Road traffic crashes (RTC) are increasing at an alarming rate in Nepal resulting in many deaths and injuries. Around 50% of road trauma victims with survivable injuries die in the pre-hospital setting of Low and Middle-Income Countries (LMICs) like Nepal because they do not receive timely first-aid and transfer to a healthcare facility. 
It has been shown that targeted training in first aid of key groups and the timely provision of first-aid by trained and non-medical first responders can make a significant difference to a road crash victim’s chances of survival.
In Nepal evidence of the impact of first response services and training has not been collected in a systematic way to include the number of organisations involved in first response, their activities, and their effectiveness and health outcomes following any first response treatment. In addition, little is known about the capacity of institutions/organisations and first response providers to provide such care in Nepal.
Ethical approval has been obtained from the Nepal Health Research Council and the University of the West of England, Bristol, UK for this study which explores the status of post-injury first response system in Nepal.This is an online cross-sectional study to identify institutions involved in designing, implementing and evaluating first response/first-aid programmes in Nepal.
In phase one of the research, the Nepal Injury Research Centre (NIRC) have established a First Response Reference Group (FRRG), a consortium of experts and key stakeholders involved in pre-hospital emergency medical, first response and first aid services in Nepal. This group, is comprised of fourteen members, and in the first phase of the research have acted as key informants in identifying data sources (organisations and institutions providing first-response services and emergency medical services in Nepal.