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Shock management starts during
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Disaster Medical Management could be defined as
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Complex decision making process in order to react adequately with available means and capabilities in case of disaster
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Complex decision making process in order to prepare adequately with available means and capabilities in case of disaster
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The process of optimization of the Disaster Medical Organisation and structure in order to respond more effectively to the disaster consequences with the available means and capabilities
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Area of Radiological Damage after Radiological Incident in comparison with nuclear bomb Area of Damage
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Has less damaging factors, higher temperature, longer radiological contamination, greater variety of radioisotopes
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Has less damaging factors, lower temperature, longer radiological contamination, greater variety of radioisotopes
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Has less damaging factors, lower temperature, shorter radiological contamination, greater variety of radioisotopes
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What is the objective of sanitary control?
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To plan and execute the adequate and appropriate eradication activities to all detected health hazards
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To protect population and environment of possible health threats in specific regions
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To detect via specific activities the available and potential health hazards and to prevent their impact on population life and health
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What are the main features of the Flood?
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Depth and speed of the water, scope of the flooded zone, water temperature
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Depth and speed of water, time of onset, number of injured, time for arriving of the tide and time for water removing
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Depth of the water, casualties number, available and required means and capabilities
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Which particle is ionizing indirectly
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Shock Management First steps in Disaster Medical Support are related to the
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Pain removal
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Fluid resuscitation
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Vascular spasm removal
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Disaster Medical Support Plan could be defined as
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A document where all activities of medical means in case of disaster occurrence are described
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Decision making process in order to prepare the adequate reaction with available means and capabilities in case of disaster
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The process of optimization of the Disaster Medical Organisation and structure in order to respond more effectively to the disaster consequences with the available means and capabilities
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During the second stage of the Disaster Medical Management and Support are addressed
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All affected in the Area of Damaged
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All injured in the Area of Damage
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All affected in the Area of Damage and its vinicity
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Qualified medical aid is performed during second stage of Disaster Medical Management and Support by
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By medical teams in treatment facilities in vicinity of the area of damage
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By medical teams in temporary medical stations established in vicinity of the area of damage
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By highly- readiness medical teams in vicinity of the area of damage
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Removal of all types of asphyxia is
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Non physician Medical Aid
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Specialized physician Medical Aid
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Qualified physician Medical Aid
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The ionizing radiation activity is measured with unit
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The disaster relief for population could be defined as
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Complex of specific activities in order to minimize the impact of disaster's damaging factors and to decrease the number of irreversible casualties and minimize the residual disability among medical casualties
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Scientific and practical activities of disaster medical management and support to the population in order to protect, secure and assure the human life, health and ability in case of disastrous events
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Establishing standard operating procedures, methodologies and policies for prevention and treatment of the entire spectrum probable health injuries, diseases and epidemics related to disasters
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Provision of shelter, food, water and medical support for all in need is part of the
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Recovery group activities
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Response group activities
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Preventive group activities
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Disaster Medical Management and Support objective is
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To plan and execute scientific and practical activities of disaster medical management and support to population in order to protect, secure and assure the human life, health and ability in case of disastrous events
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To prevent human health and life damage and lessen the number of injured, victims and disabled, in case of disaster
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To minimize the impact of disaster’s damaging factors and to decrease the number of irreversible casualties and minimize the residual disability among medical casualties
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What are the activities when the medical team is arriving as team enhancing the operating Disaster Medical Support
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Perform medical intelligence, then to represent himself to medical officer in charge and report on medical team's number and capabilities, and Individual Protective Equipment available
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To perform medical intelligence, then to represent himself to incident commander and then to medical officer in charge and report on medical team’s number and capabilities, and Individual Protective Equipment available
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To represent himself to medical officer in charge and report on medical team’s number and capabilities, and Individual Protective Equipment available
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Artificial Breathing should not be used in management of casualty with
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What is the first step in Chemical Area of Disaster Medical Management and Support?
