*4.2.5 In the outbreak of combined defeat*

*Natural Hazards - Impacts, Adjustments and Resilience*

ing radiological assistance to the victims [7, 20–26].

implementation of the plan in its medical section [7, 20–26].

hygienic measures on the given territory.

*4.2.3 Toxicological care*

patients are hospitalized [7–10].

*4.2.4 In outbreak of biological contamination (OBC)*

territory in the OBC mainly are used [7–10].

neighboring regions [7, 8].

*4.2.2 Radiological care*

possible number of required specialized surgical teams should be clarified. If necessary, they can be strengthened with teams from medical institutions in

In case of accidents at the NPP, in case of incidents with sources of ionizing radiation, in case of cross-border transfer of radioactive substances in the therapeutic wards of the MPHAT, an opportunity must be created to provide radiological assistance to the victims. All therapeutic wards of the medical establishments, in the vicinity of the NPP, must be ready for possible admission of radiation patients and those with combined radiation injuries. For this purpose, it is necessary for physicians-therapists to have radiobiological training and in case of radiation conditions to organize the work of the ward in radiological terms and to conduct radio protective measures in the medical institution. The existing departments of radiotherapy and isotope diagnostics, based most often in oncology dispensaries, oncology hospitals, etc., have a corresponding place in this functional radiological system. The medical staff from these radiology departments are involved in provid-

The duty and responsibilities according to the International Atomic Energy Agency (IAEA) require doctors to have the relevant knowledge of radiation protection, which enables them to initiate preliminary treatment and provide assistance to specialized units in the event of a radiation accident. Another task of health care in the section of radiological care is the control of the radiation parameters of the working and living environment, which directly affect the person [22]. The radiation control department must organize and conduct the necessary radiation-

The organization of the radiological assistance is related to the plan for radiation protection of the country in case of an accident at the NPP, which ensures the

The organization of toxicological care uses a mixed approach, including the establishment of staff and functional units. The expanding chemical pathology necessitated the establishment of full-time clinics and toxicology departments in the settlements with large sites of the chemical industry. These units, in addition to providing toxicological assistance to the population, also serve to train medical personnel in this field. In the other hospitals, the therapeutic wards are re-profiled into toxico-therapeutic ones for admission of toxicologically ill patients for emergency toxicological care. Good interaction should be ensured with the intensive care unit of the hospital [7, 10]. On the basis of the staff clinics and toxicology departments, specialized medical teams are established, provided with medical and sanitary equipment and transport. These teams must be constantly prepared to work in a chemical outbreak or to strengthen the therapeutic wards of neighboring hospitals where toxicologically ill

When creating an outbreak of biological infection all types of medical care (first medical, first medical, qualified and specialized) are within the area of the outbreak. For this purpose, the medical and prophylactic establishments on the

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The first medical and qualified medical care for vital indications is provided at the medical center according to various schemes. Most often, two groups of medical forces are created for rescue operations in the center of a combined defeat: in the biologically infected area and outside it **[**2, 7–10].
