Modern society requires strong, resilient systems of care delivery for their populations who may need emergency healthcare at any time of day or night. The International Federation for Emergency Medicine (IFEM) has previously described the standards required for such systems. These should be available in order for an Emergency Physician (EP) to be able to practice safely and effectively in caring for the critically ill and injured or those with undifferentiated disease (1). There are however increasing pressures being placed upon developed and developing systems worldwide that compromise the delivery of such care at even a basic level as well as hampering delivery of the most cost effective standards in well-resourced systems. There is also a tremendous need to develop strategies to help guide the many parts of the world where even the most basic emergency healthcare delivery is a daily challenge.