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To perform Medical Intelligence
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To decontaminate the casualties
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To use protective equipment in order to assure you and the other team members safety and security
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During the First Stage of the Disaster Medical Management and Support are addressed
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By medical teams in temporary medical stations established in area closest to the area of damage
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By medical teams in the area of damage
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By everyone in the area of damage
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Passive immunization is performed to:
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to those who were in contact with the people demonstrating symptoms of the disease
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those with symptoms of the disease
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to entire population at risk
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Toxic allergic edema surrounding necrotic changes in the tissues is observed in:
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The consequence of the CN intoxicated casualty treatment to:
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amyl nitrate. sodium thiosulfate, hydroxocobolamin
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sodium thiosulfate, amyl nitrate. hydroxocobolamin
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amyl nitrate, hydroxocobolamin, sodium thiosulfate
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The main elements of the Bulgarian Unified Rescue System are:
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Directorate National Police, Directorate "Civil Protection", Directorate "Fire Safety", Centres for Emergency Medical Help
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Directorate "Civil Protection", Directorate "Fire Safety". Centres tor Emergency Medical Help
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Directorate National Police, Directorate "Fire Safety and Civil Protection" Centres for Emergency Medical Help
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Disaster Medical Support Plan is:
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description of the medical activities sequence in case of disaster along with description of the medical teams and resources needed for these activities
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document where the medical activities in case of disaster are described
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activities that have to be performed by the particular medical teams with the available preplanned technical and medical equipment in order to save human lives and health in case of disaster
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Disaster's main factor leading to humans life and health threat is:
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the disparity between required and available medical means and capabilities for lifesaving aid
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disaster's type, magnitude and scope
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sudden onset
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Sanitary control is performed during:
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prodrome phase
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recovery phase
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all phases
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The eradication measures after the sanitary expertise are:
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disinfection, disinsection. deratization
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degazation, detoxification, disinfection
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burning, burying
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Scope of the medical activities in the treatment and rehabilitation of the injured in case of Disasters are:
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Toxic allergic oedema is one of the main characteristics for
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When you could protect yourself by breathing through handkerchief with Na2CO3
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In case of CO poisoning
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In case of NH3 poisoning
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In case of Cl2 Poisoning
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If the casualty has pulse, but does not breath, what you do you have to do
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Perform artificial breathing 10 times
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Liberate the airways and perform artificial breathing 5 times
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Liberate the airways and perform artificial breathing 10 times
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Alpha particles features:
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High mass, High Ionizing Activity, Highly penetrating, High speed, Travel long distances
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High mass, High Ionizing Activity, Highly penetrating, Low speed, Travel short distances
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High mass, High Ionizing Activity, Low penetrating, Low speed, Travel short distances
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What are the activities when the medical team is arriving as team enhancing the operating Disaster Medical Support
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To represent himself to medical officer in charge and report on medical team's number and capabilities and Individual Protective Equipment available
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To perform medical intelligence, then to represent himself to medical officer in charge and report on medical team's number and capabilities and Individual Protective Equipment available
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To perform medical intelligence, then to represent himself to incident commander and then to medical officer in charge and report on medical team's number and capabilities and Individual Protective Equipment available
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When is the MEDINT performed?
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MEDINT is the first medical activity to be performed. It is performed during entire disaster medical support operation planning and execution
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MEDINT is the first medical activity to be performed. It is performed during entire medical management and support and it is continuing as monitoring the situation after the disaster medical support operation completion
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MEDINT is the first medical activity to be performed. It is performed during entire disaster medical support operation execution and it is continuing as monitoring the situation after the disaster medical support completion
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What are the principles of Disaster Medical Support Planning
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Unity, Particularity, Continuity, Actuality
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Operability, Flexibility, Continuity, Centralization, Autonomy
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Operability, Particularity, Continuity, Actuality, Flexibility
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Acute Radiation Syndrome is
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Aggregation of Haematopoetic, Gastro-Intestinal and Neuro-vascular Syndromes
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Aggregation of Haematopoetic, Gastro-Intestinal, Hemorrhagic and Neuro-vascular Syndromes
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Aggregation of Hemorrhagic, Gastro-Intestinal and Neuro-vascular Syndromes
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When Contingency Plan is revised
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During execution of disaster medical support activities based on Disaster Manager Directions and Guidance regarding organisation and coordination of the disaster medical response and medical assets capabilities, capacities and readiness
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During execution of Disaster medical support activities based on the data of Medical Intelligence regarding medical situation and on medical reports
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With disaster occurrence, based on the data of the Medical Intelligence about the type of disaster, its location, number of casualties and available and required medical means and capabilities
