{"id":630,"date":"2022-01-08T20:34:49","date_gmt":"2022-01-08T20:34:49","guid":{"rendered":"https:\/\/pokretmeri.org.rs\/home\/?p=630"},"modified":"2022-01-08T22:56:00","modified_gmt":"2022-01-08T22:56:00","slug":"%d0%b7%d0%b0%d0%ba%d0%be%d0%bd-%d0%be-%d1%85%d0%b8%d1%82%d0%bd%d0%be%d1%98-%d0%bf%d0%be%d0%bc%d0%be%d1%9b%d0%b8","status":"publish","type":"post","link":"https:\/\/pokretmeri.org.rs\/home\/2022\/01\/08\/%d0%b7%d0%b0%d0%ba%d0%be%d0%bd-%d0%be-%d1%85%d0%b8%d1%82%d0%bd%d0%be%d1%98-%d0%bf%d0%be%d0%bc%d0%be%d1%9b%d0%b8\/","title":{"rendered":"Zakon o hitnoj pomo\u0107i"},"content":{"rendered":"\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/2-2.jpg\" alt=\"\" class=\"wp-image-725\" width=\"731\" height=\"410\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/2-2.jpg 880w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/2-2-300x168.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/2-2-768x431.jpg 768w\" sizes=\"(max-width: 731px) 100vw, 731px\" \/><\/figure>\n\n\n\n<p>Hitna medicinska pomo\u0107, kao posebna oblast zdravstvene za\u0161tite koja se obavlja na primarnom nivou,<br>organizuje se radi preduzimanja neophodne i neodlo\u017ene medicinske intervencije, \u010dije bi ne preduzimanje<br>ugrozilo \u017eivot i zdravlje gra\u0111ana.<br>Prehospitalno zbrinjavanje je pru\u017eanje hitne medicinske pomo\u0107i licima u vanbolni\u010dkim uslovima na licu<br>mesta i pru\u017eanje \u017eivotne potpore do kona\u010dnog zbrinjavanja.<br>Srbija je jedina zemlja u regionu koja nema ni zakon ni uredbu kojom bi se detaljno uredila oblast hitne<br>medicinske pomo\u0107i i prehospitalnog zbrinjavanja, usled \u010dega su postupci prilikom postupanja<br>neujedna\u010deni i razlikuju se od grada do grada. Simptome koje prilikom pozivanja hitne pomo\u0107i da<br>pozivalac u Kragujevcu i na koje lekar-operater po\u0161alje ekipu ne zna\u010di nu\u017eno da \u0107e poslati i lekar-<br>operater u Beogradu. Istra\u017eivanje koje je sproveo Pokret \u2013 Meri pokazuju da se u Beogradu interveni\u0161e<br>tek na svaki osmi poziv, dok se u Kragujevcu interveni\u0161e na svaki tre\u0107i poziv. Broj ekipa se tako\u0111e<br>razlikuje od grada do grada, pa tako u Beogradu postoji jedna ekipa na 72.000 stanovnika dok u<br>Kragujevcu postoji jedna ekipa na 36.000 stanovnika. Ono \u0161to bi moralo da zabrinjava je da je 76%<br>gra\u0111ana koji su popunili anketu, napisalo da je moralo da poziva po drugi put broj 194. Ovo je posledica<br>saveta koji se obi\u010dno daju pozivaocima prilikom prvog poziva, a u kojima se preporu\u010duje da pacijent<br>popije odre\u0111enu terapiju pa da se sa\u010deka da lek po\u010dne da deluje (obi\u010dno je to oko 30-40 minuta) pa da<br>ako se stanje ne popravi, ponovo pozove broj 194. U urgentnoj medicini postoji nepisano pravilo zlatnog<br>sata u kome se navodi da je od su\u0161tinske va\u017enosti da se u urgentnim slu\u010dajevima reaguje u prvih sat<br>vremena od pojave simptoma. Davanjem saveta i \u010dekanjem od 30-40 minuta, gubi se \u201ezlatni sat\u201c i kocka<br>sa ljudskim \u017eivotima.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/3-1.jpg\" alt=\"\" class=\"wp-image-727\" width=\"697\" height=\"389\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/3-1.jpg 884w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/3-1-300x167.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/3-1-768x428.jpg 768w\" sizes=\"(max-width: 697px) 100vw, 697px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/4-1.jpg\" alt=\"\" class=\"wp-image-728\" width=\"700\" height=\"389\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/4-1.jpg 885w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/4-1-300x167.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/4-1-768x427.jpg 768w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/figure>\n\n\n\n<p><br>Postoje\u0107i Zakon o zdravstvenoj za\u0161titi kao i pravilnik o bli\u017eim uslovima za obavljanje zdravstvene<br>delatnosti nejasno i nepotpuno ure\u0111uju oblast hitne medicinske pomo\u0107i, te su podlo\u017eni vi\u0161estrukom<br>tuma\u010denju kada je u pitanju prehospitalno zbrinjavanje, i po pravilu su na \u0161tetu gra\u0111ana.<br>Iako postoje\u0107i Zakon o pravima pacijenata garantuje svima pravo na jednaku dostupnost zdravstvene<br>za\u0161tite, to u slu\u010dajevima gde su op\u0161tine sa manje od 25.000 stanovnika nije slu\u010daj jer takve op\u0161tine<br>nemaju pravo na osnivanje slu\u017ebe za hitnu medicinsku pomo\u0107. \u017divoti tih gra\u0111ana su najugro\u017eeniji jer ne<br>postoji slu\u017eba koja bi u slu\u010daju infarkta, mo\u017edanog udara i sli\u010dnih urgentnih situacija, intervenisala.<br>Slu\u017ebe koje imaju organizovanu hitnu medicinsku pomo\u0107, zbog postoje\u0107ih zakona nemaju mogu\u0107nost<br>zapo\u0161ljavanja dodatnih kadrova u slu\u010dajevima kada lekari odu na specijalizaciju. Tako se de\u0161ava da<br>zvani\u010dno slu\u017eba ima predvi\u0111en broj lekara, dok u praksi ti lekari nisu prisutni i broj ekipa se zbog toga<br>smanjuje.