Maximizing volunteers in emergency medical services: The experience of Israel’s Magen David Adom
DOI:
https://doi.org/10.5055/ajdm.0495Keywords:
emergency, coronavirus disease 2019, volunteersAbstract
Emergency medical services (EMS) throughout the world utilize volunteers. Magen David Adom (MDA), Israel’s EMS organization and an official member of the International Federation of Red Cross and Red Crescent Societies, has incorporated these volunteer roles on a national level and significantly expanded upon them for pandemic and disaster response. In addition to traditional ambulance-based volunteers, MDA utilizes automobile-based on-call volunteers, motorcycle on-call volunteers, international volunteers, youth volunteers, and volunteers during the coronavirus disease 2019 pandemic. They are also integrated into the national disaster response team. As a national organization, MDA is responsible for coordinating EMS members throughout Israel, which allows for the successful integration of the various types of volunteers into its emergency response. This model can be integrated into EMS systems throughout the world during routine times as well as for multicausality incidents, pandemics, and disasters.
References
Cash RE, Rivard MK, Chrzan K, et al.: Comparison of volunteer and paid EMS professionals in the United States. Prehosp Emerg Care. 2021; 25(2): 205-212. DOI: 10.1080/10903127.2020.1752867. DOI: https://doi.org/10.1080/10903127.2020.1752867
Ramsden S, Cresswell R: First aid and voluntarism in England. Century Br Hist. 2019; 20: 1945-1985. DOI: 10.1093/tcbh/hwy043. DOI: https://doi.org/10.1093/tcbh/hwy043
Limb M: St John ambulance volunteers prepare to boost capacity in ambulance trusts. Br Med J. 2021; 375: N2974. DOI: 10.1136/bmj.n2974. DOI: https://doi.org/10.1136/bmj.n2974
O’Meara P, Duthie S: Paramedicine in Australia and New Zealand: A comparative overview. Aust J Rural Health. 2018; 26(5): 363-368. DOI: 10.1111/ajr.12464. DOI: https://doi.org/10.1111/ajr.12464
Cunningham C, Rosenberg M, Kahle J: The activities and impacts of a community-based volunteer ambulance service in Cape Town, South Africa. Afr J Emerg Med. 2022; 12(3): 236-241. DOI: 10.1016/j.afjem.2022.04.003. DOI: https://doi.org/10.1016/j.afjem.2022.04.003
Báez AA, Lane P: Emergency medical services workforce in the city of Santo Domingo. Prehosp Emerg Care. 2002; 6(3): 336-339. DOI: 10.1080/10903120290938427. DOI: https://doi.org/10.1080/10903120290938427
El Sayed MJ, Bayram JD: Prehospital emergency medical services in Lebanon: Overview and prospects. Prehosp Disaster Med. 2013; 28(2): 163-165. DOI: 10.1017/S1049023X12001732. DOI: https://doi.org/10.1017/S1049023X12001732
Blackwood J, Mancera M, Bavery S, et al.: Improving response to out-of-hospital cardiac arrest: The verified responder program pilot. Resuscitation. 2020; 154: 1-6. DOI: 10.1016/j.resuscitation.2020.06.015. DOI: https://doi.org/10.1016/j.resuscitation.2020.06.015
Smida T, Salerno J, Weiss L, et al.: PulsePoint dispatch associated patient characteristics and prehospital outcomes in a mid-sized metropolitan area. Resuscitation. 2022; 170: 36-43. DOI: 10.1016/j.resuscitation.2021.11.007. DOI: https://doi.org/10.1016/j.resuscitation.2021.11.007
Schmitz S, Radcliff T, Chu K, et al.: Veterans health administration’s disaster emergency medical personnel system (DEMPS) training evaluation: Potential implications for disaster health care volunteers. Disaster Med Public Health Prep. 2018; 12(6): 744-751. DOI: 10.1017/dmp.2018.6. DOI: https://doi.org/10.1017/dmp.2018.6
