Erez Baruch, Avi Benov, Ram Sagi, Alon Glazberg, Roi Nadler, Sami Gandler, David Dagan, Tariff Bader, Itai Zoarz, Avi Shina, Gilad Twig, Avraham Yitzhak
In the "Strong Cliff" war campaign that took place around the Gaza Strip in the summer of 2014, the IDF operated on three fronts: air, sea and land. Our forces were exposed to enemy fire, both in and around the Gaza Strip. Arteries for each fighter until the placement of a senior therapist in each cross-fence company.This article will present an analysis of the types of injuries encountered by medical personnel and the treatment provided in the field.
Magen Eli Yaffe, Magen Rafi Strogo, Rav Magen Eli Bin
During the months of July-August 2014, the Magen David Adom organization, the national rescue organization in Israel, faced the challenge of responding to the firing of thousands of missiles at civilian population concentrations in Israel from the Gaza Strip.
MDA teams treated 842 casualties, most of them minor and anxiety victims.
The organization's concept of operation was based on past experience in the Second Lebanon War, in Operations Cast Lead and Pillar of Cloud, in which most of the scenarios also stemmed from missile fire on civilians in parts of the State of Israel. But three elements essentially distinguish the last campaign, "Strong Cliff", from its predecessors: the duration of the war round, the range of the missiles and the frequency of firing. These three affected the organization's activities in real time. This article will review your perception
The preparation and response of the organization of pre-hospital emergency medicine to the firing of missiles on the population
Civil during a war and described the response to the challenges faced by the organization.
Erez Carmon, Idan Nakdimon, Michal Zilberberg, Mazal Katzir, Aviad Bar, Yehuda Tzadik
During the fighting at Tzuk Eitan, the Air Force's medical system had two main roles:
Maintaining the routine functioning of the Air Force bases and the missile array, as well as air medical evacuation of the casualties. This article describes the preparation, preparations and training prior to going into battle and the medical assistance provided around the fighting. The air evacuation data will also be presented in the article, according to which the Heaths evacuation unit evacuated more than 90% of the urgent wounded and played an important part in preventing the IDF wounded's preventable deaths. This campaign was characterized by high availability of evacuation helicopters, and integration with the Southern Command. The ground forces, the Home Front Command and the Air Force operational elements made optimal use of this availability, so even in the event of multiple casualties at Tzuk Eitan, the evacuation helicopters were not a limiting factor, the wounded did not have to wait on the ground, and the hospitals did not reach failure.
Nirit Yavnai, Eyal Saba, Tariff Bader
Rescue of casualties from a tangled surface and an underground mediator is a complex process that requires learning basic methods in a variety of measures to maintain the safety of the casualties and prevent aggravation of their medical condition.
To date, no concentrated and systematic information has been collected on the use of these measures in terms of operation and safety. The purpose of this work is to compare methods for extracting casualties from these contours to recommend the most appropriate method for each contour.
Orly Weinstein,
Gilbert Sabag,
Ilan Shelef,
Victor Ginzburg,
George Greenberg,
Mutti Klein,
Gad Shaked,
Ehud Dodson,
During "Eitan Cliff", many wounded, most of them soldiers, were evacuated to Soroka Medical Center. The typical injuries in these soldiers were in the limbs, head, neck and eyes, as opposed to relative preservation of the torso area.
Many limb injuries were accompanied by complex skeletal injuries, vascular injuries and neurological damage.
The purpose of this article is to present the experience of Soroka University Medical Center in the treatment of tool injuries
Blood complexity, as part of the fighting in the "Tzuk Eitan".
Ram Sagi,
Boaz Avrahami,
Noa Berzin-Cohen,
Dror Toito,
Oleg Liebschitz,
Shiraz Mazal-Yona,
Gennady Mainchloss,
Arik Popovsky,
Kfir Almog
The fighting at Tzuk Eitan, which began in July 2014 and lasted 51 days, is not the IDF's first round in the Gaza Strip, and probably not the last either. The two major operations that preceded it were "Pillar of Cloud" at the end of 2012, At the end of 2008 and ended at the beginning of 2009.
Operation Cast Lead, similar to "Strong Cliff", included ground maneuvering for the Gaza Strip.
The challenges faced by the medical system in the Southern Command at Tzuk Eitan were many and especially complex, and stemmed mainly from the characteristics of the fighting, the scope of the participating forces and the scope of the casualties.
The prolonged preparation of the medical system in the Southern Command for a large-scale campaign in the Gaza Strip, while assimilating lessons from previous operations, were key factors in the confrontation and contributed greatly to the readiness of the forces.
In this article, we will review the ways in which the medical system is preparing for a large-scale operation in the Gaza Strip, as well as the main lessons from operating the system at Tzuk Eitan.
Eyal Foreman,
Aviv Ohana,
Tali Hemo,
Meirav Shavei-Sultan,
Efrat Maman
The Home Front Command trains and is prepared to deal with a variety of conventional and unconventional threats.
The main preparation is for a missile attack on the home front, due to the danger it poses to the civilian population - whether due to the ranges and accuracy or due to non-deployment of all buildings, population density and unpreparedness in areas that have not been threatened, especially in the center.
The days of fighting during the "solid cliff" confronted the Israeli home front with a missile attack and attempts to carry out attacks for more than 50 days, during which the command was conducted for a spatial response in the threat areas, which focused on the Gaza Envelope. Given the scale of the threats, it is apparent that the combined success of active defense, proper defensive guidelines, national resilience and adequate medical response have greatly contributed to a relative minority of casualties and the prevention of deterioration in the civilian home front.
Chen Goren,
Leah Shellef
The Debriefing Method has been known for many years as an intervention method designed to reduce post-traumatic stress disorder and prevent the development of post-traumatic stress disorder.
(PTSD) after stressful events. This is a diverse intervention model, but contains a common applied core:
(1) the actual intervention is in close proximity to the event and in the organizational context that occurred; (2) it is done in groups of individuals who experienced the event; (3) a cognitive component of factual repetition is applied as far as possible to the details of the occurrence; (4) there is an emotional component of sharing; (5) The pursuit is to shape existing perceptions.
Common to the applied core principles is the attempt to process the event and its meanings, to enable emotional regulation, and sometimes even to increase group cohesion as a tool for personal empowerment. However, studies in the field make it difficult to present an unequivocal picture regarding the clinical efficacy of the intervention.
The purpose of the article is to present the controversy regarding the effectiveness of using Debriefing.
Racheli Mizen,
Aviya Nissan,
Tariff Bader
With the entry of IDF ground forces into the Gaza Strip as part of the "Strong Cliff" and in view of the poor health resources for the residents of the Gaza Strip due to the fighting, Israel rallied to assist the wounded and Palestinian patients, in a gesture of goodwill. And providing humanitarian assistance to the needy among the residents of the Gaza Strip.
Eighteen medical staff and specialist doctors were recruited for the mission, manning the hospital during the battle days. Logistically and professionally it was possible to expand the hospital if necessary. Hamas, which routinely bombed the hospital set up by the medical corps, actually determined the relatively limited scope of the mission. hospital
Reflected the IDF Code of Ethics, and the message that Israel is not fighting Gaza residents, but terrorist organizations that exploit civilian facilities intended for the Gaza population, such as hospitals and schools, to disguise terrorist activities and use the population as human shields.
A total of several dozen patients were treated at the hospital, most of whom underwent triage on their way to further treatment in Israel or Jordan and the rest were treated there.