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This is a descriptive, exploratory study of historical-social and ethical-legal nature, developed through a documentary analysis as part of the historical method. National and international data basis were searched at CINAHL, LILACS, MEDLINE, PeriEnf e PubMed utilizing the following descriptors: nursing, pre-hospital care, and ethical-legal aspects, published in the last ten years. The historical method studies social facts and its relations, from documents found in sources, contexts and distinct moments, and involve the knowledge reconstruction and new interpretation of facts. Lack of specific literature on ethical-legal aspects within pre-hospital care and the nurse ́s insertion into this kind of service, has motivated this study. Also, the professional experience as nurse and having lived critical situations within the Rescue Group for Urgent Care (GRAU-Resgate 193), has created the interest on the theme and the basis for this into the Law field. This study aimed at making an historical rescue about the emergence of pre-hospital care and the nurse ́s insertion in it with the objectives: to survey the legislation and the nurses ́ functions in this service; to identify the nurses ́ ethical and legal challenges at professional practice; and, to outline the kind of nurse needed for pre-hospital care. DESCRIPTORS: Emergency, Nursing, Pre-hospital, Ethical-legal aspects and Nursing history. LISTA DE ABREVIATURAS ACLS Advanced Cardiologic Life Support AHA American Heart Association APH Atendimento Pré-Hospitalar ATLS Advanced Trauma Life Support BLS Basic Life Support CAMU Centro de Acompanhamento Médico de Urgência CC Código Civil CDC Código de Defesa do Consumidor CF Constituição Federal CFM Conselho Federal de Medicina CECOM Central de Comunicações CEPE Código de Ética dos Profissionais de Enfermagem COBOM Comando de Operações dos Bombeiros COFEN Conselho Federal de Enfermagem COREN Conselho Regional de Enfermagem CP Código Penal DEA Desfibrilador Externo Automático DNR Do Not Resuscitate EMT Emergency Medical Technician EUA Estados Unidos da América FDA Food and Drug Administration FV Fibrilação Ventricular GB Grupamento de Bombeiros GRPAe Grupo de Rádio Patrulhamento aéreo GRAU Grupo de Resgate e Atendimento de Urgências IMV Incidentes com Múltiplas Vítimas LEPE Lei do Exercício Profissional da Enfermagem MS Ministério da Saúde NEU Núcleo de Educação em Urgências PB Posto de Bombeiros PCR Parada Cardiorespiratória PALS Pediatric Advanced Life Support PHTLS Prehospital Trauma Life Support RCP Ressuscitação Cardiopulmonar SAMDU Serviço de Atendimento Médico Domiciliar de Urgência SAMU 192 Serviço de Atendimento Móvel de Urgência SAMU 193 Serviço de Atendimento Médico de Urgência SAV Suporte Avançado de Vida SBV Suporte Básico de Vida SES Secretaria de Estado da Saúde SIM Sistema de Informações sobre Mortalidade SME Serviço Médico de Emergência SSP Secretaria de Segurança Pública SUS Sistema Único de Saúde TLSN Trauma Life Support for Nurse TV Taquicardia ventricular UR Unidade de Resgate USA Unidade de Suporte avançado

Atendimento pré-hospitalar: histórico do papel do enfermeiro e os desafios ético-legais