The role of prehospital care in reducing mortality in emergencies

Authors

DOI:

https://doi.org/10.69849/tr2v9g76

Keywords:

Prehospital Care, Mortality, Urgency, Emergency, SAMU

Abstract

Prehospital Care (PHC) constitutes an essential component of the urgent care network, playing a strategic role in reducing mortality and improving clinical outcomes. This study aims to analyze the contribution of PHC to the reduction of deaths in urgent and emergency situations, with emphasis on cases involving polytrauma patients and clinical emergencies. This is an integrative literature review conducted using scientific databases such as SciELO, LILACS, PubMed, and BVS, including articles published between 2022 and 2026. The results show that early intervention, team qualification, and reduced response time are determining factors for patient survival. However, challenges related to structural inequality, failures in network integration, and operational limitations of services still persist. It is concluded that PHC directly impacts mortality reduction, making investment in professional training, system organization, and optimization of care flows essential.

References

Pereira CB, et al. Contribuições dos aplicativos móveis para o atendimento pré-hospitalar: revisão integrativa. Acta Paul Enferm. 2024;37: eAPE00172.

Ribeiro AP, et al. Análise da implementação da atenção pré-hospitalar e hospitalar a casos de acidentes e violências no Brasil. Ciênc Saúde Colet. 2025;30(3).

Ferreira TDS, et al. Atuação do enfermeiro frente a urgências e emergências cardiológicas no SAMU: uma revisão integrativa da literatura. Rev Ibero-Am Hum Ciênc Educ. 2025;11(4):3860-72.

Gazel W, et al. Protocolos de atendimento pré-hospitalar no trauma: impacto na mortalidade e sobrevivência. Rev Ibero-Am Hum Ciênc Educ. 2025;11(2):1919-26.

Valencia-Contrera M, Fevereiro N, Cancino Jiménez D, Rivera-Rojas F, VilaaVelasquez J, Vallejos Vergara S, et al. INTEGRA methodology for the development of integrative reviews: origins, guidelines, and recommendations. Data & Metadata. 2024 Sep 2;3.

Vieira RCP, et al. Avaliação do impacto da implantação de um sistema de ambulância pré-hospitalar sobre mortalidade por infarto agudo do miocárdio em um país em desenvolvimento. Arq Bras Cardiol. 2022 set 23.

Oliveira CCM, Santos JLG, Novaes HMD. Evaluation of mobile emergency service with the use of mixed method. Cad Saúde Pública. 2022;38(5).

Ferreira RC, Cintra MPC. Enfermeiro no atendimento pré-hospitalar na redução da mortalidade e morbimortabilidade associada a acidentes e violência: uma revisão de literatura. Rev Ibero-Am Hum Ciênc Educ. 2025;11(12):2783-812.

Ludwig EFSB, et al. Analysis of mortality of users treated at a Mobile Emergency Care Service: an observational study, Paraná, 2019-2020. Epidemiol Serv Saúde. 2025;34.

Enriquez de Salamanca Gambara R, Sanz-García A, del Pozo Vegas C, López-Izquierdo R, Sánchez Soberón I, Delgado Benito JF, et al. A Comparison of the Clinical Characteristics of Short, Mid-, and Long-Term Mortality in Patients Attended by the Emergency Medical Services: An Observational Study. Diagnostics. 2024;14(12):1292.

Guarino M, Perna B, Cesaro AE, Maritati M, Spampinato MD, Contini C, et al. 2023 update on sepsis and septic shock in adult patients: management in the emergency department. J Clin Med. 2023;12(9):3188.

Rickenbach ON, Aldridge J, Tumin D, Greene E, Ledoux M, Longshore S, et al. Prehospital time and mortality in pediatric trauma. Pediatr Surg Int. 2024 Jun 20;40(1):153.

Oliveira Neto AA, Araújo AHIM, Farias DS. A efetividade dos torniquetes no atendimento pré-hospitalar. Res Soc Dev. 2022;11(11):e582111124619.

Bhattarai HK, Bhusal S, Barone-Adesi F, Hubloue I. Prehospital Emergency Care in Low- and Middle-Income Countries: A Systematic Review. Prehosp Disaster Med. 2023;38(4):495-512.

Published

2026-04-20

How to Cite

Silva, A. C. dos S. (2026). The role of prehospital care in reducing mortality in emergencies. Revista Ft, 30(157), 01-10. https://doi.org/10.69849/tr2v9g76