilities for further education in First Aid”. Furthermore, these facilities must be certified through Technical University Bergakademie Freiberg in order to ensure quality of content and medical didactics of TMR-instructors.

CERTIFICATION

Facilities and Instructors can apply for certification of TMR™ participants and courses at the TU Bergakademie Freiberg certification body (). The Technical University Bergakademie Freiberg will issue Certificates as TMR-Provider and also Instructor after proof of fulfilled requirements. University TMR certification is subject to charges.

INSTRUCTORS

Beside meeting the qualifications set in DGUV regulation 304-001, Instructors must rely on profound experiences in mining environment and mining rescue as well as a medical and didactic qualification. Depending on experiences, company trainers can be qualified as such after both successful TMR basic and instructor courses.

LEGAL PRECONDITIONS

Based on the business operators obligation to ensure adequate First Aid (§11.1.4 ABBergV) and the obligation to provide First Aid as emergency competence at individual training level (§34 StGB) and the lacking public paramedic rescue coverage in mining (Fire and Catastrophy prevention laws), TMR-trained mine rescue teams can and should provide their competencies in order to avoid further deterioration until public emergency rescue is available.