Road traffic traumatism leads to higher loss of potential remaining years of life then heart disease and cancer together. In most countries, road traffic injuries represent primarily health and economic problem. In this paper the system of traffic accident trauma management in Serbia is presented. In Serbian health care system, there are three levels of work - primary (pre hospital level), secondary and tertiary (hospital levels). At the primary level, the care of road traffic injuries is provided by Institutes of Emergency Medical Services in Belgrade, Novi Sad, Nis and Kragujevac (independent health facilities), by Emergency Medical Services –the special services within Health centers which cover an area with more than 25.000 residents, and also by health workers in the general practice department, through their regular work or when they are on duty, in the health centers which cover an area with a population less than 25.000, and who, if necessary, take the field work in an ambulance. Since 2008. Institute of Public Health of Serbia "Dr Milan Jovanovic - Batut " monitors and analyzes the results of the quality of emergency medical services in order to improve the service delivery, particularly in the treatment of emergency cases defined as the first line urgency group (cardiac arrest, respiratory arrest, unconsciousness, traffic accidents, etc). Two indicators are quantitatively measured: a time interval from the moment of receipt of call in the dispatch center (phone number 194) until the moment of activation of medical team which goes on the intervention (Response time I) and the time interval from the moment of medical time activation until the moment of their arrival on the place of intervention (Response time II). In Serbia, an average Response time I is up to one minute and Response time II is up to 9 minutes, which corresponds to the EU averages.Also, the numbers of indicated and managed severe traumas are monitored. Within the system of emergency trauma care at the secondary level there are emergency departments of 41 general hospitals and 4 emergency centers on the tertiary level, opened constantly, 24 hours a day.
Upravljanje bezbjednošću saobraćaja
Videos for paper |