Proposal: In many communities and healthcare settings in Africa, the difference between life and death may be the technical skill or preparedness of the practitioner to whom a patient first presents. This unique approach will bridge this remediable differences in emergency/health care delivery through adapting the model of simulation as an educational tool for training, in the context of a local healthcare setting. Simulation education can contribute to the improvement of care delivery by capacity building, giving the opportunity to simple and affordable best practices healthcare simulation exercises tailored to the need of the practitioners and level of care their facilities can deliver. The ‘mobile’ model of this simulation education entails disengaging from the centers where these services and trained practitioners are largely available, and actively engaging underserved communities and practitioners using mobile simulation units (Sim-on-Wheels).