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Hatzalah

Hatzolah ambulance in Crown Heights, Brooklyn, New York City

Hatzolah/Hatzalah ("rescue" or "relief" in Jewish communities around the world. Most local branches operate independently of each other, but use the common name. The Hebrew spelling of the name is always the same, but there are many variations in transliteration, such as Hatzolah, Hatzoloh, Hatzalah, and Hatzola.[1] It is also often called Chevra Hatzolah, which loosely translates as "Company of Rescuers" or "Group of Rescuers."

Contents

  • History 1
  • Operations 2
    • Response times 2.1
    • Organization 2.2
  • Legal status 3
  • Community involvement 4
  • Specialization of Hatzolah EMS 5
    • Direct response 5.1
    • Cultural sensitivities and discrimination 5.2
    • Cost 5.3
    • Patient advocacy 5.4
  • Interaction with other agencies 6
  • September 11, 2001 7
  • Chapters 8
  • See also 9
  • References 10
  • External links 11

History

The original Hatzolah EMS was founded in Williamsburg, Brooklyn, New York, USA by Rabbi Hershel Weber in the late 1960s,[2] to improve rapid emergency medical response in the community, and to mitigate cultural concerns of a Yiddish-speaking, religious Hasidic community. The idea spread to other Orthodox Jewish neighborhoods in the New York City area, and eventually to other regions, countries, and continents. Hatzalah is believed to be the largest volunteer ambulance service in the United States.[3][4] Chevra Hatzalah in New York has more than a thousand volunteer EMTs and Paramedics who answer more than 70,000 calls each year with private vehicles and a fleet of more than 90 ambulances.[5]

Hatzolah organizations now function in Israel, Argentina, Australia, South Africa, Mexico City, Panama,[6] Belgium, Switzerland, several provinces of Canada, Russia[7] the United Kingdom,[8] and at least five states in the US.

In Israel, the largest Hatzalah organization is called Ichud Hatzalah (Hebrew: איחוד הצלה‎), Hebrew for, "United Hatzalah." Ichud was founded in the aftermath of Israel's Second Lebanon War in 2006 when its founders decided they would like to improve unified central rescue response.

Operations

Hatzolah uses a fly-car system, where members are assigned ad-hoc to respond to the emergency. The dispatcher requests any units for a particular emergency location. Members who think they will have best response times respond via handheld radios, and the dispatcher confirms the appropriate members. Two members will typically respond directly to the call in their private vehicles. A third member retrieves an ambulance from a base location.[9]

Each directly dispatched Hatzolah volunteer has a full medical technician "jump kit," in their car, with oxygen, trauma, and appropriate pharmaceutical supplies. Paramedic (EMT-P) members carry more extensive equipment and supplies, including EKG, IV, injection, intubation, and more pharmaceuticals. Each volunteer is called a Unit (as in, a crew of one), and is assigned a unit number that starts with a neighborhood code, followed by a serial number for that neighborhood (e.g., "F-100" means "Flatbush unit number 100"[10]). Ambulances also have unit numbers in the same format, with the first few numbers for each neighborhood reserved for the ambulance numbers.[9] Some neighborhoods have begun to assign 3-digit unit numbers to their ambulances, using numbers out of the range assigned to human member units (e.g. 900-numbers).

In some areas there may be periods where coverage is not strong enough, for example on a summer weekend. When this happens, coordinators may assign an on-call rotation. The rotation may still respond from their houses, or they may stay at the garage through their shift. In such periods, Hatzoloh functions closer to a typical EMS crew setup, though the dispatchers may still seek non-on-call members to respond, and there will still often be a non-ambulance responder as first dispatched, even if that responder starts from the base.[10]

Response times

Hatzolah's model provides for speedy first responder response times. Each Hatzolah neighborhood's response time varies. For example, in Borough Park, Brooklyn daytime response times are under 4 minutes and nighttime response times are 7–8 minutes. [11] In the Beverly-La Brea neighborhood of Los Angeles response times average at sixty to ninety seconds.[12]

Organization

Hatzolah is not a single organization. Each chapter operates autonomously, or in some cases, with varying levels of affiliation with neighboring Hatzolah chapters.[1][13]

In New York City's Hatzolah, there is a very simple operational hierarchy. Usually, there are two or three members who are "coordinators,"[14] managing all operations aspects of the chapter.

