Jaffe Eli, Strugo Refael, Wacht Oren
1Magen David Adom (national EMS system),Tel Aviv,Israel.
Prehosp Disaster Med. 2015 Oct;30(5):539-42. doi: 10.1017/S1049023X15005026. Epub 2015 Sep 1.
During July through August 2014, Operation Protective Edge, a military conflict between Israel and the Hamas regime in Gaza, dramatically affected both populations. Magen David Adom (MDA), the Israeli national Emergency Medical Service (EMS) and a member of the Red Cross, faced a unique challenge during the conflict: to continue providing crucial service to the entire civilian population of Israel, which was under constant missile threat. This challenge included not only providing immediate care for routine EMS calls under missile threat, but also preparing and delivering immediate care to civilians injured in attacks on major cities, as well as small communities, in Israel. This task is a challenge for a civilian EMS agency that normally operates in a non-military environment, yet, in an instant, must enhance its capability to respond to a considerable threat to its population. During Operation Protective Edge, MDA provided care for 842 wounded civilians and utilized a significant amount of its resources. Providing EMS services for a civilian population in a mixed civilian/military scenario is a challenging task on a national level for an EMS system, especially when the threat lasts for weeks. This report describes MDA's preparedness and operations during Operation Protective Edge, and the unique EMS challenges and dilemmas the agency faced.
2014年7月至8月期间，以色列与加沙地带哈马斯政权之间的军事冲突“护刃行动”给双方民众都带来了巨大影响。以色列国家紧急医疗服务机构（EMS）——红色大卫盾会（MDA），也是红十字会的成员之一，在冲突期间面临着独特的挑战：要继续为身处持续导弹威胁之下的全体以色列平民提供关键服务。这一挑战不仅包括在导弹威胁下为常规的紧急医疗服务呼叫提供即时护理，还包括为在以色列主要城市以及小社区遭受袭击而受伤的平民准备并提供即时护理。对于一个通常在非军事环境中运作的民用紧急医疗服务机构而言，这项任务极具挑战性，然而，在瞬间，它必须提升自身应对其民众所面临的重大威胁的能力。在“护刃行动”期间，红色大卫盾会为842名受伤平民提供了护理，并动用了大量资源。对于一个紧急医疗服务系统而言，在民用/军事混合场景下为平民提供紧急医疗服务，在国家层面上是一项具有挑战性的任务，尤其是当威胁持续数周时。本报告描述了红色大卫盾会在“护刃行动”期间的准备工作和行动情况，以及该机构所面临的独特的紧急医疗服务挑战和困境。
