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Proposal for preparing a Hospital for mass casualty event

IsraTeam is a professional team of Israeli Civil Defense high-ranking reserve officers, who served formerly in the Israeli Home Front Command, IDF.


IsraTeam has extensive experience, both in Israel and internationally, in assessing potential threats, analyzing strategies and enhancing preparedness and disaster response planning.
The team members have played an active role in emergency planning and preparedness in the Civil Defense in Israel, as well as in devising emergency strategies and doctrine. The company has established and implemented training programs for rescue and emergency units in Bio-Chemical terrorism, earthquakes and other natural and man made disasters. 

ISRATEAM and our Dr. Jakov Adler has been involved for many years as our medical adviser, dealing mainly with matters relating to medical planning of pre-hospital and hospital preparedness, civil defense and protection matters, response planning and consequence management for disasters and mass casualty situations. The company consults local government authorities (on health, construction and security matters) and has also been active in consultation work overseas. Dr. Adler’s expertise is in pre-hospital and hospital organization, casualty management and training for mass casualties, risk assessment of possible threats- conventional and non-conventional scenarios (conventional trauma, biological and chemical casualties).


Our proposal for the establishment of an integrated medical response system for acts of terrorism, causing mass casualties, includes the following main topics:





1. The role and the responsibility of the hospital- within the emergency health system.

2. Establishment of a hospital emergency planning team- with participation of representatives of the main sectors.

3. Planning objectives and goals.

4. Establishment of a Hospital Emergency Command and Control Post.

5. Assessment of the hospital’s capabilities and resources.

6. Augmentation of the hospital’s vital facilities.

7. Mobilization- of medical, nursing, administrative and auxiliary staff.

8. Establishing an effective call-up system- for vital personnel.

9. Expanding hospital capacity in main treatment areas.

10. Establishing an emergency logistics system.

11. Establishing decontamination areas.

12. Personal protection of hospital staff.

13. Management of acute posttraumatic stress debriefing.

14. Establishment of a casualty information system.

15. Public relations and media management.

16. Planning process and escorting the preparing of SOPs for each of the threats.

17. Establishing a training program for all sectors, units and departments.

18. Communication and reporting to State and Federal authorities.


1. Exercise planning and simulation.

2. Training methods for hospital staff.

3. Conducting internal and external (integrated) exercises.

4. Monitoring and debriefing.

5. Participation of other health providers and representatives of the community.

6. Evaluation, learning and implementing lessons.