Pre-hospital Medical Services (EMS) in Iran, named "Emergency 115" was established by helping America to
reduce and prevent many deaths and long term disabilities. Transferring people from incident sites to the hospitals
is one duty of the emergency centers. The purpose of this paper is to describe current status of pre-hospital
emergency operation in missions of 115 Emergency bases in Rasht city, Iran, in order to compare with global
standards. This is a cross sectional descriptive-analytic study. Information of about 50% of Rasht city 115
emergency missions cases (5667 cases) in seven bases of them (include 6 urban bases and one road base) were
collected by 115 urgency missions forms in a year (from August 21th 2007 till August 21th 2008). Missions of odd
dates of every month in the study period were selected and the information was collected by a standard checklist of
Ministry of health of Iran. Data were entered in SPSS software ver. 16 and Chi Square and T tests were used to
define the meaningful differences (a = 0.05). 61.6% of contacts were male and mean age of them was 45.3 ± 21.9
years old. Among 5665 emergency missions, 5033 (92%) were interurban and type of missions were determined in
96.6% of them. Most places of missions were in residential environment (74.7%). Type of emergency cases was
determined in 47.1% of missions which the maximum was loss of consciousness (20.8%). Response time in our study
has been compared with standard time that it was significant relation between them (P value<0.001). In death
cases, 65.8% were men and the most of them were in age group 61-70 (20.7%). This study suggests that time
indexes of pre-hospital emergency in Rasht is lower than Tehran and Urmia and international standards. The short
response time and transport time compared to other settings may indicate improvement in the pre-hospital services
in the study area. It is very important to pay attention and care in measuring these times exactly and correctly to
have a good surveillance system at the EMS