As Orthodox Jews, many volunteers see each other daily during prayers, and especially on Shabbat. This allows them to remain organized despite the lack of an extensive formal hierarchy.

The coordinators are responsible for recruitment, interaction with municipal agency operations (police, fire, and EMS), first-line discipline, and day-to-day operations. The coordinators often are responsible, directly or via delegation, for arranging maintenance crews, who are often called service members or service units, and for purchasing supplies, ambulances, and other equipment. There is also an administrative function, often separate from the coordinator function. The chief administrator is often called a director or executive director, and this is sometimes a paid position. All other positions in Hatzoloh, including coordinators, are held by unpaid volunteers.

Most of the New York State branches have some centralized administration and dispatch functions, known as "Central Hatzalah," or simply, "Central." The neighborhood organizations under Central are nevertheless independent. Most Hatzolah organizations pattern themselves after the Williamsburg and Central models (see operational descriptions below).

Formally, the New York City-area "Central Hatzolah" is called Chevra Hatzalah of New York. It combines dispatch and some other functions for over a dozen neighborhood organizations, including[13] [25] Until now, Hatzolah has operated under this policy of discrimination, despite receiving public funding, such as the nearly half a million dollars in funding to overhaul the communication system at Hatzolah’s new command center in the Flatbush section of Brooklyn.[26]

Cost

In areas where the EMS charges a fee, lower income clientele lacking health insurance may have a reluctance to call for an ambulance unless the evidence of urgency is overwhelming. A volunteer service, with less overhead costs, tends to reduce that reluctance. Hatzolah will often handle "check-out" cases, without charge. In this way, the true emergencies among those check-outs may be recognized and treated quickly, where the caller might have otherwise not sought treatment.[27]

Patient advocacy

In contrast with most other EMS agencies, many Hatzolah volunteers will remain at the hospital with the patient long after bringing them to the emergency department. This is especially true during serious cases in order to help the patient and/or their families navigate the sometimes confusing series of events that occur during an emergency. Members will stay to explain, advocate and sometimes help make arrangements to bring in other specialists or arrange transfer to higher care facilities.

Interaction with other agencies

At times there have been difficulties in dealing with outside organizations, including other first-responders,[28] .[29]

In general, branches have excellent relations with state and local police and EMS.[30]

An example of those operating in uneven[31] or otherwise especially challenging situations[32] is Catskills Hatzolah, handling the swelling summer crowd.[33][34]

Israel's United Hatzalah has shared its expertise with a group of Arab volunteers from East Jerusalem to form an emergency first response unit called Nuran. The group since has been dismantled and the volunteers were incorporated in United Hatzalah.

United Hatzalah's relationship with

  • United Hatzalah, Israel
  • Hatzolah Darom, Israel
  • Hatzolah of Los Angeles
  • Hatzolah of Chicago
  • Hatzolah of Sydney, Australia
  • Chevra Hatzolah of Melbourne, Australia
  • Chevra Hatzolah of Mexico City
  • Hatzolah of Johannesburg, South Africa
  • Hatzolah of Zurich, Switzerland
  • Hatzolah of Antwerpn, Belgium

External links

  1. ^ a b c
  2. ^ a b
  3. ^ "Hatzalah is the only volunteer ambulance service licensed to serve the entire City of New York, and it is believed to be the largest volunteer ambulance service in the nation."
  4. ^ The
  5. ^ Boro Park Hatzolah Volunteer Ambulance
  6. ^
  7. ^
  8. ^
  9. ^ a b c
  10. ^ a b
  11. ^ a b
  12. ^
  13. ^ a b
  14. ^
  15. ^
  16. ^
  17. ^
  18. ^
  19. ^
  20. ^
  21. ^
  22. ^ A brief description of their Two-Tier system can be found at Chevra Hatzalah Volunteer Ambulance Corps, Inc.
  23. ^
  24. ^
  25. ^
  26. ^
  27. ^
  28. ^
  29. ^
  30. ^
  31. ^ e.g. seasonal
  32. ^ Israel's United Hatzalah, see below
  33. ^
  34. ^ In the Catskills: A Century of the Jewish Experience, ISBN 0-231123-612, p. 339
  35. ^
  36. ^
  37. ^ a b A number of Hatzoloh volunteers wearing "Flatbush Hatzoloh Paramedics" uniforms are featured in the documentary film 102 Minutes That Changed America.
  38. ^
  39. ^ FDNY Call 0727 MCI40P Aircraft Incident/ Crash PDJob#01225500590 Date 9/11/01
  40. ^
  41. ^ Image: One of the Hatzolah ambulances destroyed on 9-11 (JPG 650x425 77.0 KB), from Boro Park Hatzolah – Sept. 11 Album
  42. ^ The Hatzalah ambulance donated by NYS Assembly Speaker Sheldon Silver in memory of his parents protected early Hatzalah responders, but was subsequently destroyed by falling debris after they were evacuated. Sheldon Silver: My 9/11: A New York United – Thirteen
  43. ^ Image: Members cars piled up (JPG 420x243 35.8 KB) from Boro Park Hatzolah – Sept. 11 Album
  44. ^ NYC Regional branches can be found at Chevra Hatzalah Volunteer Ambulance Corps, Inc.

