INEM denies claims of ambulance fleet reduction
The National Institute of Medical Emergency (Instituto Nacional de Emergência Médica or INEM) has rejected allegations from its Workers' Commission that 100 ambulances were withdrawn from service. While the commission warns that such a move would impact 71 municipalities and increase pressure on other emergency services, INEM maintains that all resources remain operational to strengthen pre-hospital care integration.
Update: INEM denies ambulance withdrawal and system dismantling
INEM officials clarified that the potential transfer of ambulance management to Local Health Units (Unidades Locais de Saúde or ULS) does not imply the elimination of resources. The agency stated that all vehicles remain part of the Integrated Medical Emergency System (Sistema Integrado de Emergência Médica or SIEM) and continue to serve the population under national coordination.
Minimum services (serviços mínimos) are the legally required basic services that must be maintained during a strike to protect public safety—in healthcare this typically covers emergency care, critical ambulance coverage and intensive care. They matter because the INEM workers' committee admitted that late or unclear communication about which teams would be available during the end-of-2024 strike may have reduced operational capacity and confused patients; as an expat, expect limited non-urgent care during strikes and check official updates or call 112 for true emergencies.













