Low- and middle-income countries (LMICs) shoulder a disproportionate burden from acute illnesses, yet it has also been demonstrated that reduced transport times to a hospital decrease the odds of mortality in trauma patients in LMICs. A lack of equipment, poorly developed infrastructure, and long distances have been reported as key barriers in the provision of emergency care. Pakistan is one such LMIC that is burdened by many of these challenges in prehospital care. Emergency medical systems (EMS) have only recently been established in Pakistan, and prior to the last several years, patients were routinely transported to healthcare facilities by relatives, bystanders, or by basic patient transport. Where formal patient transport is available, transport times are often prolonged by distance, traffic congestion, and a lack of public cooperation.