6 / Changing Israel’s Healthcare Landscape When patients present in a state of shock, healthcare providers know the cause is circulatory failure. What they don’t know is whether that failure stems from excessive bleeding, anaphylaxis, a pulmonary embolism, or a heart attack. Yet while identifying the cause and rapidly intervening is the key to decreasing mortality, one of the best means of obtaining a fast and accurate diagnosis—an ultrasound—is something most physicians are not trained to do. Dr. Lior Fuchs and Prof. Sergio Koval of BGU’s Joyce and Irving Goldman School of Medicine knew this, and decided to integrate training in point-ofcare ultrasound (POCUS) into the medical school's curriculum. Now, through simulations on advanced READY FOR THE REAL THING When a cycling accident near his home in the Jerusalem hills left him with a broken hip, BGU Vice President Jeff Kaye learned firsthand the value of a skilled paramedic. Fortunately, the one who arrived at the scene was about to complete her emergency-medicine degree—at BGU. “From the minute Stav Tsioni was at my side, chaos gave way to calm and control,” recalls Kaye. “She administered pain medication and managed my handover to the hospital perfectly. It’s a testament to her competence that what I remember most from the accident is being in expert hands.” For Tsioni, her ability to respond so effectively is testament to the hours she spent practicing, both on calls and in simulation scenarios. manikins, all fourth-year BGU medical students are trained in POCUS procedures. And thanks to Dr. Oren Wacht, head of BGU’s Department of Emergency Medicine, POCUS-simulation training has been extended to paramedic students, making BGU one of just a few places in the world to train first responders in the use of this diagnostic tool. “By pioneering POCUS training for paramedics, BGU is carrying on the legacy of Dr. Nancy Caroline,” says Wacht, referring to the American-born founding medical director of Magen David Adom and author of the world’s first primer on pre-hospital care. “Dr. Caroline believed that first responders could do more than just respond— they could initiate treatment that saves lives. Our goal at the MSCB is to train them to do just that.” “They say that nothing can prepare you for the real thing, but they’re wrong,”Tsioni says. “Simulations not only helped me to master certain procedures, but also built up my confidence. In high-stress situations such as triage in the field, you’re grateful for every minute spent with high-fidelty manikins.” BECAUSE POINT-OF-CARE IS EVERYWHERE: AN EMERGENCY-MEDICINE EMPHASIS