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For war-related rehab, leading Israeli hospital uses innovative simulation system and unique tools
Even before the smoke began to clear from Hamas’s deadly Oct. 7 attack, Israeli healthcare professionals realized they were facing a series of unprecedented challenges.
Not only would wounded civilians and soldiers require treatment, but the entire nation was traumatized, including caregivers.
“By the afternoon of October 7, we knew this was a huge event that nobody had ever encountered in Israel,” said Prof. Amitai Ziv, a former combat pilot and director of the Integrated Rehabilitation Hospital at Sheba Medical Center near Tel Aviv. “We immediately realized we will have two major challenges, each one a tsunami. One is the number of patients that require rehabilitation, and two, the largest numbers ever of people suffering from acute stress disorder, which might lead to PTSD — post-traumatic stress disorder.”
Ziv, a physician, is also the founder and director of MSR – the Israel National Center for Medical Simulation at Sheba. The center enables healthcare providers like doctors and nurses to practice challenging clinical procedures and encounters in a simulated environment using tools such as robotics, surgical simulators and even role-playing actors so that real patients are not put in any danger. Since its establishment, over 300,000 healthcare professionals have been trained and certified by MSR.
In the days immediately following Oct 7, MSR switched to focus on new wartime needs. The center transported high-tech, full-body mannequin simulators to train army medical teams serving in both major conflict zones — in the Gaza area and along Israel’s northern border with Lebanon — to improve their trauma management skills and prepare them for the lifesaving scenarios they were about to encounter in the battlefield. The center also used actors for “high-touch” simulations of interactions with people experiencing trauma to help prepare psychosocial teams to manage stress-related issues.
The hostage issue presented the most difficult challenge.
Even if the hostages’ release could be secured, how could they be reintegrated into Israeli life under such extreme circumstances — with relatives still being held by Hamas, family members murdered, their homes destroyed, entire communities displaced and the nation in the midst of an intense war with mounting casualties?
Ziv launched a series of intensive training courses involving simulations to prepare Sheba physicians, psychologists, and social workers, as well as Israel Defense Forces psychosocial professionals, to receive the hostages and accompany them during the early hours and days after their return from captivity. Out of the over 100 captives that were released in November, 30 went to Sheba.
Treating the hostages is just part of Ziv’s war-related work at Sheba, Israel’s largest hospital. As soon as the war started, Ziv began moving around entire departments and retraining staff to add capacity in the rehab hospital, which consists of three divisions: physical, mental and geriatric rehabilitation. Quick renovations added 122 new rehab beds to the 140 existing beds.
“We made a decision that we would not say no to any patient who needs to be here, war- as well as non-war-related, and we do not push anyone out,” Ziv said. “We pushed ourselves to accommodate all evolving patient needs.”
Sheba has received more war-related rehab patients than any other hospital in the country. Most are recovering from complex injuries involving abdominal, surgical, and orthopedic injuries, amputations, or neurologic, spinal, or head injuries. Pain management and mental support are major priorities.
“PTSD is going to be the main, long-lasting condition requiring treatment,” Ziv said. He estimated that the numbers will be in the thousands and warned that even before the war, Israel had a 40% national staffing shortage of mental health professionals.
Yotam Polizer, IsraAID’s CEO, at a field school that the relief organization set up in the southern Israeli city of Eilat to serve Israeli families displaced by the Oct. 7 war. (Yehuda Ben-Itah/IsraAID)
Patients, most of whom spend two to three months in rehab, have access to an array of therapies at Sheba, including physical, occupational, and hydro therapies, as well as complementary therapies such as art, yoga, and even animal-assisted therapy using Sheba’s four trained dogs.
“It doesn’t feel like a hospital,” said Avishai Shoshani, 49, a combat soldier at Sheba injured in both legs during combat in Gaza. “Here you feel like you’re with a bunch of friends. And this is a very important aspect of rehab.”
Unlike most other rehab facilities in Israel, Sheba’s integrated rehabilitation hospital is part of the larger medical center, giving rehab patients full access to the acute care hospital where many of them have been treated initially. The integration helps ensure continuity of care for patients who need surgery and other medical treatments during the rehabilitation process.
The war also brought an unprecedented partnership between Sheba and IsraAID, the Israeli disaster relief organization that provides emergency medical response, post-trauma mental health support, and humanitarian relief after disasters such as earthquakes, tsunamis, floods, fires, and wars. IsraAid and Sheba had collaborated in the past on global disasters, but they never before had to work together in Israel.
