Israeli first responders on 'maximum alert' under Iran missile fire
At 10:56 pm an alert announcing the approach of an Iranian missile sounds, and a brief, heart-pounding wait begins in the operations room at Magen David Adom (MDA) as first responders get ready to deploy.
In this nerve centre for Israel's equivalent of the Red Cross, three floors underground in Ramla, near Tel Aviv, a paramedic adjusts her helmet then picks up the phone to dispatch her colleagues: four debris impact sites have just been reported.
All eyes are fixed on screens displaying the number of calls to 101, the number for the national emergency response organisation.