Prehospital respiratory interventions during six waves of COVID-19: results from Israel’s Emergency Medical Services system.

Publication date: Jul 06, 2025

Despite COVID-19 having been the subject of extensive scientific research, there is a paucity of studies on the respiratory management needs of patients in the pre-hospital setting. This retrospective cohort study utilizes data from Magen David Adom (MDA), Israel’s Emergency Medical Services (EMS) to investigate how prehospital respiratory management needs changed throughout the first six waves of the COVID-19 pandemic in Israel. All EMS responses due to respiratory complaints, from March 21, 2020, to July 31, 2022, were included. Odds ratios (ORs) for each wave were calculated for each intervention with the previous wave as reference. Wave 1 (W1) was compared to a pre-pandemic period. The study included 141,027 responses. Throughout the pandemic, no endotracheal intubations were performed. The use of mask-based 90% FiO decreased from the pre-COVID-19 period to W1 (OR 0. 61, p 

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Concepts Keywords
Hospital Adult
Israel Covid
July COVID-19
Pandemic COVID-19
Emergency Medical Services
Emergency Medical Services
Female
Humans
Interventions
Israel
Male
Middle Aged
Prehospital
Retrospective Studies
SARS-CoV-2
SARS-CoV-2
Vaccines
Waves

Semantics

Type Source Name
disease MESH COVID-19
disease MESH Emergency
disease IDO intervention
pathway REACTOME Reproduction

Original Article

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