AZERBAIJAN MEDICAL UNIVERSITY

MILITARY MEDICAL FACULTY

DEPARTMENT OF MEDICAL
PROPHYLAXIS

LECTURE 10: “TRAINING OF THE PERSONAL STAFF

OF NON-MILITARIZED FORMATIONS AND THE
POPULATION TO EMERGENCY SITUATIONS”

PhD of medical sciences, the senior lecturer,

Retired Colonel of medical service
Meybaliyev F.T.
Study questions:
1. Non-militarized Civil Defense units.
2. Formations of MSCD, which is put forward in the
lesions foci, and the procedure for their preparation for
work
3. Organization of the input of forces and means of
MSCD into the focus
4. Organization of first aid in the lesion focus, the role of
a medical institution in organizing its provision at the
facility
5. Organization of interaction of formations of medical
service with other services in the elimination of the lesion
foci
 1. Non-militarized Civil Defense units.

Non-militarized Civil Defense units are created in peacetime on

a territorial-production (industrial) basis.

Non-militarized formations are divided into groups:

By subordination:

territorial - are created on the territory of the region, city,

district and are subordinate to the relevant chiefs of Civil
Defense. They are intended for conducting work at the most
important facilities independently or together with facility
formations.

facility - are created at economic facilities and are

subordinate to their leaders. Designed to conduct rescue and
other urgent work at their facilities.
By destination:

general purpose formations - are detachments (teams,

groups) designed to conduct rescue operations in the centers of
destruction, areas of natural disasters, accidents and
catastrophes.

special formations - designed to perform specific activities

during rescue and other urgent work:

conducting reconnaissance;

provision of medical assistance;

localization and extinguishing of fires;

carrying out anti-radiation and anti-chemical measures.

By the terms of readiness;
formations of high readiness (alert) - must be ready to
work no later than 6 hours after the onset of an emergency.
formation of daily readiness - must be ready to work no
later than 24 hours after the onset of an emergency.
Territorial formations of the Civil Defense include:
1) reconnaissance - units of air, river, sea and railway
reconnaissance;
2) rescue - rescue teams, people search teams (counselors with
specially trained dogs);
3) medical - hospitals, detachments, brigades;
4) engineering - engineering teams, road-bridge teams,
engineering intelligence units;
5) fire extinguishing - fire fighting teams;
Territorial formations of the Civil Defense include (continuation):
6) emergency technical - emergency technical teams for electrical
networks, gas pipelines, waterpipes, sewer networks, heat-supply
systems;
7) radiation and chemical protection - specialized teams of
potentially hazardous objects, radiation and chemical observation
posts, radiation and chemical reconnaissance units;
8) communication - emergency recovery communication
commands, (communication node);
Territorial formations of the Civil Defense include (continuation):
9) material and technical support - mobile food points, food and
clothing supplies, mobile gas stations, mobile repair and
restoration teams, water supply units;
10) transport - convoys for the transport of people and goods, auto-
sanitary squads, air-sanitary squadrons, evacuation trains,
evacuation ships;
11) public order protection - public order protection teams;
12) animal and plant protection - animal and plant protection
teams;
13) others - all other formations
created in the subordinate
territory to perform tasks
based on local conditions.
Rescue detachments are among the main Civil Defense units.
The rescue detachment has 210 people and consists of 2 teams
of 105 people, each team is divided into 3 groups of 35 people.
The detachment includes 2 sanitary squads, which are
assigned to provide first aid to the injured, discovered during
rescue operations and in need of first aid.

