LFR International is an American international nonprofit organization focused on prehospital emergency medical research and emergency medical services development in sub-Saharan Africa. LFR launches sustainable prehospital emergency care programs in resource-limited settings of low-income countries without formal emergency medical services by collaborating with local governments and stakeholders to train lay first responders.

The First Responder Coalition of Sierra Leone (FRCSL) is a coalition of Sierra Leonean and international organizations dedicated to expanding prehospital emergency care and developing emergency medical services in Sierra Leone. It aims to address the high rates of injury and low rates of prehospital emergency care available in the country.