# Brazil Samu service expansion and policy updates > Live situation record from CLSTR: https://clstr.news/situations/brazil-samu-emergency-service-developments > Updated: 2026-09-11T16:00:43.000Z. Sources: 40. Developments: 12. In September 2026, Samu services focused on specialized training and fleet modernization. In Dourados, the Samu 192 Regional Emergency Education Nucleus conducted technical training at Faculdade Anhanguera to address a nationwide rise in psychiatric crisis calls. The training, involving the Mato Grosso do Sul Military Fire Department and Psychosocial Care Centers, focused on service integration and patient reception. Dr. Otávio Miguel Liston, general coordinator of Samu Regional Dourados, noted that new State Health Secretariat protocols are being established to qualify care across Mato Grosso do Sul, including for smaller municipalities. Simultaneously, municipal upgrades to emergency health infrastructure continued. In Sinop, local authorities delivered two ambulances along with medical equipment, including 34 electrocardiogram machines and a mobile dental unit. In Fortaleza, the city received 10 new ambulances through the federal PAC Health program, a move intended to eventually renew approximately 80% of the city’s Samu fleet. ## Claims - The municipality of Mirangaba delivered a decentralized SAMU base to improve emergency services. (single source) - The SAMU 192 RN service has achieved 100% coverage across the 21 municipalities of the Trairi region. (single source) - The expansion in the Trairi region benefits approximately 202,508 inhabitants. (single source) - A new Advanced Support Unit (USA) was implemented in Santa Cruz to act as a mobile ICU. (single source) ## Timeline ### 2026-09-11: Brazil municipalities upgrade emergency health services Brazilian cities Sinop and Fortaleza are upgrading emergency services with new ambulances and medical equipment to strengthen public health networks. 3 sources. https://clstr.news/cluster/brazil-municipalities-upgrade-emergency-health-services ### 2026-09-10: Samu conducts psychiatric emergency training in Dourados Samu 192 Regional Dourados held technical training for emergency responders to improve the management of psychiatric emergencies and strengthen integrated service responses in Mato Grosso do Sul. 6 sources. https://clstr.news/cluster/samu-conducts-psychiatric-emergency-training-in-dourados ### 2026-09-08: Ministry of Health inspects new SAMU ambulances in Goiás The Brazilian Ministry of Health inspected 20 new SAMU 192 ambulances and a new radiotherapy center in Goiás, funded by the Novo PAC Saúde program to improve regional emergency and cancer care. 5 sources. https://clstr.news/cluster/ministry-of-health-inspects-new-samu-ambulances-in-gois ### 2026-08-31: SAMU expands emergency medical coverage in Rio Grande do Norte SAMU emergency services have reached 100% coverage in Rio Grande do Norte's Trairi region and a new decentralized base has been opened in Mirangaba to improve response times. 2 sources. https://clstr.news/cluster/samu-expands-emergency-medical-coverage-in-rio-grande-do-norte ### 2026-08-25: SAMU emergency services expand coverage in Brazil SAMU emergency services are expanding in Brazil, with CISREUNO adding 12 new bases in Minas Gerais and Teresópolis renewing its medical service contracts to ensure continuous 24-hour care. 2 sources. https://clstr.news/cluster/samu-emergency-services-expand-coverage-in-brazil ### 2026-08-24: SAMU professionals in São Domingos do Capim receive advanced emergency training SAMU and municipal hospital professionals in São Domingos do Capim underwent advanced training in life support and emergency protocols to improve local urgent care standards. 2 sources. https://clstr.news/cluster/samu-professionals-in-so-domingos-do-capim-receive-advanced-emergency-training ### 2026-08-18: Brazil expands emergency medical fleets with new ambulances Brazilian municipalities and Samu are upgrading emergency medical services with new ambulances, including advanced units and Starlink-equipped vehicles for remote areas. 5 sources. https://clstr.news/cluster/brazil-expands-emergency-medical-fleets-with-new-ambulances ### 2026-08-17: Brazil indigenous healthcare sees improved medical access and emergency response Healthcare services for Brazil's indigenous populations are seeing major gains, with NGO Zoé increasing Amazonian medical procedures by 61% and the SAMU Indígena reducing emergency response times to 6 minutes. 2 sources. https://clstr.news/cluster/brazil-indigenous-healthcare-sees-improved-medical-access-and-emergency-response ### 2026-08-03: Brazil's Samu adds pre‑hospital heart attack treatment and reports first month of 105 calls Brazil's Samu reports 105 emergency calls in its first month in São João Batista and introduces pre‑hospital thrombolysis for heart attacks in Limeira, aiming to cut treatment time by up to 30 minutes. 2 sources. https://clstr.news/cluster/brazils-samu-adds-prehospital-heart-attack-treatment-and-reports-first-month-of-105-calls ### 2026-07-27: Brazilian cities boost emergency health services with training and SAMU anniversary Arapongas held a regional training on acute coronary syndrome care, while Botucatu marked 15 years of its SAMU 192 service with awards, highlighting Brazil's push to improve emergency health services. 4 sources. https://clstr.news/cluster/brazilian-cities-boost-emergency-health-services-with-training-and-samu-anniversary ### 2026-07-20: Brazilian health officials object to new emergency service shift schedule Brazilian officials protest a sudden shift change for Samu workers in Salvador and defend municipal involvement in the state‑run TFD program. 2 sources. https://clstr.news/cluster/brazilian-health-officials-object-to-new-emergency-service-shift-schedule ### 2026-06-28: Brazil's Samu tackles fatal cardiac arrest, shootings and achieves statewide coverage Brazil's Samu responded to a fatal cardiac arrest at a World Cup match, multiple shootings, a stabbing, and an intoxicated disturbance, while Paraná achieved full statewide Samu coverage and system upgrades. 7 sources. https://clstr.news/cluster/violent-assaults-reported-in-santarm-and-ribas-do-rio-pardo-brazil --- Cite as: Brazil Samu service expansion and policy updates. CLSTR, https://clstr.news/situations/brazil-samu-emergency-service-developments