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Table of Contents A One 04 Small-Town Dreams In Sderot, the rockets have been coming for years genda We care about care, and how to do it better This supplement is the result of a trip funded in part by the Israeli government, which earlier this year invited a delegation of American emergency professionals, including a reporter from EMS World Magazine, to come and examine its capabilities for dealing with mass-casualty events and nonconventional threats, and to share their wisdom in those areas as well. The confl icts of the Middle East are long and dogged and beyond EMS World to solve. We take no position on the Israeli/Palestinian divide or anyone’s right to any land. We condemn the initiation of violence and support fast and robust emergency care for all. We bring this content to you because of Israel’s undeniable experience and expertise in matters of mass-casualty response. We in the U.S. know a thing or two too, but we all benefi t from the exchange of ideas. Like its policies or not, Israel has some tested ones. Perhaps some could apply to your system. If you care about emergency care and your healthcare system’s ability to respond to large and uncommon events, read on. —John Erich, Associate Editor Cover photos: John Erich Photos at right: John Erich (top and bottom), Reuters/Eliana Aponte (middle) 12 PUBLISHER Scott Cravens EDITORIAL DIRECTOR Nancy Perry 4 05 Us Against the World The mind-set behind the Israeli emergency care system 07 National Merit How having a single healthcare system facilitates emergency preparedness 09 Speed Saves For Magen David Adom, there’s good reason to expedite scenes 7 12 Hospital Underground A top trauma center learns the lessons of war—and finds a novel way to protect patients 15 Emotional Rescue When the trauma happens every day, its toll isn’t just physical 16 Souvenirs From My Trip What can American emergency systems take from the Israeli experience? SUPPLEMENT EDITOR John Erich Foreign Exchange is an editorial supplement published by EMS World Magazine and Cygnus Business Media, 1233 Janesville Ave., Fort Atkinson, WI 53538, 800/547-7377, EMSWorld.com. © Copyright 2011. All rights reserved. No part of this publication may be reproduced in any form or by any means without written permission from EMS World Magazine. E-mail editor@EMSWorld.com. EMS WORLD JULY 2011 3 ART DIRECTOR Carey Arneson