References

  • List of Hatzolah chapters
  • Shomrim and Shmira ( "custodian" or "guardian" ) citizen patrol organizations
  • Chaverim (literally, "Friends") roadside assistance squads
  • ZAKA Zihuy Korbanot Ason (literally: "Disaster Victim Identification")

See also

Chapters of the organization exist in Australia, Austria, Belgium, Canada, England, Israel, Mexico, Russia, South Africa, Switzerland, and in the United States. The chapters in each neighborhood or city operate independently though in many cases affiliations and levels of cooperation do exist between neighboring chapters.[1][44]

Chapters

Hatzalah was not dispatched by the city's 911 system, and a printout of the 911 job from FDNY EMS does not list them as responding units.[39] However, audio recordings exist of Hatzalah's own dispatch, including members calling for help include the collapse of the first tower.[40] There are also well-known photos of destroyed Hatzalah ambulances[41][42] and the destroyed cars of Hatzalah members, in the aftermath of the attack.[43]

Hatzalah members were among the first responders to the World Trade Center on September 11, 2001.[37] Alongside other rescue workers, Hatzalah volunteers rescued, treated, and transported countless victims of the terrorist attack.[37] In the process they earned great respect from their peers in the emergency service community.[38]

September 11, 2001

On February 20, 2013, the Federal Communications Commission granted Chevrah Hatzalah's request for a waiver to obtain calling party numbers (CPN) even when callers have caller ID blocking.[36] Calls to 911 are exempt from CPN blocking but calls to Chevrah Hatzalah do not go through 911. Other Hatzalah dispatch numbers, including other New York State Hatzalah groups, do not have this waiver, but some are working on it.

The Chevra NYC Central affiliates boast an excellent relationship with New York City and New York State agencies.[9]

[35] Hatzolah was the subject of controversy as articles in the

A Jew reluctant to violate Sabbath rules when receiving medical attention may be more at ease and easily convinced of the medical urgency, when the EMT or paramedic is a fellow Orthodox Jew. A female worried about physical modesty and contact is helped by knowing that a Jewish provider is aware of the details of her concerns, and will act to reduce the problem as much as possible.

Language, religion, and culture barriers create challenges for an emergency medical service. Hatzalah is built to consider these challenges, especially with regard to halacha (Jewish law) and communities that only speak Yiddish or Hebrew.

Cultural sensitivities and discrimination

Most EMS rely on crews with scheduled shifts operating from a known location. Due to its members and the communities they serve usually living in proximity, Hatzolah relies little on scheduled crews and stations and rather has all service members on call 24/7 and members responding from wherever they are.[22]

Direct response

A number of items that are either unique to Hatzolah, or that are relatively unusual for an EMS include:

Specialization of Hatzolah EMS

Many Hatzolahs worldwide[19][20][21] run safety campaigns related to drinking on Purim and fires on Chanukah and during Passover preparations.

Hatzolah of Passaic/Clifton works with the local Bikur Cholim[17] to put on a yearly Health & Safety Fair at no charge to the community, with participation from both Jewish and non-Jewish presenters, said to get a turnout possibly exceeding 25% of the local community.[18]

Flatbush Hatzalah frequently plays softball against teams from local police precincts, firehouses, and hospitals.[16]

Hatzolah organizations are often involved in other community activities, on top of their primary mission of emergency medical work. Many neighborhood chapters sponsor and participate in community events, both within the local Jewish community, and in the broader community.

Community involvement

Israel's Ichud/blue lights or sirens.[15]

. paramedics or EMTs The volunteers are trained [11]

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