Emergency care is a critical pillar of healthcare systems, serving as the initial point of contact for individuals facing acute conditions. However, consistent access to prompt emergency care remains a challenge in many regions, particularly low and middle-income countries (LMICs), where a substantial burden of disease is attributed to emergencies. This paper explores the emergency care ecosystem in India, emphasizing the role of first responders, effective communication, ambulance services, and trained healthcare staff. It also highlights challenges, solutions, technological advancements, and the benefits of implementing an emergency surveillance system to improve emergency care services. The multifaceted approach includes strengthening pre-hospital care systems, equipping communities with basic first aid skills, optimizing ambulance services, strengthening formal education and training in emergency care, harnessing technological solutions, data-driven insights, innovative approaches, and telemedicine. These efforts collectively aim to establish a seamless continuum of care, minimize patient treatment delays, and ensure that healthcare professionals are both incentivized and adequately prepared for high-stress emergency environments. Additionally, addressing violence against healthcare professionals and ensuring equitable access to emergency care are crucial components of the transformation agenda. This transformation is not only essential for saving lives, reducing disabilities, and advancing universal health coverage but also addresses a critical gap in India's healthcare landscape by enhancing the efficiency and accessibility of emergency care services.
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