Due to the time interval between ambulance dispatch and effective intervention in true medical emergencies, people die unnecessarily. To fill this gap, United Hatzalah (founded by Eli Beer, who witnessed his first terror attack at the age of seven) conceived and established an emergency medical network using local emergency medical services volunteers to significantly shorten response times within communities. Rather than accept the premise that life-saving resources must come from ambulances via a fixed dispatch station, United Hatzalah utilizes a GPS co-location dispatch technology in its LifeCompass Command Centre to identify the most qualified medical volunteer closest to an emergency scene via a mobile device platform. Trained civilian volunteers throughout communities now provide a distributed network of emergency first responders who regularly leave their personal pursuits to provide emergency medical response. Their devotion, along with a fleet of “ambucycles” (medically equipped motorcycles and mopeds) that nimbly negotiate traffic, provides lifesaving aid in the initial moments of an emergency while an ambulance is en route. United Hatzalah activates thousands of highly trained volunteers who carry their advanced GPS LifeCompass communication and emergency medical equipment, 24 hours a day. Volunteers are certified as Emergency Medical Technicians (EMTs), paramedics or doctors, who undergo rigorous and continuous education courses. Within seconds from dispatch, the closest volunteers are located and are on their way, filling the gap between an emergency and the arrival of an ambulance. In Israel, United Hatzalah medics have responded to calls affecting over 207.000 people (about 550 calls a day) serving tens of thousands each year; over 25% of these calls were considered life threatening. United Hatzalah is set to increase its forces to 3.000 volunteers, providing countrywide coverage with an optimal response time of 90 seconds (current time is 2-4 minutes). The organization also establishes, trains and guides Hatzalah organizations for worldwide deployment of its transformative technology model. In 2011, it helped establish Hatzalah of Brazil and in Panama, and held exploratory discussions with groups from Finland, India and Bulgaria. 
Website: https://israelrescue.org/ Eli Beer
How to arrive faster than the ambulance
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Listening matters: poor people are not mere beneficiaries
Clinical psychologist Adrien Cascarino writes on how empowerment requires a high dose of self-confidence, which is undermined when individuals are regarded as mere beneficiariesAdrien Cascarino C. is sitting in her house, anemic, tired-looking, and emaciated. Her 3 malnourished children, a 3-year-old son and two-year-old twin daughters, are sleeping, with rashes all over their skin and worms in their bellies. None of them have ever seen a doctor, they are mostly staying at home. Are they living in a remote area, too far from any potential support? Or maybe health treatment is just too expensive? They are in Vitas, Barangay 105, Tondo, a slum of Manila, capital of the Philippines. The place is reached by non-governmental organizations (NGOs) and public services. In fact, there is a free feeding program just 10 minutes away from C.'s makeshift house. Walk 10 minutes more and there is the Vitas Health Center, which offers free medicine and check-ups. You have 3 options on how you view people like C.: 1) You can either take the easy path and say "poor people are lazy, they don’t make the effort to solve their issues, that’s actually why they are poor." 2) You can take the middle and think that "poor people lack knowledge; we need to educate them and make them understand what are the right actions and decisions to make.” 3) And finally, you can consider C. as a person, someone as smart as you. Throw away ready-made answers and try to understand what’s actually happening in C.'s situation. Demotivation ATIA, an NGO founded in 2008, chose the 3rd path, assuming that socio-economic exclusion results in – rather than from –lack of self-esteem, lower cognitive functions, and consequently, very poor agency. Instead of telling C. to do what would feel right for us and therefore confirming her inability to properly raise her children by herself, we should take the time to know her, her story, and her dreams. We need to decipher her words, like this odd sentence that blurted out of her lips the first time we met: “Gusto ko lumabas pero hindi ko alam paano (I want to go out but I don’t know how)." Originally from Davao, C. migrated to Manila in hopes of eventually becoming a caregiver overseas. She believed that she could complete her training in the city and land a contract that would take her elsewhere. But by the time she completed her training, she had run out of funds. She ended up wandering the streets until she met N., who then became her partner. C. and N. live in the slums of Tondo. She had 3 children and started staying at home, waiting for N.'s P100 to P150 pesos daily income from scavenging. She felt alone and disempowered. After 9 months of weekly visits from the psycho-social counselors trained by ATIA, and hired by Enfance Foundation, a partner’s organisation of ATIA, C's family received treatment from the local health center. C. also finally met her neighbors and started looking for a job. The psycho-social counselors established a relationship with C. and N., seeing them as intelligent human beings capable of deciding what is best for themselves and their family. Not just bodies There are a dozen other stories like C.'s; tales of teenage parents, kids growing up with violence, and young Filipinos who stopped believing in the goodness of themselves and of others. Unfortunately, taking time to talk with poor people is still not considered a priority by many. Getting funding to do just that may also be difficult. Many organizations, however, have already shifted their views from merely treating poor families as nothing but mouths to feed to considering them as minds to educate. While this change is definitely an improvement, it still does not remove the condescending and paternalistic tone attached to these programs. This mindset is saying that “there is no point in listening to poor people, we just need to give or teach them what they need and they will get better.” Some people will not accept such help because they think they don’t deserve it, or because they don’t think anything can really change. Others will accept assistance and get better, but would then wait for another benefactor. Why? Because dole-out approaches don’t really improve their self-esteem or their agency. ATIA’s experience shows that by simply conversing and establishing relationships with marginalized families, we are helping them better understand their history, issues, and resources. This can make them feel in control of their life. We need to address physiological and psychological needs at the same time, not just one over the other. Empowerment requires not only a healthy body and an educated mind, but also a high dose of self-confidence, which is hampered when we consider individuals as mere “beneficiaries.” Adrien Cascarino is a clinical psychologist Clinical psychologist Adrien Cascarino writes on how empowerment requires a high dose of self-confidence, which is undermined when individuals are regarded as mere beneficiaries
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