Emergency Medicine and Disaster Preparedness: The Israel Experience
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1 Emergency Medicine and Disaster Preparedness: The Israel Experience NANCY D. ZIONTS, CHIEF PROGRAM OFFICER JEWISH HEALTHCARE FOUNDATION CREDIT TO: ADAM Z. TOBIAS, MD, MPH UNIVERSITY OF PITTSBURGH DEPARTMENT OF EMERGENCY MEDICINE
2 History of the Jewish Healthcare Foundation (JHF) The Foundation was established following the sale of Montefiore Hospital to Presbyterian Hospital (the forerunner to UPMC Health System) Functions as a Public Charity (formerly a Private Foundation)
3 A Think, Do, Train and Give Tank A public charity with two supporting organizations Pittsburgh Regional Health Initiative (PRHI) Health Careers Futures (HCF)
4 JHF History with EMS JHF asked to staff community wide post 9/11 disaster preparedness task force Approached by Paul Paris in 2004 to investigate and help document safety in prehospital care Participated in regional wide avian flu planning Participated in region wide disaster planning EMS Champions Initiative
5 In 2010, two opportunities came together ISRAEL EXPERIENCE AND EMS CHAMPIONS INITIATIVE
6 PPC Empowering Champions Emergency Medical Personnel
7 Our Most Recent Champions Program: EMS Emergency and Disaster Preparedness Mission to Israel November in conjunction with American Physicians Fellowship, November 2010 EMS Champions Identifying and Supporting Pre-hospital Excellence Grant approved in April, 2010 RFP issued in June, 2010 Champions selected in October, 2010 Includes a Partnership with American Heart Association Mission Lifeline
8 Our Champions and Their Projects 19 professionals in emergency services from throughout the EMSI 10-county region Frontline staff to executive directors Categories of projects: Safety, clinical, non-transport, integration of care, and operations Checklists, standardized protocols, clinical improvements
9 The EMS Support Team External Staff Medical Advisor: Paul Paris, MD Master Coach: Maria Guyette, MD Coaches/Fellows: Daniel Patterson, Dan Swayze, Adam Tobias, MD Internal Staff Michelle Anderson, Maureen Saxon-Gioia, Nancy Zionts
10 The Fellowship Plan Quarterly meetings January-February: PPC training online via Tomorrow s Healthcare Portal January-March: Initial PPC coaching to set-up QI projects February-November: Fellows conduct QI projects and attend quarterly meetings/webinars December 2011/January 2012: Final reports and meeting
11 Israel Emergency Medicine and Disaster Preparedness: A Case Study
12 Background Emergency and Disaster Preparedness Course, Israel, November 2010 Organized by American Physicians Fellowship for Medicine in Israel and Israeli Ministry of Health Pittsburgh Delegation participation Sponsored by JHF
13 Dr. Tobias Champion Project Goals Provide an assessment of the Emergency Medical Services (EMS) and Disaster Preparedness systems in Israel Provide recommendations for improving US disaster healthcare based on lessons learned from Israel
14 Methods Literature review Discussion with Israeli and American EMS and Disaster Preparedness Officials Information obtained during Disaster Preparedness Course in Israel Focus on Israeli: Background EMS system Hospital-based preparedness Training systems for disasters
15 Israel s Past and Present Realities Called for Unique Strategies
16 Israel and Disaster Preparedness Extensive experience with disasters Suicide bombings in metropolitan areas Military conflicts 33-day war in Lebanon in July 2006 Gaza Strip war 3 weeks in winter Rockets launched into civilian areas
17 LESSONS LEARNED
18 EMS: Ambulance Service in Israel Professional: Magen David Adom Unified (3rd-Service) system - covers entire country Allows for flexibility in ambulance dispatch Full member of International Red Cross 1545 employees + 11,435 volunteers 545 EMT s, 435 Paramedics 1 National Operations Center 170 ALS units, 588 BLS/ILS units Scoop and Run philosophy No field decontamination Close coordination with military
19 And Volunteer Supported
20 Take-Home Messages EMS Early scene evacuation No field decontamination Network of ALS volunteers
21 Hospitals: Standardized Processes and Supplies
22 Take-Home Messages Hospitals: Mass Casualty Elimination of yellow triage category One-way traffic through Emergency Department Hospitals: Non Mass Casualty Standardized report
23 Training
24 Take-Home Messages Training Increased emphasis on drills, simulation
25 Unique Contingency Planning
26 Preparedness = Investments in Resources THAT YOU HOPE YOU WILL NEVER NEED OR USE!
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