EMERGENCY MEDICAL AND AMBULANCE SERVICES IN CROATIA

Dial 112 to Call an Ambulance in Croatia

AT-A-GLANCE

DIAL 112 TO CALL AN AMBULANCE IN CROATIA

  • Ambulances are staffed by physicians and nurses with limited emergency care training
  • Demand for emergency care is far greater than resources available
  • A need for layperson prehospital providers (i.e., Paramedics and EMTs) has been proposed as solution to chronic EMS personnel shortages

SCOREBOARD

% of Seriously Injured Transported by Ambulance in Croatia, 2013

11-49%

[Source: 2013 Global Status Report on Road Safety, WHO]

Road Traffic Injury Deaths, 2015
(per 100,000 population)

  • Croatia
  • Russia
  • United States

[Source: 2015 Global Status Report on Road Safety, WHO]

Reported Homicides, 2012
(per 100,000 population)

  • Croatia (2011)
  • Russia (2012)
  • United States (2011)

[Source: 2014 Global Status Report on Violence Prevention, WHO-UNDP]

HOW CAN I CALL AN AMBULANCE IN CROATIA?

HOW DO I CALL FOR HELP?

DIAL 112 TO CALL AN AMBULANCE IN CROATIA

After speaking with a dispatcher, one of several teams may be sent to your location depending on the severity of the incident:

  • EMS Team – Includes one doctor and two nurses RNs who will diagnose and treat on-scene, and coordinate with other providers if transport is necessary
  • On-Call EMS Team – Same as EMS Team, except one nurse instead of two
  • Emergency Transport Team – Two nurses who provide transport from the scene of the emergency to a facility, accompanied by a doctor as needed
CAN I CALL FOR HELP ANYWHERE?

Not necessarily. There are four major cities with EMS Centers (Zagreb, Rijeka, Split, Osijek) covering 35% of country’s population. Outside major cities, there are 54 County Health Centers (as of 2003) that have one or two 24-hour ambulances with an additional ambulance for non-urgent transport. These cover 64% of the country’s population. In areas with a population of less than 30,000, there are smaller county health centers/health stations where emergency care is provided by on-call family physicians, covering about 2% of country’s population. “In smaller cities and rural areas, the EMS frequently serves as a substitute for the primary health care that should be provided by primary care physicians. This burdens EMS doctors with non-urgent care and leaves less resource for real emergencies” (Hunyadi 2006).

WHAT OTHER EMERGENCY NUMBERS CAN I CALL?

Historically,

GROUND AMBULANCE IN CROATIA

 

AIR AMBULANCE IN CROATIA

WHAT ABOUT IN DISASTERS?

In disaster, EMS agencies work in coordination with Crisis Headquarters of the Ministry of Health and Social Affairs.

ARE THE RESPONDERS TRAINED?

Yes. Like France, Germany and many other European countries, you’re likely to be treated by a physician and nurse if in an ambulance in Croatia. However, “most of the doctors are inexperienced and have inadequate education in emergency medicine. These jobs are frequently considered as temporary prior to commencing residency training in established specialties. … Although there is a local expectation that physician staffed ambulances will continue to play a role in the EMS there is a need to bring other ambulance staff up to EMT and Paramedic level” (Hunyadi, 189)

 

TRAINING

Doctors and nurses are required to complete basic EMS education prior to working on the ambulance in Croatia. In 2002, the Croatian Resuscitation Council was founded to oversee emergency medical training in the country, with organizational and financial support by the Croatian Ministry of Health. Courses provided included ALS, ILS, BLS and EPLS and plans existed “to train policemen, firemen, flight attendants, security guards, and lay people” (Hunyadi 2006).

HOW WILL I GET TRANSPORTED?

GROUND AMBULANCE IN CROATIA

AIR AMBULANCE IN CROATIA

Helicopter EMS has been organized by various agencies since 2000; mainly used for inter-facility and neonatal transfers or as primary transport service during tourist season.

WHERE WILL I BE TRANSPORTED TO?
HOW WILL I PAY?

Nearly entire population is covered by tax-funded basic health insurance making prehospital care free to citizens.

ADDITIONAL INFO

COMMON EMERGENCIES AND VACCINATIONS

Common Emergencies in Croatia

Vaccinations for Croatia

According to the US Centers for Disease Control and Prevention (CDC), different groups of travelers will require different vaccinations for travel in Croatia:

  • All Travelers
    • Measles-mumps-rubella (MMR) vaccine
    • Diphtheria-tetanus-pertussis vaccine
    • Varicella (chickenpox) vaccine
    • Polio vaccine
    • Your yearly flu shot
  • Most Travelers
    • Hepatitis A
    • Typhoid
  • Some Travelers
    • Hepatitis B
    • Rabies

Read more about travel in Croatia at the CDC website: https://wwwnc.cdc.gov/travel/destinations/traveler/none/croatia/ (Last accessed: Aug. 7, 2017)

HISTORY
GOVERNMENT OVERSIGHT
REFERENCES
  • Antoljak T et al: A plea for Croatian trauma system.”  2013;44 Suppl 3:S3-6.
  • Babalola OR et al: “Pattern of emergency room mortality among road traffic crash victims.”  2015;46 Suppl 6:S21-3.
  • Hunyadi-Anticevic S: “EMS System in Croatia.” Resuscitation 2006;68:185-91.
  • Klasan A et al: “Predictors of lower work ability among emergency medicine employees: the Croatian experience.” Emergency Medicine Journal. 2013;30(4):275-9.
  • Marusic A: “Croatia restructures its emergency medicine system.The Lancet 2002;359(9320):1838
  • Novak K et al: “Pain to hospital times after myocardial infarction in patients from Dalmatian mainland and islands, southern Croatia.Croatian Medical Journal.  2010;51(5):423-31.
  • Sklebar D et al: “Analysis of the key issues in the organization of emergency care for stroke and heart attack patients in Bjelovar-Bilogora County.  2013;52(2):165-71.
  • World Bank Group: In Croatia: Upgrades to the Emergency Medical System Saves Lives (2013)

World Bank Video:
“Upgrades to the Emergency Medical System Saves Lives in Croatia”

OFFICIAL TWITTER FEEDS

HRVATSKA GSS (HGSS)
Croatian Mountain Rescue Service

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Comments
  • kassay krisztián

    Cher leader!

    Recommander possibilités de coopération.
    Je parle hongrois et en anglais.
    Nous sommes en Hongrie, Budapest, Kecskemét, Veszprém et Kaposvar.
    Slovénie, la Croatie, Serbia, la Roumanie, l’Autriche, l’Allemagne peut bientôt se rendre à.
    Nous acceptons l’assurance, le transport international de patient, voiture internationale des cas.
    Les véhicules sont sur ​​les photos ci-jointes.
    Si oui, s’il vous plaît répondre dès que possible.

    Sincèrement chef Kassay Krisztian.

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