Managing a Mega Mass Casualty Event by a Civilian Emergency Medical Services Agency: Lessons From the First Day of the 2023 Hamas-Israel War

被引：2

作者：

Jaffe, Eli ^{[1
,2
]}

Wacht, Oren ^{[1
,2
]}

Davidovitch, Nadav ^{[3
]}

Strugo, Refael ^{[1
,2
]}

Blustein, Oren ^{[1
,2
]}

Rosenblat, Ido ^{[1
,2
]}

Bin, Eli ^{[1
,2
]}

Shapira, Stav ^{[3
]}

机构：

[1] Ben Gurion Univ Negev, Fac Hlth Sci, Recanati Sch Community Hlth Profess, Dept Emergency Med, Beer Sheva, Israel

[2] Magen David Adom MDA, Tel Aviv, Israel

[3] Ben Gurion Univ Negev, Fac Hlth Sci, Sch Publ Hlth, Beer Sheva, Israel

来源：

INTERNATIONAL JOURNAL OF PUBLIC HEALTH | 2024年 / 69卷

关键词：

emergency medical response; pre-hospital care; mass casualty event (MCE); terrorist attack; healthcare resilience;

D O I：

10.3389/ijph.2024.1606907

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

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.

引用

页数：5