Department of Emergency Medicine, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel.
Magen David Adom (MDA), Tel Aviv, Israel.
Int J Public Health. 2024 Feb 29;69:1606907. doi: 10.3389/ijph.2024.1606907. eCollection 2024.
On 7 October 2023, Israel faced an unexpected attack by Hamas, causing over 1,200 deaths and injuring more than 9,000 individuals. This report delves into the rapid medical response spearheaded by Israel's civilian Emergency Medical Service, Magen David Adom (MDA), during this crisis. Utilizing data from MDA's electronic database, 4,097 dispatch records from the day were analyzed. Of these, 39.3% were directly related to the attack. EMS teams faced multiple challenges, including handling an overwhelming number of casualties and navigating active combat zones, which impeded safe access to victims, posed significant risks to teams' safety, and constrained patient evacuation strategies. This incident underscores the importance of reinforcing healthcare resilience, particularly emphasizing the need for centralizing various aspects of response efforts. These include streamlined communication, national coordination of pre-hospital resources, and systemic management of patient evacuations. Moreover, providing substantial support for EMS personnel, who operated in highly challenging conditions, is imperative.
2023 年 10 月 7 日，以色列遭遇了来自哈马斯的意外袭击，造成超过 1200 人死亡，9000 多人受伤。本报告深入探讨了以色列民防组织（MDA）在此次危机中迅速做出的医疗应对。该报告利用 MDA 电子数据库中的数据，分析了当天的 4097 个调度记录。其中，39.3%与袭击直接相关。紧急医疗服务团队面临着诸多挑战，包括处理大量伤员和在活跃的战斗区进行导航，这阻碍了对受害者的安全进入，对团队的安全构成了重大风险，并限制了患者疏散策略。这一事件凸显了加强医疗保健弹性的重要性，特别是强调需要集中应对努力的各个方面。这些方面包括简化沟通、协调国家的院前资源以及系统性地管理患者疏散。此外，为在极具挑战性条件下工作的紧急医疗服务人员提供大力支持至关重要。
