Purpose:
The purpose of the study is to work out a new EMS tactic which is to be employed in CBRNE/HAZMAT incidents that would allow to perform emergency medical procedures in the area, today inaccessible to the National Emergency Medical Services.

Project and methods:
New hazardous materials incidents, especially terrorist ones demand the emergency services to be well prepared in order to respond accordingly. Latest technological advances regarding PPE preventing the contamination and respiratory protection equipment bring effective and safe methods of medical professionals’ protection at every stage of rescue operations being performed. The research study was conducted in 2016-2018. The study’s main focus was on performing medical care in all stages of rescue operations. The CBRNE/HAZMAT incident procedures of the National Emergency Medical System (Pol. PRM), The National Firefighting and Rescue System (Pol. KSRG), the Bureau of Anti-Terrorist Operations of the National Police Headquarters (Pol. BOA KGP) and the Epidemiological Response Centre of the Polish Armed Forces (Pol. CRESZ) have been thoroughly analysed. Analysis for procedural shortcomings within rescue operations of all services have been concluded. PPE for preventing contamination along with respiratory protection equipment that are used by various emergency services and may also be applied within EMS operations have been thoroughly examined.

Results:
Based on the study, a new EMS tactic based on available PPE, a management system of rescue operations and a model of organisation of any operations have been worked out. The in-depth analysis of PPE for preventing contamination and respiratory protection equipment indicated new solutions and methods for protection of the professionals of the National Emergency Medical Services while performing pre-hospital and hospital care (Hospital Emergency Departments). A set of training drills employing new tactics and PPE indicated real possibilities to transfer new solutions to EMS that would compensate the shortcomings within the procedures of responses at the next stages of CBRNE/HAZMAT incidents.

Conclusions:
The suggested tactic of emergency services shall enhance the effectiveness of the emergency rescue system in CBRNE/HAZMAT incidents as it enables to perform emergency medical procedures (Pol. MCR) to the patients with life-threatening conditions sooner and provide medical care at all stages of rescue operations.