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Magen David Adom: Israel's National EMS Service Snapshot

Learn about Magen David Adom (MDA), Israel's National EMS service established in Tel Aviv in 1930, with over 2,000 employees and more than 15,000 volunteers nationwide. Discover key facts, statistics, equipment, technology, and unique aspects of MDA operations compared to New Jersey's EMS service. Understand the importance of religious considerations and volunteer responsibilities when providing emergency medical care in Israel.

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Magen David Adom: Israel's National EMS Service Snapshot

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  1. EMS In Israel Magen David Adom

  2. Facts • 1930 in Tel Aviv and extended nationwide 5 years later. • In 1950, officially deemed Israel’s National Service. • Non governmental organization, non profit organization • 2,000 employees; Volunteers > 15,000 • Minimum age 15 years old • Overseas volunteers > 18 yo with 60 hrs of training including trauma and mass casualty events.

  3. New Jersey vs. Israel • New Jersey Population 8.9 million (2018) • About 970,000 calls in 2018 • About 1.1 million calls annually • https://www.state.nj.us/health/ems/home/emsdata.shtml • Israel population 8.7 million (2017) • 702,094 transports to the hospital in 2016 • 4.8 million calls annually • https://afmda.org/wp-content/uploads/2018/04/AFMDA-Annual-Report-2016-v18.pdf

  4. Levan & Natan • Levan- “white”- BLS (700) • Every call • Natan- MICU (mobile intensive care unit)- ALS has a paramedic on board (374) • ALS calls functions similarly as paramedic. • Ambucycles (300+)

  5. Types of Calls • Cat A- most urgent/critical medical emergencies (i.e. heart attack, unconscioueness, severe difficulty breathing) -NATAN CALL • Cat B- urgent, are probably not life threatening don’t require NATAN (i.e. faintings, minor injuries, strokes) • Cat C- transport requests to hospital- LEVAN

  6. BLS Equipment in Israel vs. NJ • In Israel: • Police rarely come on calls • They carry and can administer “oxygen”, aspirin, glucose & epi-pen- all on the ambulance • Can take blood sugar at the BLS level (and carry on ambulance) • Contain OPA, BVM, NRB (no NPA or NC) • Contain Basic supplies for bandaging and splinting including backboard. • Contain smaller stretchers built for entry and exit for apartment building and stair chairs (without treads) • No traction splints • No KEDS, flexible stretchers, scoop stretcher.

  7. Israel Technology System • #1 start up nation in the world • WAZE • Own GPS communication device (iMADA) with LifeCompass • Dispatches right person, right place, right time

  8. Religious Considerations • Always need to consider someone’s religious background before treatment. • Some Orthodox people will refuse treatment when it’s absolutely necessary.

  9. Responsibilities as a Volunteer • Manage language barrier • “dofek, lahatz dam, sukeret” – 3 most important words • “dachuf” • Be able to function independently and give BLS

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