<br>Veliki broj slu\u017ebi nema protokole za trija\u017eu poziva, a neredak je slu\u010daj i da slu\u017ebe nemaju operatera<br>obu\u010denog za trija\u017eu poziva ve\u0107 se trija\u017ea svodi na li\u010dnu intuiciju osobe koja se javi na telefon.<br>Ljudski \u017eivoti ne smeju zavisiti od ne\u010dije intuicije, kao \u0161to se ni organizacija hitne pomo\u0107i ne sme<br>prepustiti rukovodiocima ve\u0107 trebaju biti jasno i nedvosmisleno definisani zakonom.<br>Pravilnikom o bli\u017eim uslovima za obavljanje zdravstvene delatnosti propisano je da se Zavod za hitnu<br>medicinsku pomo\u0107 mo\u017ee osnovati ako u pogledu kadra ima jednog lekara, jednog tehni\u010dara i jednog<br>voza\u010da na 6000 stanovnika. Iako bi po logici ovo trebao da bude jedna terenska ekipa, u praksi se to ne<br>prepoznaje kao tim, pa tako Zavod za hitnu pomo\u0107 Beograd iako ima predvi\u0111en broj lekara, tehni\u010dara i<br>voza\u010da, ima samo 22 terenske ekipe, a s obzirom da pokriva 1.600.000 stanovnika trebao bi da ima 53.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/8-2.jpg\" alt=\"\" class=\"wp-image-734\" width=\"758\" height=\"421\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/8-2.jpg 894w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/8-2-300x166.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/8-2-768x426.jpg 768w\" sizes=\"(max-width: 758px) 100vw, 758px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/9-2.jpg\" alt=\"\" class=\"wp-image-735\" width=\"758\" height=\"427\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/9-2.jpg 884w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/9-2-300x169.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/9-2-768x433.jpg 768w\" sizes=\"(max-width: 758px) 100vw, 758px\" \/><\/figure>\n\n\n\n<p>Prose\u010dno, u Beogradu se broj 194 pozove 1.700 puta dnevno, dok je prose\u010dan broj izlazaka 230. To je u<br>proseku intervencija na svakih 7.000 stanovnika, dok je u Kragujevcu koji ima duplo vi\u0161e ekipa po broju<br>stanovnika (178.000 stanovnika i 5 ekipa) taj broj malji, odnosno interveni\u0161e se na svakih 3.700<br>stanovnika. Dnevni broj intervencija Kragujeva\u010dkog zavoda je u proseku 49 intervencija. Ovi podaci<br>najbolje pokazuju koliki je nesklad u radu izme\u0111u zavoda, a razlog tome le\u017ei i u \u010dinjenici da ne postoji<br>jasno definisana zakonska regulativa kada je u pitanju prehospitalno zbrinjavanje, kao i nedefinisani<br>protokoli.<br>Pokret \u201ePravo na \u017eivot \u2013 Meri\u201c se zala\u017ee za dono\u0161enje jedinstvenog pravnog akta kojim bi se jasno i<br>nedvosmisleno obezbedila jednaka prava svih gra\u0111ana kada pozivaju broj 194, bez obzira u kom gradu<br>\u017eive. Hitna pomo\u0107 mora biti slu\u017eba u kojoj se spa\u0161ava ljudski \u017eivot, i nikako ne sme zavisiti od ne\u010dije<br>intuicije i slobodnog tuma\u010denja postoje\u0107eg Zakona o zdravstvenoj za\u0161titi. Protokoli moraju biti<br>jedinstveni za celu Srbiju, a lekari u obavezi da protokole po\u0161tuju. Ovakav pravni akt bi bio od zna\u010daja i<br>samim lekarima, kao i svim zaposlenim u hitnoj pomo\u0107i jer bi im dao jasne smernice i nedvosmisleno<br>propisao prava i obaveze.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/5-3.jpg\" alt=\"\" class=\"wp-image-737\" width=\"738\" height=\"421\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/5-3.jpg 886w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/5-3-300x171.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/5-3-768x438.jpg 768w\" sizes=\"(max-width: 738px) 100vw, 738px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/6-2.jpg\" alt=\"\" class=\"wp-image-738\" width=\"740\" height=\"413\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/6-2.jpg 882w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/6-2-300x167.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/6-2-768x428.jpg 768w\" sizes=\"(max-width: 740px) 100vw, 740px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/7-2.jpg\" alt=\"\" class=\"wp-image-739\" width=\"745\" height=\"415\" srcset=\"https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/7-2.jpg 886w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/7-2-300x167.jpg 300w, https:\/\/pokretmeri.org.rs\/home\/wp-content\/uploads\/2022\/01\/7-2-768x428.jpg 768w\" sizes=\"(max-width: 745px) 100vw, 745px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Hitna medicinska pomo\u0107, kao posebna oblast zdravstvene za\u0161tite koja se obavlja na primarnom nivou,organizuje se radi preduzimanja neophodne i neodlo\u017ene medicinske intervencije, \u010dije bi ne preduzimanjeugrozilo \u017eivot i zdravlje gra\u0111ana.Prehospitalno zbrinjavanje je pru\u017eanje hitne medicinske pomo\u0107i licima u vanbolni\u010dkim uslovima na licumesta i pru\u017eanje \u017eivotne potpore do kona\u010dnog zbrinjavanja.Srbija je jedina zemlja u regionu koja [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":698,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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