RD

RT RT

RG RG RG RG RG RG

SS SS
The rescue team performs the following tasks:
search for the affected;
removing them from the rubble and destroyed buildings;
providing the affected with first aid and organizing their
removal from the foci.
Civil Defense has in its composition formations of high readiness
- consolidated Civil Defense detachments, territorial, facility and
consolidated detachments for mechanizing of work.
The basis for the creation of consolidated Civil Defense
detachments is rescue detachments, and for the creation of
consolidated detachments for mechanizing work - construction
organizations.
Consolidated detachments of Civil Defense have medical aid
stations (staff of 4 people: chief, nurse, orderly, driver).
3 sanitary squads are subordinate to medical aid station.
To eliminate the consequences of natural and man-made
emergencies, high-readiness emergency response units are
created from among the existing Civil Defense units and regular
specialized formations with a total number of:
1) regional - at least 150 people;
2) urban - at least 100 people;
3) district - at least 50 people.
Emergency response units are classified as territorial units of
the Civil Defense.
Facility (object) formations of the Civil Defense are created in
organizations of all forms of ownership, at the place of residence
and are used, as a rule, in their interests. Object formations are
created at all objects of the national economy. Groups, posts,
units are created where, according to the staffing table, it is
impossible to create large formations.
Object formations include:
1) intelligence units;
2) rescue teams;
3) engineering teams;
4) sanitary squads (posts);
5) groups for the maintenance of protective structures;
6) firefighting teams;
7) specialized teams of potentially dangerous objects;
8) communication commands;
9) teams for the protection of public order;
10) teams for the protection of animals and plants.
The Civil Defense troops organizationally consist of rescue
centers, rescue and training brigades, separate mechanized units,
helicopter detachments and some other units and subunits.
An important component of Civil Defense is non-staff
emergency rescue units (NERU), which are created in
organizations that have and operate potentially hazardous
production facilities, as well as those of important defense and
economic importance or representing a high degree of danger
of emergencies.
 2. Formations of MSCD, which is put forward in the lesions
foci, and the procedure for their preparation for work

Formations of MSCD are intended for conducting

medical and biological reconnaissance, providing medical
assistance to the affected, carrying out sanitary and anti-
epidemic measures, as well as caring for the injured and sick,
they can act as part of a general purpose Civil Defense grouping
or services.
Formations of MSCD are subdivided into object and
territorial.
Territorial formations are created by local health authorities on
the basis of medical institutions in cities and rural areas,
regardless of their departmental affiliation.
Sanitary squads are equipped according to the equipment table
at the expense of those institutions, economic facilities, on the
basis of which they are created.

Sanitary squads, which are part of the high readiness Civil

Defense units, are provided with property at the expense of
long-term storage medical property.
Medical units (they are, according to other regulatory
documents, first medical care detachments (FMCD)) are
initially provided at the expense of the property of the current
allowance of the medical institution - the former. FMCD of high
readiness is provided at the expense of long-term storage
property, which is designed to provide first medical care to 3
thousand affected people within 3 days.

Organization of work of MSCD units at the first stage of

medical evacuation in the lesion focus
The sanitary squads are at the disposal of the MSCD when the
"threat of attack" period is introduced. Until this period, the
sanitary squads are in their workplaces, performing their
usual duties in institutions, enterprises, etc. Sanitary squads
are entered into the outbreak as part of the rescue
(consolidated) detachments of the Civil Defense.
During the period of “general readiness” of the Civil Defense,
medical teams are put on alert on the basis of the forming
institution. At that time:
1. personnel are assembled according to the notification scheme;

2. carry out the additional staffing of the FMCD with personnel;

3. receive vehicles and sanitary squads assigned to the FMCD;

4. distribute vehicles;

5. receive service items from the former and pharmacies;

are equipped.
At that time (continuation):
6. the received property is brought into readiness for work and
distributed among functional units, loaded onto vehicles and
covered with tarpaulins;

7. sent the FMCD to the district of ​concentration in the

suburban area and receive the property of the second stage in
the warehouses of Civil Defense;

8. the personnel are transferred to the barracks position,

observation posts are set up, communication is established with
the head of the district CD , and anti-radiation shelters for
personnel are equipped.
 3. Organization of the input of forces and
means of MSCD into the lesion focus
The grouping of CD forces is moved to the lesion focus
(to the object of work) in the following order:
1. reconnaissance units;

2. the movement support unit;

3. the first echelon (2-3 shifts);

4. the second echelon (2 shifts);

5. reserve .
4. Organization of first aid in the lesion focus, the role of
a medical institution in organizing its provision at the
facility

The following tasks are assigned to sanitary squads:

 organization of self and mutual assistance;

 conducting primary triage, first aid;

 partial special treatment of the affected - if possible.

