Ideally, pre-hospital care involves a systematic approach to care of an acutely injured individual from the place of injury to the hospital, where definitive care will be provided. However, in our country, majority of the trauma cases die at the scene without being treated or transported to a proper facility. The lack of an effective pre-hospital care in our country leads to unnecessary and preventable deaths. This is a problem in both the urban and rural setting, but more so in the latter since they have to work with limited and scarce resources, on top of the geographic barriers and communication challenges due to lack of signal/internet connectivity in most areas. Strengthening pre-hospital care in our country will reduce the morbidity and mortality rates. Being able to stabilize those with acute life-threatening conditions, even just for a few minutes, will make a huge difference on the outcome of the patient.