Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-12-03T21:13:22.908Z Has data issue: false hasContentIssue false
  • English
  • Français

Prehospital Transport Time and Mode of Transportation in Zenica, Bosnia

Published online by Cambridge University Press:  28 June 2012

Prentice A. Tom  and
Lejla Music
Prentice A. Tom*
Affiliation:
Department of Emergency Medicine, Doctors Medical Center, Modesto, and the Division of Emergency Services, Stanford University Medical Center, Palo Alto, California
Lejla Music
Affiliation:
Office of the International Medical Corps, Zenica Hospital, Zenica, Bosnia
*
Department of Emergency Medicine, Doctors Medical Center, 1441 Florida Avenue, P.O. Box 4138, Modesto, California 95352USA
Get access Rights & Permissions [Opens in a new window]

Abstract

Study Objectives:

To provide a descriptive analysis of the prehospital emergency medical transportation system operating in and around a major Bosnian city, and to discuss the effect of the war on that transportation system.

Design:

A prospective, consecutive sample study.

Setting:

The largest tertiary-care referral hospital currently operating in central Bosnia.

Participants:

158 consecutive patients who sought care in the trauma and medical receiving rooms at Zenica Hospital.

Method and Measurements:

Patients were surveyed as to time of transportation to the site of first medical care and to Zenica Hospital, and modes of transportation used.

Results:

Time to transport to first care within the city of Zenica is 30±21 minutes. Time to transport to Zenica Hospital from within Zenica is 51±39 minutes. Time to transport to first care outside of Zenica is 77±56 minutes. Time to transport to Zenica Hospital from outside the city of Zenica is 178±94 minutes. The prehospital emergency medical service was used in 11.7% of cases reviewed.

Conclusion:

The majority of patients with major injury and illness are unable to obtain prehospital transportation and medical care through informal modes of transportation. The existing prehospital emergency medical services system is inadequate for the numbers of patients requiring such services, and transportation time from outside the city of study is especially prolonged.

Keywords

Bosniadisasteremergency transportationmode of transporttransport time
Type
Special Report
Information
Prehospital and Disaster Medicine , Volume 11 , Issue 2 , June 1996 , pp. 130 - 133
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Associated Press: Bosnia rivals halt aid convoys again. San Francisco Chronicle 27 Nov 1993:A14.Google Scholar
2. Acheson, D: Health, humanitarian relief, and survival in former Yugoslavia. BMJ 1993;307:44–48.CrossRefGoogle ScholarPubMed
3. Gutman, R: A Witness to Genocide. New York: MacMillan, 1993:xxviii.Google Scholar
4. Noji, EK: Natural disasters. Grit Care Clin 1991;72:271–292.CrossRefGoogle Scholar
5. Leonard, RB, Teitelman, U: Manmade disasters. Crit Care Clin 1991;72:293–299.CrossRefGoogle Scholar
6. Trebinjac, M, Sadikvic, S, Aganovic, N, Hasovic, M: Prirucnik Za Primjenu Propisa Iz Zdravslvene Zastite. Sarajevo, Bosnia: Zajednica Publishing, 1987:112–120, 479–485.Google Scholar
7. Noji, EK, Kelen, GD, Armenian, HK, et al. : The 1988 earthquake in Armenia: A case study. Ann Emerg Med 1990;19:891–897.CrossRefGoogle ScholarPubMed