# Brazil emergency healthcare service guidance > Live situation record from CLSTR: https://clstr.news/situations/brazil-emergency-healthcare-service-guidance > Updated: 2026-08-18T16:26:40.000Z. Sources: 2. Developments: 2. Guidance has been issued regarding the appropriate use of emergency and healthcare services in Brazil. Clinical leadership at Hospital Unimed Poços de Caldas emphasized the importance of distinguishing between routine consultations and emergency department visits. The hospital utilizes a risk classification system that “identifies quickly the most serious cases and gives them priority, regardless of arrival order.” Additionally, preventive measures such as vaccination and hygiene were recommended to mitigate respiratory virus spread during the winter. Further clarification on the Brazilian emergency response structure outlines the specific roles of different services. The SAMU (192) is designated for health-related emergencies like seizures or heart attacks, while the Fire Department (193) handles rescue operations such as fires or drownings. Within the public health network, Basic Health Units (UBS) manage routine care and prevention, Urgent Care Units (UPA) handle medium-complexity cases, and public hospitals are reserved for high-complexity emergencies. ## Timeline ### 2026-08-18: Brazil emergency services: guidance on SAMU, Fire Department, and health units Guidance for navigating Brazilian emergency services clarifies when to call SAMU (192) for medical crises versus the Fire Department (193) for rescues, and how to use UBS, UPA, and hospital networks. 2 sources. https://clstr.news/cluster/brazil-emergency-services-guidance-on-samu-fire-department-and-health-units ### 2026-07-29: Unimed Poços director urges correct use of Brazil's emergency services Brazilian health experts, led by Unimed Poços director Mário Augusto Krugner Lopes, advise when to use emergency departments, stress risk‑classification priority, and promote winter preventive measures. 2 sources. https://clstr.news/cluster/unimed-poos-director-urges-correct-use-of-brazils-emergency-services --- Cite as: Brazil emergency healthcare service guidance. CLSTR, https://clstr.news/situations/brazil-emergency-healthcare-service-guidance