Serious Crimes Case (Be’er Sheva) 63400-04-21 State of Israel v. Maor Meir Dadon - part 31

His testimony in court was heard at a hearing on June 6, 2023.  He was a paramedic who, as of the day of the incident, had completed his studies and had received training for the job, but in order to be a team leader in an intensive care ambulance, he accompanied the team leader, Ofir Peretz.  According to him, they arrived at the scene in an MDA intensive care ambulance, where they were asked to get into another ambulance and examine a wounded man, whose amount of blood did not match the injuries he had.  He was fully conscious.  A few minutes later, they were asked to go to check on another wounded man, in serious condition, who was lying on the ground in the yard of a nearby house.  His consciousness was poor, and he suffered from invasive injuries to his upper body - in the chest and neck, and respiratory suppression.  According to him, he did not remember that he had bleeding injuries, but there was blood present where he was lying, next to him and on him (p.  822).  He was put in an ambulance and rushed to Soroka Hospital on an urgent and immediate trip (p.  828, para.  20).  On the way, he was examined and treated in depth, in accordance with the trauma treatment protocol.  His condition continued to deteriorate, and medical procedures were taken in order to improve his respiratory condition and save him.  At the request of the plaintiff, the witness detailed the actions performed on this type of patient, according to the protocol - maintaining an open air path and connecting to a 90 percent oxygen mask.  The witness explained what is known as a "needle" or "chest puncture" - when a pressure chest is created, as a result of penetrating injuries to the chest area and the respiratory system, an operation is performed to release the air pressure, using a needle, which is connected to a tube.  The location of the insertion is between ribs 3 and 4, at 90 degrees.  According to the witness, he performed the medical operation, under the supervision of the team leader, who was present at the scene.  As for the side where the procedure is performed, he replied that it depends on the suspicious lung, and the examination is done by listening to the lungs.  He also said that "this patient was suspected (sic) in both lungs" (p.  830, para.  22).  When the witness is shown a video of the body cameras of Officer Nuriel, he explains that the first injured person, i.e., the defendant, is first seen with his hands bandaged.  Later in the video, the deceased can be seen lying in an ambulance, connected to a 90 percent oxygen mask.  At 13:03, the witness can be seen connecting the patient to a sitcom to check his respiratory stability.  At 13:37, the witness is seen listening to the patient's lungs, on both sides, using a stethoscope.  When shown at 14:00, the witness explains that he can be seen holding a needle to puncture the chest, and performing a puncture on the patient's left side, together and under the supervision of the team leader.  Later, at 16:31, the patient is seen connected to an "ambo" mask, for active ventilation, and the witness and the team leader are seen concentrating on the respiratory assistance.  The caller, who changed positions with the witness, took out a vial of fluids from the drawer, and at 19:23 the team leader Ofir is seen holding a syringe, and the witness explains that this is an attempt to put the patient to sleep, through the infusion that was assembled in his right hand.  At 19:55, the witness explains that he can be seen removing the ambo mask for the patient, in preparation for performing an intubation procedure - inserting a breathing tube into the trachea (p.  837).  The first attempt was unsuccessful, and the patient is ventilated with a mask, and when he is "oxygenated", another attempt is made.  Later, the patient is seen with a tube, i.e., with intubation in his airway, and the ambo blower is attached to him - min.  24:02.  Later, the witness is seen listening again to the patient's air entering the lungs, using a stethoscope.  At 25:40, the witness takes out another needle for chest puncture, and under the guidance of the team leader, performs another puncture, also on the left side, and throws the needle into the designated bin.  Later, the witness instructs the driver to inject a drug to increase the coagulation rate, into the fluid bag, and for the protocol, he notes that throughout that time, the head of the team is feminizing the patient.  At 27:23, the witness takes out another set of infusions.  At 28:29, the witness takes out an orange naploon, which is used to open a vein, for chest puncture.  At 29:24, the witness listens to the lungs again, and hears reduced air intake on the right side.  At the 30:00 meter the witness performs chest puncture above the right lung.  At 32:57, the ambulance arrives at the hospital, and you can see the driver changing the patient's oxygen tube to the small one, and the witness lowering the monitor to prepare for getting off and entering the hospital from the emergency room.