Sanitary squads can provide first aid to 50 affected for 1 hour
of work. This standard can be used as a basis for calculating
the required amount sanitary squads for providing first aid.
After providing first aid, the injured are taken to the places
of loading onto the transport. The removal of the affected is
carried out by stretcher units from the staff of the rescue
teams. One unit of porters can carry 4-6 injured at a distance
of 200-300 m within 1 hour.
At the places of loading it is carried out:
1. sorting the affected;

2. the priority is established in the provision of medical care, in

the removal from the foci;

3. pedestrian groups of walking injured are formed to follow to

the nearest medical detachment or surviving medical
institutions;

4. care and provision (addition) of first aid to the affected,

awaiting the arrival of transport are provided.
First of all, those affected in a state of shock, with signs of
asphyxia, with penetrating wounds to the head, chest,
abdomen, with extensive burns, women in labor and children
are subject to evacuation from the lesion foci.
 The procedure for advancing the forces and means of the MS to the
lesion focus
The advancement of the medical detachment to the lesion focus is
carried out by order of the head of the city's Civil Defense, which
indicates the time of the beginning of the movement, the place of
the FMCD in the grouping of Civil Defense forces, the route of
movement, the deployment area, the objects from which the
FMCD should receive the affected, as well as the routes of
evacuation of the injured to the suburban area.
The FMCD is marching in one column at the highest
possible speed, ensuring traffic safety and the fulfillment of
the task in a timely manner. The speed of the FMCD is set
at 30-40 km / h during the day and 25-30 km / h at night.
To carry out medical reconnaissance on the route and in the
lesion focus, a non-staff medical reconnaissance group consisting
of a doctor and 2 paramedics is created in the detachment. The
group is given a vehicle and means of radiation and chemical
reconnaissance.
Group tasks:

1. conducting medical reconnaissance on the routes of the

detachment advance and at the place of deployment;

2. identification of premises suitable for the deployment of

military equipment in a given area;

3. conducting medical reconnaissance in the area of ​operation of

the FMCD and on the routes of removal of the affected to the
place of deployment.
Requirements for the location of the FMCD deployment:
1. the area should not be contaminated with radioactive substances,
or the radiation level should not exceed 0.5 R / h;
2. the deployment site should be in the zone of weak destruction (in
the zone of overpressure not exceeding 0.2 kgs / cm2) or outside the
focus;
3. the deployment site should be located on the evacuation routes of
those affected from the rescue facility;
4. the presence of non-contaminated water sources;
5. the possibility of using protective structures in case of radiation or
chemical pollution of the territory, or repeated use of weapons of
mass destruction.
When a medical detachment operates on an area
contaminated with radioactive substances, the total radiation
dose of personnel is taken into account, which should not
exceed 50 rad during the time of advancement and work in the
center (for 4 days).
The full readiness of the FMCD to receive the affected is
achieved 2 hours after arrival at the focus. The capacity of the
FMCD to receive the affected is up to 500 people in 12 hours of
work.
 Deployment of FMCD and the organization of the work of their
functional units
The first stage in the evacuation of the affected
population from the focus of mass sanitary losses is the medical
units FMCD of the Medical Service of Civil Defense (MSCD),
as well as medical institutions that have survived in the affected
area.

Schematic diagram of the deployment of a medical unit

 To accommodate the injured and sick, to carry out triage, to
provide emergency medical care in the most spacious rooms,
admission and triage wards are deployed, taking into account
the simultaneous placement of at least 60 walking and 150
stretchers in them. Medical teams work at the sorting site and
in the receiving and sorting wards.

The triage team for the affected stretchers includes: a doctor,

two nurses, two medical registrars and 4 sanitary instructors.

A team consisting of I doctor, 1 nurse, 1 medical registrar, 2

sanitary instructors is intended for sorting walking patients
(lightly affected).

With the mass admission of the affected, additional medical

teams from the operating and dressing and hospital
(therapeutic) departments work in the reception and sorting
room for stretchers.
5. Organization of interaction of formations of medical
service with other services in the elimination
of the lesion foci
Interaction is organized in the interests of fulfilling the main
tasks. It consists in coordinating the joint actions of various
formations according to the goal, task, place, time, and also the
volume of work performed.
Thanks for attention