EMS In Israel

Page 2

EMS Today:

Magen David Adom Management Profile

Administration:
Chief director , central operation department , manpower, volunteers department,
medical department (medical guide lines, operation standard , equipment standard ....)
Central blood bank:
1. Provides blood and blood products to hospitals all over the country.
2. Provides �blood insurance� for one year to the entire family in exchange of
    a single blood donation during that year.
Central Training department:
training of BLS & ALS courses for -
1. Lay men - Physicians , Registed Nurses , Practical Nurses ,EMTs -
    Paramedics... 
2. Most of the instructors / tutors are Seniors Paramedics
Motor Vehicle Department & Radio / Communication laboratory:
1. Responsible for the maintenance upkeep and operation of all vehicles and
    communication devices.  
2. Driving training & qualifications
General Command Center:
The national headquarter of the EMS system:
1.  Computerize operation
2.  Multi-System Tel-communication
3.  Direct communication to importent facilities; hospitals , fire department ,
     police department , army , rescue squads , ministers , information center
     of toxic materials....
4.  Ability to locate immediately any ambulance all over the country - on any time.
5.  Controls the District Command Centers.
6.  Must be informed immediately by the district command centers   about any
     special events ....
7.  Commanding & controlling major events:  Emergency landing of an airplane ,
     mass casualty incidence.....
8.  Responsible to page and informed the chief paramedics and administrators
     as well , when necessary .
9.  Federal recording of all radio channels
10.Staffed by EMTs / Paramedics
12  District Command Centers: 
Operates similarly  to the general command center but only to its district 
1. Controlling and dispatching the BLS / Paramedics Units at the Local  Stations 
2. Computer management 
3. Staffed by EMTs or Paramedics
4. Depth & Dumb fax machine 
5. 101 - free call
6. Operates as a launch area  
46  Local Stations:
1. Radio & Telephone communication
2. BLS ambulances
3. Paramedics Units / Mobile Intensive Care Units
4. Mobile First Aid Station
Peripheral Stations are also operating small first aid clinic
BLS Ambulances:
More than 400 Basic Life Support (BLS) ambulances equipped with:
1. Adult & baby Resuscitation kits: Bag-Valve-Mask (AMBU) , oxygen reservoir
    bag , oro-pharyngial airways , suction equipment , pocket mask ;
2. Oxygen Cylinders: 20 litter & 2.4 Litter  mobile cylinder (sometimes 4.2 L)
3. Fluids - Ringer`s Lactate solution , large and small bore I.V. catheters....
4. First Aid kit - tourniquet ,  Bandages , Triangles , Cold-Pak ....
5. Baby delivery kit - Scalpel , baby suction device , sterile shits....
6. Radio communication (The forecast: computed communication - digital maps ,
    direct communication to the ER , daily traffic reports... !)
7. Stretcher , folding chair
8. Fixation equipment - Back Board , neck collar, headvice , safety belts ...
9. Semi-Automatic defibrillator - Electrodes connected to the patient chest by
    two adhesive pads , operation instructions are given by the Semi-Automatic
    defibrillator and perform by the EMT.
BLS ambulance crew:
2 Emergency Medical Technicians (basic) , and sometime 1-2 volunteers.
EMT training:
lasts 200 hours - (120 frontal lectures  + 80 hours of practice).
Qualified EMT allowed to perform: Basic & intermediate life support , peripheral
I.V line , defibrillate with semi-automatic device , bandage & fixation by any
device , baby delivery .....
EMT I Training:
Another 200 hours course. Qualified EMT I can recognize main Arrhythmias ,
manualy defibrillate in V.Fib (Under Paramedic order) , prepare certain drugs...
MICUs (Mobile Intensive Care Unit):
1. MICU with 1 EMT , 1 Paramedic , 1 MD (Non Emergency , sometimes resident)
2. Paramedic Unit:  1 Paramedic and 1 EMT (EMT I preferable).

Paramedic Neomi Zvi - Feb 2000