Abstract
Objective: Aim to identify, through an integrative review of the literature, the main difficulties of prehospital care described in the national scientific production of the last 10 years. Methods: This is an integrative review of the literature by searching the SciELO and LILACS databases. The descriptors available in the index of descriptors in health sciences (DECS) used were: emergency medical service, urgency and emergency. The inclusion criteria used were articles produced in the last 10 years of national origin and in the Portuguese language, available in databases or on the journal platform, which answered the question of research. Results: After searching the LILACS database, using the descriptors emergency medical service and emergencies, we found 299 articles, after applying the filters there was a result with 18 articles that after reading the titles and summaries resulted in a sample of 7 articles. In the Scielo database, 56 articles were found, after application of the filters there was a result with 17 articles and the reading of the titles and abstracts were considered eligible 10 articles for the sample. Final considerations: The main difficulties of prehospital care described in the national scientific production in the last 10 years observed in this study were: lack of integration among services, non-pertinent demands, lack of materials and lack of capacity. Furthermore, were also mentioned: the immobility on the public road, the exposure to urban violence, the communication gap between services and the deficiency of specific care protocols.