France and Spain are sharing a 656 km border, delimited by the mountainous chain of the Pyrenees. This geographical situation makes difficult terrestrial communication between these two countries and limits the access to emergency care for population. In order to face this issue, the project proposes to create an operational network of cross-border cooperation in emergency medicine and disaster. It will aim to reduce the inequalities of access to emergency care both in remote areas and at scene of accidents. In order to remove the administrative and legal barriers between the border territories, bilateral agreements will be signed thanks to the pilot project EMS, carried out by the CTP. Common patient care procedures will be elaborated through interoperability between health information systems and a common training will be provided. Innovative tools will also be developed and deployed in disaster situations or on prudential frameworks with all the partners involved. The cooperation developed in this project aims to bring a concrete and direct benefit to the citizen, allowing him to enjoy quality care closer to his place of residence.