Magen David Adom, Tel Aviv, Israel.
Shaare Zedek Medical Center, Jerusalem, Israel.
Disaster Med Public Health Prep. 2022 Apr;16(2):477-481. doi: 10.1017/dmp.2020.369. Epub 2020 Oct 12.
The scientific literature on coronavirus disease (COVID-19) is extensive, but little is written about the role of emergency medical services (EMS). The objective of this study is to describe the role of Magen David Adom (MDA), Israel's national emergency prehospital medical organization, in the pre-exposure period, before widespread governmental action. These efforts were based on (1) phone diagnosis, dispatch, and transport; and (2) border management checkpoints.
This is a descriptive study of MDA's role in pandemic response during the pre-exposure period. Medical emergency telephone calls from either individuals or medical sources were identified by a dispatcher as "suspected COVID-19" based on symptoms and travel exposure. Data were also collected for travelers approaching the MDA border checkpoint at Ben-Gurion International Airport.
The total number of protected transports during this time was 121. Of these, 44 (36.3%) were referred by medical sources, and 77 (63.7%) were identified as "suspected COVID-19" by dispatchers. The checkpoint was accessed by 156 travelers: 87 were sent to home-quarantine; 12 were transported to the hospital; 18 were refused entry; and 39 required no further action.
EMS can work effectively in the pre-exposure period through instructing home quarantine, providing protected transport, and staffing border control checkpoints.
关于冠状病毒病（COVID-19）的科学文献很多，但关于急救医疗服务（EMS）的作用却很少有文献提及。本研究的目的是描述 Magen David Adom（MDA），即以色列国家院前急诊医疗组织，在广泛的政府行动之前的暴露前阶段所扮演的角色。这些努力基于以下两个方面：（1）电话诊断、派遣和转运；（2）边境管理检查站。
这是一项关于 MDA 在大流行暴露前阶段应对疫情期间作用的描述性研究。调度员根据症状和旅行接触史，将来自个人或医疗来源的医疗紧急电话识别为“疑似 COVID-19”。还收集了在本古里安国际机场 MDA 边境检查站附近的旅行者的数据。
在此期间，共有 121 次受保护转运。其中，44 次（36.3%）由医疗来源转诊，77 次（63.7%）由调度员识别为“疑似 COVID-19”。共有 156 名旅行者通过了检查站：87 人被送往居家隔离；12 人被送往医院；18 人被拒绝入境；39 人无需进一步行动。
EMS 可以通过指导居家隔离、提供受保护的转运以及在边境控制检查站配备人员，在暴露前阶段有效运作。