Smith CM, Griffiths F, Fothergill RT, et al.: Identifying and overcoming barriers to automated external defibrillator use by GoodSAM volunteer first responders in out-of-hospital cardiac arrest using the theoretical domains framework and behavior change wheel: A qualitative study. BMJ Open. 2020; 10(3): E034908. DOI: 10.1136/bmjopen-2019-034908. DOI: https://doi.org/10.1136/bmjopen-2019-034908
Smith CM, Wilson MH, Ghorbangholi A, et al.: The use of trained volunteers in the response to out-of-hospital cardiac arrest—The GoodSAM experience. Resuscitation. 2017; 121: 123-126. DOI: 10.1016/j.resuscitation.2017.10.020. DOI: https://doi.org/10.1016/j.resuscitation.2017.10.020
Stroop R, Kerner T, Strickmann B, et al.: Mobile phone-based alerting of CPR-trained volunteers simultaneously with the ambulance can reduce the resuscitation-free interval and improve outcome after out-of-hospital cardiac arrest: A German, population-based cohort study. Resuscitation. 2020; 147: 57-64. DOI: 10.1016/j.resuscitation.2019.12.012. DOI: https://doi.org/10.1016/j.resuscitation.2019.12.012
Barry T, Headon M, Quinn M, et al.: General practice and cardiac arrest community first response in Ireland. Resusc Plus. 2021; 6: 100127. DOI: 10.1016/j.resplu.2021.100127. DOI: https://doi.org/10.1016/j.resplu.2021.100127
Caputo ML, Muschietti S, Burkart R, et al.: Lay persons alerted by mobile application system initiate earlier cardio-pulmonary resuscitation: A comparison with SMS-based system notification. Resuscitation. 2017; 114: 73-78. DOI: 10.1016/j.resuscitation.2017.03.003. DOI: https://doi.org/10.1016/j.resuscitation.2017.03.003
Tamminen JI, Hoppu SE, Kämäräinen AJJ: Professional firefighter and trained volunteer first-responding units in emergency medical service. Acta Anaesthesiol Scand. 2019; 63(1): 111-116. DOI: 10.1111/aas.13224. DOI: https://doi.org/10.1111/aas.13224
Jellestad AL, Folke F, Molin R, et al.: Collaboration between emergency physicians and citizen responders in out-of-hospital cardiac arrest resuscitation. Scand J Trauma Resusc Emerg Med. 2021; 29(1): 110. DOI: 10.1186/s13049-021-00927-w. DOI: https://doi.org/10.1186/s13049-021-00927-w
Sarkisian L, Mickley H, Schakow H, et al.: Global positioning system alerted volunteer first responders arrive before emergency medical services in more than four out of five emergency calls. Resuscitation. 2020; 152: 170-176. DOI: 10.1016/j.resuscitation.2019.12.010. DOI: https://doi.org/10.1016/j.resuscitation.2019.12.010
Ellis DY, Sorene E: Magen David Adom—The EMS in Israel. Resuscitation. 2008; 76(1): 5-10. DOI: 10.1016/j.resuscitation.2007.07.014. DOI: https://doi.org/10.1016/j.resuscitation.2007.07.014
Alpert EA, Lipsky AM, Elie ND, et al.: The contribution of oncall, volunteer first responders to mass-casualty terrorist attacks in Israel. Am J Disaster Med. 2015; 10(1): 35-39. DOI: 10.5055/ajdm.2015.0186. DOI: https://doi.org/10.5055/ajdm.2015.0186
Yafe E, Walker BB, Amram O, et al.: Volunteer first responders for optimizing management of mass casualty incidents. Disaster Med Public Health Prep. 2019; 13(2): 287-294. DOI: 10.1017/dmp.2018.56. DOI: https://doi.org/10.1017/dmp.2018.56
Dadon Z, Alpert EA, Jaffe E: Utilizing advanced telecommunication strategies to enhance the response of emergency medical services volunteers. Disaster Med Public Health Prep. 2021; 15(1): 86-91. DOI: 10.1017/dmp.2019.126. DOI: https://doi.org/10.1017/dmp.2019.126
Dadon Z, Alpert EA, Jaffe E: Enhancing early response to out-of-hospital cardiac arrest. Am J Emerg Med. 2020; 38(1): 155. DOI: 10.1016/j.ajem.2019.05.055. DOI: https://doi.org/10.1016/j.ajem.2019.05.055
