The major challenges faced in all disasters include pre- disaster early warning infrastructure the supply of food and clean drinking water health and sanitation information and communication power and energy for lighting and cooking waste collection and disposal, including rapid disposal of dead bodies of humans and animals disaster-proof housing and shelter emergency and post- disaster shelters rescue and relief operations and transport infrastructure. Natural disasters inflict severe damage on almost the entire spectrum of social and natural habitats, ranging from housing and shelter, water, food, health, sanitation, and waste management to information and communication networks, supply of power and energy, and transportation infrastructure. Any delay or laxity in disaster relief could escalate the magnitude of distress for the victims. The major challenge is the protection of life, property, and the vital life-supporting infrastructure necessary for disaster mitigation. Globally disasters and calamities throw up major challenges for national governments. All of which are coordinated by the medical rescue direction. Conclusion: The willingness and the necessity to anticipate the occurrence of such risks is materialized by the systematic well organized and clearly assigned functions: transport, triage, medical care, and evacuation of the victims. Results: The new approach is based on a very clear and very well organized emergency care support, a very well organized commanding network, and last but not least a very well prepared logistic support. Methods: Through the experience of the Fire Brigade of Paris (BSPP), we focus on the emergency services organization during a major event and on the triage of the victims, whether of a natural disaster or exposed to the CBRN. The idea of terrorist threats such as chemical biological radiologic or nuclear (CBRN) have determined the authorities to change and adjust their approach. Introduction: Taking into consideration the natural disasters, the industrial and terrorist attacks had changed significantly with time.
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