Just like in the United States the EMS transport times from the scene to a hospital can vary considerably throughout Zadar. One of the ways in which the Zadar EMS system addresses this variability in transport times is by adjusting the medications available to the physicians and nurses on the long distance ambulances. For example, EMS providers on the island of Preko have access to intravenous antibiotics including gentamycin which are not routinely available in other ambulances in the county. Research has demonstrated that the time to antibiotic administration in septic shock directly affects the mortality of the patients so decreasing the time to administration by providing antibiotics to front line providers in remote areas makes sense. This is but one of the many examples of things we have learned from our exchange which we may incorporate into our EMS practice back home.
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