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Where usually the Temporary Medical situations are located for earthquake medical support provision
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In the zone of moderate and zone of light destructions
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Close to the Area of Damage- 1-2 km out of the Area
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In the zone of light destruction and out of the area of damage
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The stochastic effects of ionizing radiation are related to
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Absorbed dose
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Equivalent dose
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Effective dose
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Physical Absorbed dose Measurement consists of
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Lymphocytes count, number and initiation of vomiting, body temperature measurement, level of dermal reaction
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Leukocytes count, number and initiation of vomiting, body temperature measurement, level of dermal reaction
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Number and initiation of vomiting, body temperature measurement, level of dermal reaction
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What is the Standard Operating Procedure for Radiological casualty management
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Medical Intelligence, Triage. Decontamination, Organised Evacuation, Stabilization. Medical Evacuation, Pre-hospital Triage, Hospital Treatment
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Medical Intelligence, Triage, Organised Evacuation, Stabilization, Medical Evacuation, Pre-hospital Triage, Hospital Treatment
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Triage, Decontamination, Organised Evacuation, Triage, Stabilization, Medical Evacuation, Pre-hospiml Triage, Hospital Treatment
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The determinative effects of ionizing radiation are related to
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Equivalent dose
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Absorbed dose
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Effective dose
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What is the first information required for Disaster Medical Support Plan creation
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Information about disaster type available and required medical means and number and structure of the casualties
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Directions of the medical managers
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Medical Intelligence data regarding the disaster and the available means and capabilities
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The earthquake medical impact is directly related to the
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Depth of the earthquake, energy released in epicenter and the distance from hypocenter
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Depth of the earthquake, energy released in epicenter and the distance from epicenter
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Distance between hypocenter and epicenter energy released in hypocenter and the distance from epicenter
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Please list the best definition of Disaster Medicine Topic
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The treatment process of the inured, commences in the affected area nearby, continues during the medical evacuation and finalizes in particular medical facilities, depending on type and severity of the suffered injuries
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Optimizing the established structures and doctrines for prompt, adequate and efficient planning, organization and execution of the Disasters Medical Management and Support
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Standard Medical Operating {Procedures in case of Disasters and scope of medical activities, treatment and rehabilitation of the injured in case of Disasters
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Hypoxia, hypoxemia, hypocapnia, alkalosis and following acidosis we could find in laboratory test in case of
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CN poisoning
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Cl2 poisoning
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NH3 poisoning
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none of these
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During the Directed evacuation of medical casualties the direction is
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Phosphor-organic compounds could be classified as
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Blood poisoning
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General Toxic Poison
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Suffocating Poison
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Phosphor-organic Compounds are
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Heavier than air, are entering by breathing are stimulating acetylcholine esterase activity
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Heavier than air, are entering via all routes are stimulating acetylcholine esterase activity
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Heavier than air, are entering via all routes are deactivating acetylcholine esterase
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The consequences of Cardio-respiratory resuscitation with one savior
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Start with artificial ventilation followed by external cardiac massage. The rate has to be 1:5. There are to be made 10 such series, and then reevaluate the patient
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Start with artificial ventilation followed by external cardiac massage. The rate ventilation/ cardiac massage has to be of 2:15. There are to be made 10 such series and then reevaluate the patient
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Start with artificial ventilation followed by external cardiac massage. The rate ventilation/ cardiac massage has to be of 1:10. There are to be made 10 such series and then reevaluate the patient
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Where the Medical Aid is performed
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In temporary medical stations and hospitals close to the Area of Damage
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In temporary medical stations and hospitals within Area of Damage
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In temporary medical stations close to the Area of Damage
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Early hazard detection followed by risk assessment and triage is:
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Which casualties have to be triaged first
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Please list the steps of the medical team when arriving as first medical team for disaster relief operation
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Report to the Incident Commander about the capabilities of the team receiving directives; Medical Intelligence and report to the Disaster Medical Manager
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Medical Intelligence and report to the Disaster Medical Manager; Report to the Incident Commander about the capabilities of the team, receiving directives,
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Medical Intelligence and report to the Disaster Medical Manager; starting casualty triage, stabilization and medical evacuation
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The main characteristics of one disaster are:
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natural or man-made phenomenon; sudden onset; complicated general and medical situation; great material loses and number of casualties
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natural or man-made phenomenon; sudden onset; great material loses and number of casualties; requiring medical assistance far beyond the routine daily needs and imposing mobilization of available resources, which is sufficient for adequate response
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natural or man-made phenomenon; sudden onset; great material loses and number of casualties; requiring medical assistance far beyond the routine daily needs and demanding external assistance
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Activities performed in order to maintain the basic life functions and to prevent the severe complications are:
