[Organizational and surgical aspects of disaster medicine].
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On the basis of their own experience and literature concerning liquidation of the disaster consequences the authors analyse limitations in the disaster health care system. The article shows the trends towards the improvement of medical aid during catastrophes of peaceful period, taking into account various aspects of military doctrine and, especially, the casualty care staging system. It is stressed that the disaster health care procedures will depend on the structure of sanitary losses, characteristic features of the scene of an accident and the dynamics of medical environment.
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There are many similarities and differences between operational and disaster medicine. Over the past several years, there have been increasing requirements for the use of military and tactical law enforcement operational medicine in disaster, humanitarian assistance, and terrorist settings. Many of the TEMS techniques have a direct application to disaster medicine.
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The diverse nature of natural and man-made disasters demands a wide range of medical skills and resources from any attendant clinician. Working in a hostile environment may also require armed protection. This article considers the types of disasters, their medical requirements and the training of doctors wishing to be involved in this field of medicine. It includes a description of the Diploma in the Medical Care of Catastrophes.
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