Both Ziv, 65, and IsraAID CEO Yotam Polizer, 40, are members of a unique group: They are laureates of The Charles Bronfman Prize, an annual $100,000 award given to a Jewish humanitarian under age 50 whose work benefits humankind and is grounded in Jewish values.
The Prize was established in 2004 by the children of Canadian philanthropist Charles Bronfman — Ellen Bronfman Hauptman and Stephen Bronfman together with their spouses Andrew Hauptman and Claudia Blondin Bronfman — to honor their father’s values and philanthropic work.
Ziv received the Prize in 2007 and is now one of the judges on the prize committee; Polizer won the award last year. As part of the prize fellowship, laureates get to know one another and sometimes end up collaborating. IsraAID recently facilitated a partnership with the State of California to donate a field hospital to Sheba.
While IsraAID has worked in many countries, including post-tsunami Japan and post-earthquake Haiti, the current war in Israel is unlike any other disaster it has dealt with because it’s happening at home, Polizer said.
“This is a new challenge for us to give professional humanitarian support while we are at the same time part of the community that is affected,” Polizer said. “Being able to do something, even if it is small, also helps our team from a mental-health perspective. My coping mechanism is doing something and getting into action.”
Soon after Oct. 7, IsraAID began working with displaced Israeli families who had been relocated to hotels from their homes in Israeli communities in the conflict zone.
Ziv, too, is touched personally by the war, as is practically every Israeli. He has two sons who serve in the army reserves, one a surgeon in the medical corps in Gaza. His staffers also have family in the army or friends injured or killed or displaced.
“This is a long journey. We will be dealing with the outcomes of the war for years to come,” Ziv said. “Yet I trust the solidarity and courageous spirit of the Israeli people. These unique, exceptional qualities are of utmost significance for successful rehabilitation — and for resiliency, strength and cohesion of Israeli society.”
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Security Warning to Israelis Vacationing Abroad Ahead of holidays
A passenger arrives to a terminal at Ben Gurion international airport before Israel bans international flights, January 25, 2021. REUTERS/Ronen Zvulun
i24 News – Ahead of the Jewish High Holidays, Israel’s National Security Council (NSC) published the latest threat assessment to Israelis abroad from terrorist groups to the public on Sunday, in order to increase the Israeli public’s awareness of the existing terrorist threats around the world and encourage individuals to take preventive action accordingly.
The NSC specified that the warning is an up-to-date reflection of the main trends in the activities of terrorist groups around the world and their impact on the level of threat posed to Israelis abroad during these times, but the travel warnings and restrictions themselves are not new.
“As the Gaza war continues and in parallel with the increasing threat of terrorism, the National Security Headquarters stated it has recognized a trend of worsening and increasing violent antisemitic incidents and escalating steps by anti-Israel groups, to the point of physically harming Israelis and Jews abroad. This is in light of, among other things, the anti-Israel narrative and the negative media campaign by pro-Palestinian elements — a trend that may encourage and motivate extremist elements to carry out terrorist activities against Israelis or Jews abroad,” the statement read.
“Therefore, the National Security Bureau is reinforcing its recommendation to the Israeli public to act with responsibility during this time when traveling abroad, to check the status of the National Security Bureau’s travel warnings (before purchasing tickets to the destination,) and to act in accordance with the travel warning recommendations and the level of risk in the country they are visiting,” it listed, adding that, as illustrated in the past year, these warnings are well-founded and reflect a tangible and valid threat potential.
The statement also emphasized the risk of sharing content on social media networks indicating current or past service in the Israeli security forces, as these posts increase the risk of being marked by various parties as a target. “Therefore, the National Security Council recommends that you do not upload to social networks, in any way, content that indicates service in the security forces, operational activity, or similar content, as well as real-time locations.”
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Israel Intensifies Gaza City Bombing as Rubio Arrives
Displaced Palestinians, fleeing northern Gaza due to an Israeli military operation, move southward after Israeli forces ordered residents of Gaza City to evacuate to the south, in the central Gaza Strip September 14, 2025. Photo: REUTERS/Mahmoud Issa
Israeli forces destroyed at least 30 residential buildings in Gaza City and forced thousands of people from their homes, Palestinian officials said, as US Secretary of State Marco Rubio arrived on Sunday to discuss the future of the conflict.
Israel has said it plans to seize the city, where about a million Palestinians have been sheltering, as part of its declared aim of eliminating the terrorist group Hamas, and has intensified attacks on what it has called Hamas’ last bastion.