Khalemsky M, Schwartz DG, Herbst R, et al.: Motivation of emergency medical services volunteers: A study of organized good Samaritans. Isr J Health Policy Res. 2020; 9(1): 11. DOI: 10.1186/s13584-020-00370-9. DOI: https://doi.org/10.1186/s13584-020-00370-9
Jaffe E, Dadon Z, Alpert EA: Wisdom of the crowd in saving lives: The life guardians app. Prehosp Disaster Med. 2018; 33(5): 550-552. DOI: 10.1017/S1049023X18000754. DOI: https://doi.org/10.1017/S1049023X18000754
Roditi E, Bodas M, Jaffe E, et al.: Impact of stressful events on motivations, self-efficacy, and development of post-traumatic symptoms among youth volunteers in emergency medical services. Int J Environ Res Public Health. 2019; 16(9): 1613. DOI: 10.3390/ijerph16091613. DOI: https://doi.org/10.3390/ijerph16091613
Kim E: Drawing on Israel’s experience organizing volunteers to operationalize drive-through coronavirus testing centers. Disaster Med Public Health Prep. 2020; 14(6): 812-814. DOI: 10.1017/dmp.2020.104. DOI: https://doi.org/10.1017/dmp.2020.104
Sonkin R, Alpert EA, Katz DE, et al.: Maximizing the role of emergency medical services in COVID-19 response. Disaster Med Public Health Prep. 2023; 17: e87. DOI: 10.1017/dmp.2021.359. DOI: https://doi.org/10.1017/dmp.2021.359
Alpert EA, Lipsky AM, Abramovich I, et al.: Mobilizing emergency medical services for mass COVID-19 vaccine administration: The Israeli experience. Am J Emerg Med. 2022; 56: 338-340. DOI: 10.1016/j.ajem.2021.09.016. DOI: https://doi.org/10.1016/j.ajem.2021.09.016
Alpert EA, Herbst R, Abramovich I, et al.: Mass COVID-19 vaccination of residents in geriatric facilities by emergency medical services: The Israeli experience. Lancet Healthy Longev. 2021; 2(4): e189-e190. DOI: 10.1016/S2666-7568(21)00058-1. DOI: https://doi.org/10.1016/S2666-7568(21)00058-1
Jaffe E, Sonkin R, Alpert EA, et al.: Flattening the COVID-19 curve: The unique role of emergency medical services in containing a global pandemic. Isr Med Assoc J. 2020; 22(8): 476-482.
Chabin M: Israel-Hamas war shakes scientific community. Science. 2023; 382(6669): 362-362. DOI: 10.1126/science.adl5526. DOI: https://doi.org/10.1126/science.adl5526
Horton R: Offline: Israel-Gaza—What comes next? Lancet. 2023; 402(10412): 1511. DOI: 10.1016/S0140-6736(23)02398-X. DOI: https://doi.org/10.1016/S0140-6736(23)02398-X
Paluch-Shimon S, Popovtzer A, Leibowitz R: An urgent call for the immediate release of Israeli hostages. Lancet. 2023; 402(10412): 1521. DOI: 10.1016/S0140-6736(23)02288-2. DOI: https://doi.org/10.1016/S0140-6736(23)02288-2
Sharififar S, Khoshvaghti A, Jahangiri K: Management challenges of informal volunteers: The case of Kermanshah earthquake in Iran (2017). Disaster Med Public Health Prep. 2021; 15(1): 7-14. DOI: 10.1017/dmp.2019.122. DOI: https://doi.org/10.1017/dmp.2019.122
Peleg K, Reuveni H, Stein M: Earthquake disasters—Lessons to be learned. Isr Med Assoc J. 2002; 4(5): 361-365.
Jaffe E, Skornik Y, Offenbacher J, et al.: The role of emergency medical services in earthquake response: Integrating the ABC approach of Israel’s Magen David Adom. Disaster Med Public Health Prep. 2021; 15(6): 770-776. DOI: 10.1017/dmp.2020.124. DOI: https://doi.org/10.1017/dmp.2020.124
Chan T, Braitberg G, Elbaum D, et al.: Hatzolah emergency medical responder service: To save a life. Med J Aust. 2007; 186(12): 639-642. DOI: 10.5694/j.1326-5377.2007.tb01083.x. DOI: https://doi.org/10.5694/j.1326-5377.2007.tb01083.x
ZAKA: ZAKA in Israel [internet]. ZAKA World. Available at https://zakaworld.org/zaka-in-israel/. Accessed July 31, 2023.
United Hatzalah: Available at https://israelrescue.org/. Accessed July 31, 2023.
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