When you think about travelling in Asia or throughout the Pacific, do you consider the pre-hospital care provided in these countries? Irrespective of your answer, do you believe in health equality for all and more specifically, a reliable and efficient pre-hospital care service? Unfortunately, almost all low to middle-income countries in Asia and the Pacific face significant challenges when it comes to providing pre-hospital care. One of the first questions that come to mind when looking into the pre-hospital care system in developing countries is: What is the educational system supporting it? More specifically, what level of training do the pre-hospital care providers have and is the education specifically tailored to the conditions found in their out-of-hospital environment? Traditionally in these countries, nurses are assigned to emergency vehicles with a driver and are asked to perform patient assessment and management with little training, if any, for the pre-hospital setting.