4. Basic features of a service mc in es.

According to its tasks, SMC

• Gives free-of-charge urgent medical aid to the casualties at the prehospital and hospital stages, firstly by the forces of specialized teams of urgent medical aid of SMC.

• Organizes and carries out a complex of sanitary-hygienic and antiepidemic measures in the disaster area.

• Coordinates work directed at preparation of Health Services, medical institutions, the system of communication and notification, medical and specialized formations and institutions of SMC to act in extreme situations.

• Carries out collection, analysis, registration and gives information about medico-social consequences of extreme situations according to the Temporary Regulations of providing the information by state power organs within Government infomational-analytical system on problems of extreme situations.

• Provides health protection of the personnel, which takes part in the liquidation of consequences of extreme situations;

• Provides creation and rational use of a reserve of material and technical resources for realization of SMC measures accordingly at central and territorial levels;

• Takes part in preparation of the medical and paramedical staff, who are to give medical aid by law in case of emergency.

• Carries on scientific research work connected with perfection of the forms and methods of organization urgent medical help to casualties in extreme situations;

• Takes part in international cooperation on problems of medicine of catastrophes.

5. Basic divisions of a service of mc.

On the state level SMC is composed of:

• Ukrainian Science and practice centre of the urgent medical aid and medicine of catastrophes,

• Medical formations, institutions appointed by Ministry of Health Services of Ukraine.

• Specialised teams of urgent medical aid organized on the basis of these health service institutions.

On the territorial level SMC is composed of:

• The territorial centres of the urgent medical aid,

• The specialized teams of urgent medical aid,

• Medical formations and institutions ascribed by MHS of Ukraine to this level,

• Specialized teams of urgent medical aid organized on the basis of these health service institutions.

According to the order of Minister of Defense the following formations are created on the basis of working medical institutions in the armed forces:

• Mobile doctor-nurse teams for rendering the first medical assistance: 1-2 in the regiment;

• Mobile doctor-nurse teams for rendering the qualified medical help: in separate medical company, separate medical battalion, military hospitals,sanatoria, garrison and central clinics.

• Mobile detachment of medicine of catastrophes for rendering the qualified medical help: in district and garrison hospitals (Odessa, Lvov, Kharkov, Dnepropetrovsk). Into structure of group enters surgical and therapeutical groups.

• Teams of the specialized medical help: formed on the basis of Main military clinical hospital (up to 18 teams)

The staff of the specialized medical teams and their ability on rendering first medical aid for 12 hours is given in table 1.

The Central Board includes the plenipotentiary representatives of MHS of Ukraine, medico-sanitary services of SCM, Ministry of Defence, Ministry of Internal Affairs, Ministry of Transport, National guards and Ukrainian scientific - practical centre of urgent medical aid and medicine of catastrophes as well as representatives appointed by Ministerial Council of Independent Republic Crimea, regional, Kiev and Sevastopol municipal state administrations.

The work of a Central commission is supervised by its chairman, and in case of absence - on its comission one of his assistants.

The chairman of a Central commission is the minister of public health services of Ukraine.

Table 1. The specialized medical brigades.

Speciality (number of specialists, ability to give aid 12 hours)	STAFF
Surgical (9 persons, 10 operations)	Senior surgeon-1; surgeon-2; anesthesiologist-reanimathologist-1; nurses: surgical-2; anesthetist-2; driver-orderly-1.
Traumatological (9 persons, 10 operations)	Senior traumatologist-1, traumatologist-2, anesthesiologist-reanimathologist-2, nurse-2, nurse-anesthetist-2, driver-orderly-1.
Neurosurgical (5 persons, 10 operations)	Senior neurosurgeon-1, neurosurgeon-1, nurse-2, driver-orderly-1
Stomatological (7 persons, 10 operations)	Maxillofacial surgeon-2, surgical nurse-2, nurse-2, driver-orderly-1
Burn (10 persons, 30 casualties)	Senior combustologist-1, surgeon (combustologist)-1, anesthesiologist-reanimathologist-2,nurses:surgical-2,anesthetist-2,treatment-1, driver-orderly-1.
Transfusional (12 persons, 50 casualties)	Senior physician(anesthesiologist-reanimathologist)-1, surgeon-1, physician, stockpiling blood-1,nephrologist-1,nurses:anesthetics-1,hemodialysis-1,plasmodialysis-1,stockpiling of blood-1, doctor’s laboratory assistant-1, attendant-1, driver-orderly-1.
Radiology-therapeutic(8 persons, 100 casualties)	Senior physician(radiologist)-1, pediatrician-1, neurologist-1, nurses-3, doctor’s laboratory assistant-1, driver-orderly-1.
Toxic therapeutic (6 persons, 25 casualties)	Senior physician(anesthesiologist-reanimathologist)-1, toxicologist-1, therapeutist-1, nurses-2, driver-orderly-1.
Psychotherapeutic (5 persons, 100 patients)	Senior physician (psychotherapeutist)-1, psychiatrist-1, nurses-2, driver-orderly-1.