The article presents current data on organization of emergency medical care in the world. The global experience indicates the presence of several models of emergency medical care, one of which shows distribution between the primary and secondary levels. The introduction of this model in Ukraine with distribution of secondary emergency and primary emergency care did not show positive results. Effective implementation of this model is possible only if follow conditions exist: well developed, equipped primary health care, a sufficient number of qualified personnel and equipped establishments of general practice, that provide medical care day and night.