The group’s political leadership, which has engaged in on-and-off negotiations on a possible ceasefire and hostage release deal, was targeted by Israel in an airstrike in Doha on Tuesday in an attack that drew widespread condemnation.
Qatar will host an emergency Arab-Islamic summit on Monday to discuss the next moves. Rubio said Washington wanted to talk about how to free the 48 hostages – of whom 20 are believed to be still alive – still held by Hamas in Gaza and rebuild the coastal strip.
“What’s happened, has happened,” he said. “We’re gonna meet with them (the Israeli leadership). We’re gonna talk about what the future holds,” Rubio said before heading to Israel where he will stay until Tuesday.
ABRAHAM ACCORDS AT RISK
He was expected to visit the Western Wall Jewish prayer site in Jerusalem on Sunday with Prime Minister Benjamin Netanyahu and hold talks with him during the visit.
US officials described Tuesday’s strike on the territory of a close US ally as a unilateral escalation that did not serve American or Israeli interests. Rubio and US President Donald Trump both met Qatar’s Prime Minister Mohammed bin Abdulrahman Al-Thani on Friday.
Netanyahu signed an agreement on Thursday to push ahead with a settlement expansion plan that would cut across West Bank land that the Palestinians seek for a state – a move the United Arab Emirates warned would undermine the US-brokered Abraham accords that normalized UAE relations with Israel.
Israel, which blocked all food from entering Gaza for 11 weeks earlier this year, has been allowing more aid into the enclave since late July to prevent further food shortages, though the United Nations says far more is needed.
It says it wants civilians to leave Gaza City before it sends more ground forces in. Tens of thousands of people are estimated to have left but hundreds of thousands remain in the area. Hamas has called on people not to leave.
Israeli army forces have been operating inside at least four eastern suburbs for weeks, turning most of at least three of them into wastelands. It is closing in on the center and the western areas of the territory, where most of the displaced people are taking shelter.
Many are reluctant to leave, saying there is not enough space or safety in the south, where Israel has told them to go to what it has designated as a humanitarian zone.
Some say they cannot afford to leave while others say they were hoping the Arab leaders meeting on Monday in Qatar would pressure Israel to scrap its planned offensive.
“The bombardment intensified everywhere and we took down the tents, more than twenty families, we do not know where to go,” said Musbah Al-Kafarna, displaced in Gaza City.
Israel said it had completed five waves of air strikes on Gaza City over the past week, targeting more than 500 sites, including Hamas reconnaissance and sniper sites, buildings containing tunnel openings and weapons depots.
Local officials, who do not distinguish between militant and civilian casualties, say at least 40 people were killed by Israeli fire across the enclave, a least 28 in Gaza City alone.
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Turkey Warns of Escalation as Israel Expands Strikes Beyond Gaza
Turkey’s President Tayyip Erdogan speaks during a press conference with Greek Prime Minister Kyriakos Mitsotakis (not seen) at the Presidential Palace in Ankara, Turkey, May 13, 2024. Photo: REUTERS/Umit Bektas
i24 News – An Israeli strike targeting Hamas officials in Qatar has sparked unease among several Middle Eastern countries that host leaders of the group, with Turkey among the most alarmed.
Officials in Ankara are increasingly worried about how far Israel might go in pursuing those it holds responsible for the October 7 attacks.
Israel’s prime minister effectively acknowledged that the Qatar operation failed to eliminate the Hamas leadership, while stressing the broader point the strike was meant to make: “They enjoy no immunity,” the government said.
On X, Prime Minister Netanyahu went further, writing that “the elimination of Hamas leaders would put an end to the war.”
A senior Turkish official, speaking on condition of anonymity, summed up Ankara’s reaction: “The attack in Qatar showed that the Israeli government is ready to do anything.”
Legally and diplomatically, Turkey occupies a delicate position. As a NATO member, any military operation or targeted killing on its soil could inflame tensions within the alliance and challenge mutual security commitments.
Analysts caution, however, that Israel could opt for covert measures, operations carried out without public acknowledgement, a prospect that has increased anxiety in governments across the region.
Israeli officials remain defiant. In an interview with Ynet, Minister Ze’ev Elkin said: “As long as we have not stopped them, we will pursue them everywhere in the world and settle our accounts with them.” The episode underscores growing fears that efforts to hunt Hamas figures beyond Gaza could widen regional friction and complicate diplomatic relationships.