IntroductionThe hospital mortality rate in low and middle-income countries is much higher than developed countries,thus enhancing the critical and emergency services will reduce rate of mortality. Providing life savingtreatment, continuous monitoring for the critically ill patient survival is defi nitely linked to availabilityand capability of equipment, drugs, medicine and trained personnel. Therefore, the challenges aredetermined and introduce stepwise method to reduce in-hospital mortality.GoalDetermining second level hospital’s capability to provide critical care and suffi ciency of medical supply.Materials and MethodProvince and district hospitals were included in the research and cross-sectional study conducted. Thesecond level hospitals were selected from 9 Provincials hospitals in 4 regions of Mongolia, 5 districthospitals in the capital city of Ulaanbaatar were involved, clustering and randomised in research. Theresearch conducted after obtaining Medical Ethical Committee approval. Statistical analysis usingSPSS-17. Data and some materials were analyzed with Shapiro-Wilk test for assessing the populationis normally distributed.ResultNone of the hospital is able to provide with 24-specialist doctor service in the emergency room and 3 (21,4%) hospitals have available for 24 hours intensive care doctor service.In the emergency settings, capability for FAST ultrasound examination is 8 (57, 1%) hospitals and noneof the hospital is able to provide echocardiography.Even though the number of intensive care bed is 5.6, the number of ventilators of hospitals are 2.5ventilators in 100.000 populations. 1 hospital is equipped with air-oxygen system. 3 (21.4%) of hospitalsare always able to perform central venous catheterization, and only 3 of the hospitals havevet thecapability of non-invasive ventilation. Drug and medicine use for cardiopulmonary resuscitation, availableof atropine and amiodoran were 9 (64.3%) and 5 (35.7%), respectively.Conclusion: None of the intensive care units of hospital, which participated in our research, able toprovide evidence-based emergency care on acutely ill patients.