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Conceptual discourse instead of introduction

The preparatory works for the Tbilisi Fourth International Symposium have started.

The First Symposium is scheduled for November 16-20, 1990.

·        Medical problems of Georgia during the Tbilisi April 9th tragedy.

The Second Symposium is scheduled for November 16-20, 2010.

·    Phenomena of Death that should be studied.

·        Healthcare in conditions of restricted resources.

·        Progenitor precursor committing in human body.

·        Mono-disciplinary model of critical care medicine.

The Third Symposium is scheduled for November 16-20, 2011.

·       Global disasters (catastrophes) - "New NATO” in the 21st century.

The Forth Symposium is scheduled for November 16-20, 2012 

Co-chairs of symposium will be Academician Zurab kheladze. and Professor Vladimir Kvetan

·    Matters in Critical Medicine on which international consensus is inevitable.

·  Dying and death - molecular bases.

·  Progenitor precursor commiting  in Critical Medicine.

·  Critical Care Medicine during limited resources

·  Sepsis in Critical Medicine. 

·  Nanotechnological  approach in Critical Medicine.

·  Cosmos problems in Critical Medicine.

·  Global catastrophes.

Below are some deliberations around the topics suggested for discussion.

Though the history of civilizations is mostly known as history of wars and battles between different classes it would be rather appropriate to look at it through the prism of specific catastrophes. The previous three civilizations were most probably destroyed exactly by such catastrophes. The current forth one is similarly facing the same threat. It’s noteworthy that according to rough estimations the number of casualties during such catastrophes is 6-10 folds higher than the number of deaths due to all other reasons. Additionally, the "Demand” for massive number of instantaneous deaths resultant from catastrophes has been rather high in all times and formations and will most likely stay so. Hence modern civilization has to respond to this challenge in a most expedite manner through introduction of international system of confronting global disasters. Analysis of Spitak, Chernobyl, Indonesia, Haiti, Chile and Japanese catastrophes infers that the task of tackling global disasters is impossible without joint international efforts and cooperation. The good side is that the history has examples of such cooperation, though often the amounts of resources contributed by different countries to such initiatives are disproportionately exceeding the results achieved. The work of different rescue services can be compared to different orchestras simultaneously playing different scores under different conductors, while success of the venture requires that different orchestras play the same score conducted by one actor. And the rehearsal should be permanent.

During the Tbilisi First (1990) and Third (2011) International Symposium, the First World Congress on technological catastrophes (1992), the reception at the US State Department (1992) and discussions on the reform of the US healthcare system (2009-2010) we have repeatedly referred to the necessity of creating a separate international body specifically for confronting global disasters. NATO can serve as a model for such successful cooperation. In this connection NATO is regarded as the most efficient organization capable to counter the most destructive factor of the humankind – global catastrophes. Irrespective, whether such disaster response organization is created under NATO or independently, the Alliance’s experience in forging an effective institution will have to be taken into account and the sooner practical steps are undertaken in this direction the better for the entire mankind as well as NATO’s further development. Hence, forum discussions should tackle the following questions: should the permanent international system of global disaster response be established; and if yes, through what means; in what form; and with which priorities, etc.

During the Tbilisi Third (2011) International Symposium was discussed several sentences about the phenomena of Death that is still unexplored but should definitely be studied if only for better comprehending the phenomena of Life: Since Eva has tasted the forbidden apple death has become a major desolation of the humankind and though the Christ has shown "the existence of life after death” this despair has not been healed yet as the process of dying has become a major bale. The scientific research conducted at Georgian Critical Care Medicine Institute opens the ways of understanding this role. Research findings show that process of dying of human body is associated with emission of excessive amount of endorphins – the pleasure peptides. The diverse nature of Death is also noteworthy, namely, the problem of death of body and of soul. Another emphasis should be put on the role of "the death factor”, also discovered by the Institute, which causes complete suppression of breathing and blood circulation in the dying organism. Further information on the above can be consulted at http://www.cccmj.ge in this regard, the forum discussions should elaborate on whether it is important to study the Death phenomena; how this should be done; what should be the focus of such studies; etc.

In conclusion, while encouraging everybody to intensively participate in the forum discussions I remain confident that with common efforts and through cooperation we are capable of overcoming these problems.

Thank everybody in advance for the support and collaboration.

Zurab Kheladze

Director, Academician 

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