Abstract: Today, despite the obvious need, pre-hospital providers cannot send real-time electronic patient care information from the field to a receiving hospital. This lack of field awareness and inability to plan for the arrival-or anticipate the needs-of seriously ill or injured patients can lead to the misdirection of patients and the loss of valuable time in the early phases of resuscitation. We believe, however, that current technology can address these shortcomings and that is the focus of our research efforts. This paper discusses how several countries, including Israel, Sweden, Britain and the United States, are addressing the need to better triage patients from the field to an appropriate hospital or trauma center. It also introduces a potential solution, called iRevive, which uses emerging technology such as sensors, wireless WAN data transport, web services, artificial intelligence, and mobile devices to meet the dynamic needs of first responders and the hospitals they serve.