Only volunteers who are 18 and older are allowed to respond to an attack, explains Mada's Jerusalem regional chief, Yonatan Yagodovsky, fully aware that young trainees may suffer lasting trauma. On any given shift, an ambulance crew could include a senior driver and two 15-year-old volunteers; if called to an act of terror, the minors must be dropped off first. Having responded to a bombing at 16, Yagodovsky is quick to defend Mada's conscription of the young. His adult staff of 140 oversees roughly 500 teenage volunteers in Jerusalem alone, he says. The organization, he adds, was built on a spirit of youth and philanthropy.

"Age is not a question," he booms from behind his desk. An ominous photo of a Mada ambulance engulfed in flames hangs directly across from him. "I know it from my own experience. [The younger staff] do outstanding work. They're very professional, very determined. It doesn't matter if they're teenagers or adults; the only difference is their level of training. The main thing is, we have procedures and protocol of how to absorb them into the system and how to -- hopefully -- gradually expose them to events."

For Bitansky, the trauma of her first bombing had little to do with gore -- her father, she offers as a partial explanation, is a third-generation butcher. Instead, it was a rush of complicated emotions -- anger, guilt, sadness -- that overwhelmed her upon returning to the station that night. A gnawing feeling that she could've done more gave way to a specific memory of suffering: Five years earlier, on exactly the same street with the same number of bombs, her best friend Yael, 14, was killed, reportedly catching a piece of shrapnel in her neck.

"I was hysterical, crying every five minutes," Bitansky says of the hours immediately following her first bombing. "The next day, I couldn't work, I didn't have the patience to be here. But I wanted to hear as much as I could about what happened, what [the other medics] said about [the bombing]. That made me feel better. Just to hear stories about it.

"Some were even making jokes, because that's just how you deal," she says. "Eventually, I let it go by. You just don't think about it anymore. You go on living. I wasn't going to sit and obsess about it. I got over it."

The element of shared experience, coupled with the support of family and friends, is what Steinberger says is the source of her strength in the job. Chatty and quick-witted, she says that every newcomer at Mada deals with shock differently, that she personally isn't the crying type but doesn't hold anything inside.

"In the beginning [I felt] anger," Steinberger explains. "I do get pissed from it. It's not humane, it's not right, to do this to people. But when you experience something like a pigua, you talk with others who also went through it. I'm very open. I have no problem telling people how I feel. So I deal with the fact that there's nothing I can do about [our political situation] except for help. I did my best, I did whatever I could and that's it. There aren't enough tears to cry."

Steinberger, who commutes to and from her West Bank settlement every day in an armored bus, says that ever since the first Palestinian intifada in the late '80s, nearly every family in her neighborhood owns a car with rock-proof plastic windows. Bulletproofing is an expensive option, she says, but an enticing one since the highway connecting her town to Jerusalem occasionally draws automatic gunfire from nearby Bethlehem. "You hear dtt dtt dtt dtt dtt dtt ... so everybody ducks and you drive as fast as you can," she says, somewhat nonchalantly.

Neither Steinberger, nor any other Mada personnel interviewed for this story, reported having a single work-related nightmare. And despite predictions of more violence, Chief Yagodovsky insists that morale has always remained high within the ranks of Mada, and the unit has never experienced a slump in volunteers.

"I'm not worried about Israel," says Steinberger, a fervent Zionist who says that dealing with the violence has only made her stronger. "I believe in the country, that God will take care of us. There could be bombings every day, but we're still going to be standing here."

After her second year of Sherut Leumi is finished, Steinberger may pursue additional training to become a paramedic, which will allow her to administer medicine. Attending university is also in the cards, but even if she is in school, Steinberger says she will pull shifts as a volunteer beyond her national service. Bitansky, on the other hand, hopes to leave Jerusalem in the near future (perhaps to work on another Mada unit), mainly to experience life away from home. Both women are entertaining the idea of becoming doctors.

After hours of loitering around Mada headquarters (which, with its mismatched furniture and cliques of teenagers milling about, feels at times like an ill-funded after-school center), the Sherut Leumi girls finish their shift.

Bitansky is visibly stressed about the weekend: It's her sister's bat mitzvah on Sunday, and she's promised her younger brother that she'll help him shop for dress pants. Her boyfriend plans to leave the day of the bat mitzvah to travel for a month in Europe, so Bitansky probably won't have time to say goodbye. She wonders how she'll fare without him.

"Ah! I'll have no life," she frets, clutching her purple cellphone. For a moment, the mask of seasoned professionalism falls away and Bitansky, a teenager after all, acts her age.

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