INTEGRATION OF THE DISASTER MEDICINE SERVICE AND CIVIL DEFENSE UNITS OF THE TERRITORIAL CENTER OF DISASTER MEDICINEON THE EXAMPLE OF THE REPUBLIC OF CRIMEA

Abstract

Background. In the current environment the civil defense medical service requires a number of corrective and reorganization measures. Aim. The purpose of the research is to choose the optimal format of the activity of authorized personnel for solving tasks in the field of civil defense in the Territorial Center of Disaster Medicine in the system of the disaster medicine service. Materials and Methods. The activity of those in charge of civil defence tasks of seven ambulance stations, which are a part of the Territorial Center of Disaster Medicine, has been studied in two forms of activity organization. The first form: civil defense units are directly subordinate to the head of the ambulance station. The second form: the forces and means of civil defense are included directly in the department of the Disaster Medicine Service of the Department of the Territorial Center of Disaster Medicine. Results. As a result of the conducted trainings on organization of communication and alerting in administration and divisions of the Territorial Center of Disaster Medicine in the conditions of passing civil defense signals, it is shown that where the civil defense units of the Territorial Center of Disaster Medicine are included in the department of the disaster Medicine Service, the teams are brought to the performers 2.8 times faster compared to where the forces and means civil defense is directly subordinate to the head of the ambulance station. Conclusions. For the first time proposed format of activity, where the forces and means of civil defense and disaster medicine service of the Territorial Center of Disaster Medicine are structured into one unit with a single management vertical, is the most promising form of interaction between services of the same functional purpose to protect the territories and population from emergencies: prevention of emergencies, elimination of medical and sanitary consequences.