Israel 17,
April 6, 2025,
Hi Everyone,
Today was my first day with MDA, Magan David Adom, Israeli civic ambulance service. We do not go to a war zone. Military ambulances take care of war casualties. I was posted at the MDA base in Raman Gan about 30 minutes from Tel Aviv. I was not posted there last year. I was introduced to my 3 paramedics. One was an experienced driver, 1 girl was 19 years old and in training and 1 was 28 years old and has done ambulance service with the army. I was up at 5:30 and had a quick breakfast as the hotel had generous supplied me with a breakfast and lunch to go. With Waze I had no trouble getting to the ambulance base. I have to be at the base at 6:30 to check the medications on the ambulance. They let me check all the medications and although every was written in Hebrew, I was able to make out ok.
Our 1st call was rather simple. A 16 year old girl with tachycardia probably due to stress. We went through the usual routine of a history and physical exam. The patient was not in acute distress. We brought her to the hospital for monitoring and further treatment if necessary.
The 2nd patient was an 84 year old lady with COPD, asthma and diabetes. She was on oxygen chronically. We took a history and physical, started an IV, EKG, blood sugar, temperature, blood pressure, blood oxygen level, pulse, resperation. Her temp was 39 C so she probably had a pneumonia with an exacerbation of asthma and COPD. She was wheezing. We gave her Oxygen, placed her on an ambulance chair and carried her down 3 flights of stairs to our ambulance and brought her to the hospital.
The 3rd patient was a 45 year old patient, overweight who had fallen down the stairs. She was sitting, leaning against the wall in severe pain. She had an open fracture of the lower tibia and fibula, bleeding with her left angulated at 70 degrees.
We started an IV and gave her fentanyl for the pain. She calmed down in a few minutes. We were then able to straighten out the leg and splint the fractured leg to the good leg. We covered the fracture with a bandage. We lifted her onto a sling and then placed her onto a stretcher. Present was a BLS ambulance (basic life support) with 3 paramedics and a ACLS ambulance (advanced cardiac life support) with 3 paramedics and me. It took 6 of us to carry her down 3 flights of a narrow staircase to get her into our ambulance. Then, with sirens blazing, we rushed her to the hospital. The treatment on arrival at the hospital was instantaneous.
I have nothing but good words and praise for the paramedics. They are calm and very kind to the patient and family. They are extremely well trained. They follow protocols which make them efficient and effective. No one ever gets excited. They always know exactly what to do to help the patient. Israel is very well served by the paramedics of MDA.
The 2nd patient was accompanied by her daughter who rode in the ambulance with us. She comes from New Jersey and is in Israel for 3 months to visit with her mother who was the patient. She bought her husband with her to Israel. He was in a wheelchair as he had a traumatic brain injury 12 years ago when, as a pedestrian, was hit by a car. He had 7 brain operations and has obvious deficits. I don’t know how she has the courage to face the day when she wakes up in the morning.
After my cases, I bought a pair of Nike running shoes to replace the shoes that I destroyed on the IDF base. MDA requires closed shoes so my sandals were not acceptable. Great, I needed a new pair of running shoes anyway. My old pair at home are 10 years old. Boy, have running shoes changed in 10 years. These new shoes bounce when I run. Maybe it will help me win more triathlon races. I can’t wait to try them out when I run this week.
Love,
Brian
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