[3][4] LFR's model of locally-informed rapid emergency care deployment has been launched and studied by researchers in Uganda, Chad, Guatemala, and Sierra Leone.

[14] Under extreme resource limitations, an LFR program was launched by training 108 motorcycle taxi drivers to provide care for 36,000 people.

LFR worked with affiliates of the Guatemalan Ministry of the Interior to train hundreds of members of the Policia Nacional Civil and CVB across the Escuintla, Sacatepéquez, and Chimaltenango departments in prehospital trauma management.

LFRs were later found to have treated 1,850 patients over the following six months, demonstrating significant emergency care knowledge improvement and retention in LFR participants.

While controlling for secular trends, prehospital care in Makeni was demonstrated to have improved significantly over the 14-month study period, while also validating PETCAT as a robust tool for independent EMS quality assessment in resource-limited settings.

[17][18] The LFR/HEI program aims to train and evaluate the performance of 350 first responders to improve outcomes in the prehospital setting prior to hospital admission in Lagos, "to reduce fatalities from road traffic accidents, which are currently the leading cause of youth casualties in Nigeria.

"[19][20] Later in 2022, the Lagos State Command of the Federal Road Safety Corps (FRSC) partnered with HEI and LFR to train 1,000 commercial transporters as lay first responders in Lagos State in order to support FRSC's initiative to reduce road crash fatalities by 15%, with the goal to train additional thousands of first responders in Nigeria in 2023.