Abstract
Prehospital Emergency Medical Care (EMC) is a critical service in disaster management. The aim of this study was to explore the challenges of prehospital Emergency Medical Services (EMS) during disaster response in Iran. A qualitative study was conducted from April 2015 to March 2017. Data were collected through in-depth, semi-structured interviews with 23 experienced individuals in the field of disaster that were selected usingpurposefulsampling. Data were analyzed using contentanalysisapproach. Fifteensub-themesand the followingsix themes emerged in the analysis: challenges related to people, challengesrelated to infrastructure, challengesrelated to information management systems, challenges related to staff, challenges related to managerial issues and challenges related to medical care. Iran's prehospital EMS has been chaotic in past disasters. Improvement of this process needs infrastructure reform, planning, staff training and public education.
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