Pre-hospital care encompasses all treatments that a patient receives prior to reaching a hospital, hence is multifaceted. It involves first-responders, community responders, emergency transport vehicles, and standardized emergency protocols. Moreover, it is influenced by medical infrastructure, public infrastructure, and national policies. In Ambulansya de Paa, the difficult state of pre-hospital care in their setting was revealed. Emergency transport vehicles were scarce, the nearest medical facility was kilometers away, and dirt roads were obstacles to reaching a healthcare facility. In an ideal setting, pre- hospital care provides immediate treatment for those with acute life-threatening conditions to slow disease or injury progression, minimize morbidities and mortalities. For example, the ABCDE protocol when conducted by a trained professional on a trauma patient will allow immediate detection of life-threatening conditions and will determine the immediate resuscitation needed. This will now stabilize the patient while awaiting for definitive care in a health facility, thus improving outcomes. In this ideal setting, anyone can have access to health care any time anywhere through pre-hospital care.