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When the casualty has pulse but is not breathing what has to be done
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Disaster Medical Support Management principles are:
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continuity, adequacy, unity, particularity, centralization
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flexibility, particularity, centralization, autonomy, unity
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operability, centralization, autonomy, flexibility, continuity
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unit of ionizing radiation and measures the amount of radiation required to deposit 1 joule of energy in 1 kilogram mass
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unit of ionizing radiation and measures the amount of radiation required to create 1 coulomb charge in 1 kilogram mass
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unit of ionizing radiation and measures the amount of radiation required to create biological effect in the human body
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When you could protect yourself by breathing through handkerchief with vinegar
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In case of CO poisoning
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In case of Cl2 poisoning
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In case of NH3 poisoning
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URS main elements are
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- From Ministry of Internal Affairs:
National Agency Fire Safety and Civil Protection of population
- From Ministry of Health:
Centers for Emergency Medical Help
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- From Ministry of Internal Affairs:
National Agency Civil Protection
National Agency Fire Safety and Civil Protection of population
- From Ministry of Health: Centers for Emergency Medical Help
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- From Ministry of Internal Affairs:
Police
Fire Safety and Protection
Civil Protection
Gendarmerie
- From MH:
Centers for Emergency Medical Help
Head of regional center for Community Health Preservation or his/her representative
Head of the major hospital in the region
Subjects Experts- Engineers, Communications, Disaster Medicine
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The medical support consists of
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First medical aid, triage, evacuation, treatment, directed medical evacuation, hospital treatment
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Treatment and evacuation, hygiene and anti-epidemics support, medical means and capabilities
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First medical aid, triage, evacuation, treatment and stabilization, directed medical evacuation, pre-hospital triage, hospital treatment and rehabilitation, preventive medicine measures in order to preserve population's health
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Casualty with history of swallowing alpha emitter:
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it is not necessary to be decontaminated
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could be decontaminated if there is time and capabilities
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has to be decontaminated always because is danger for the others (casualties and rescue teams)
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The equivalent dose depends on:
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absorbed dose and the radiation weighting factor
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absorbed dose and tissue weighting factor
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exposure and radiation weighting factor
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For medical support to the war time affected population you have to plan medical teams consisting of:
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Epidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives
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Epidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives
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Surgeons, orthopedics, anesthesiologists. emergency medicine
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Serbian citizens entering in Bulgaria after the 2014 heavy flood are considered:
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The main damaging factor in case of mass people movement is:
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biological
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stress and panic
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thermal
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Terrorists objective is:
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to inflict as much as possible casualties amid their adversaries
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indirectly to influence society way of thinking
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to inflict as much as possible casualties amid population
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When we are observing longer environmental contamination?
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Health risk assesment is
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The process of preventive measures evaluation and selection in order to minimize or eradicate assessed risks levels
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The process of collecting, analyses and evaluation of the available information about available hazards, risks factors and their probability to cause acceptable or unacceptable health harm
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The process of identification and analyses of entire spectrum of existing hazards with potential to cause health harm in given circumstances
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Analyzing the available hazards and risk factors is part of the
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Preventive group activities
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Response group activities
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Recovery group activities
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Casualty with history of swallowing gamma emmiter
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It is not neccessary to be decontaminated
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Could be decontaminated if there is time and capabilities
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has to be decontaminated always because is danger for the others (casualties and rescue teams)
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The effective dose depends on
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absorbed dose and tissue weighting factor
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absorbed dose and the radiation weighting factor
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exposure and radiation weighting factor
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For medical support to refuggees' camp you have to plan medical teams consisting of:
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epidemiologists, pediatricians, internal medicine/general medicine, psychologists, midwives
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epidemiologists, surgeons, general or internal medicine, psychologists, anesthesiologists, midwives
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surgeons, orthopedics, anesthesiologists, emergency medicine
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Afghan citizen entering in Bulgaria in 2016 are considered
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Disaster main factor threatening humans' life and health is:
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the disparity between required and available medical means and capabilities for lifesaving aids
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disaster's type, magnitude and scope
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sudden onset
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In accordance to the Bulgarian classification the significant ecological disorders are
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How many are the zones in the AOD caused by residual radiation?
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The level of health risk when hazard is identified, with potential to cause distinguished negative impact on population and society and preventive measures implementation has limited possibilities through moderating factors' effects is
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moderate
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high
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health threat