In more advanced developing countries, establishing ambulance transport systems is more feasible, but still requires considerable expertise and planning. Prior to 2004, Pakistan did not have an organized emergency medical system. In that year, Rescue 1122 was launched as a professional pre-hospital emergency service, and it has managed to achieve an average response time of 7 minutes, comparable to that of developed nations. Some of the critical factors in its success included local manufacture of vehicles, training instructors to certify emergency medical technicians, adopting training materials to the local context, and branching out to include fire and rescue service response under a united command structure.
Now a Days Rescue 1122 is consider as the first Well Trained Emergence Service of Pakistan.