Elana Sztokman
1 בפבר׳ 2024
For war-related rehab, leading Israeli hospital uses innovative simulation system and unique tools
Even before the smoke began to clear from Hamas’s deadly Oct. 7 attack, Israeli healthcare professionals realized they were facing a series of unprecedented challenges.
Not only would wounded civilians and soldiers require treatment, but the entire nation was traumatized, including caregivers.
“By the afternoon of October 7, we knew this was a huge event that nobody had ever encountered in Israel,” said Prof. Amitai Ziv, a former combat pilot and director of the Integrated Rehabilitation Hospital at Sheba Medical Center near Tel Aviv. “We immediately realized we will have two major challenges, each one a tsunami. One is the number of patients that require rehabilitation, and two, the largest numbers ever of people suffering from acute stress disorder, which might lead to PTSD — post-traumatic stress disorder.”
Ziv, a physician, is also the founder and director of MSR – the Israel National Center for Medical Simulation at Sheba. The center enables healthcare providers like doctors and nurses to practice challenging clinical procedures and encounters in a simulated environment using tools such as robotics, surgical simulators and even role-playing actors so that real patients are not put in any danger. Since its establishment, over 300,000 healthcare professionals have been trained and certified by MSR.
In the days immediately following Oct 7, MSR switched to focus on new wartime needs. The center transported high-tech, full-body mannequin simulators to train army medical teams serving in both major conflict zones — in the Gaza area and along Israel’s northern border with Lebanon — to improve their trauma management skills and prepare them for the lifesaving scenarios they were about to encounter in the battlefield. The center also used actors for “high-touch” simulations of interactions with people experiencing trauma to help prepare psychosocial teams to manage stress-related issues.
The hostage issue presented the most difficult challenge.