Angels is an innovative effort aimed at ensuring the immediate, emergency medical care during accidents and disaster. Pre-Hospital Care is primarily to identify the intensity of the sickness of the patient and provide immediate appropriate preliminary care at the spot itself. The system will also transport the sick or dangerously injured victims safely to the nearest health care facility by providing required basic all advanced life support measures. Rajiv Youth Foundation is a partner organization of ANGELS took key role to implement this programme in Malappuram, Wayanad and Palakkad districts. The pro- gramme aims to enhance and enforce the Pre- Hospital Care to reduce the mortality and morbidity of victims of trauma emergency cases, outside the hospitals and delivering the health care system at the door step of hapless and ailing needy of the city