Background: Emergency nursing care is an important variable in reducing death and disability due to road traffic accidents (RTA), poisoning, burns, stroke, any cardiac emergency and other emergencies that requires adequate knowledge, quick action with clinical skills. Nurses play a central role in emergency preparedness and management, as well as in emergency response, in many countries over the world. During an emergency staff nurses have a special need. Material and method: A quantitative research approach & non-experimental descriptive survey design was used to assess response regarding first hand emergencies. The total number of sample is 60 and all are nursing staff of city hospital; district kangra. The minimum age of the participants is 20 and the maximum age is 25. Result: The study revealed that from the findings it is conducted that 80.0% that majority of the nurses have average knowledge regarding first hand emergencies, 1.7 have good knowledge and 18.3 have poor knowledge regarding first hand emergencies. Conclusion: The present study concluded an emergency can happen at any time or any place. It is a situation demanding immediate action. The first critical step in any emergency depends on the presence of someone who will take appropriate action. Emergency medical services (EMS) system is a chain made up of several links. Each link depends on the other for success. When the EMS system works correctly, a victim moves through each link in the chain, beginning with the actions of a responsible citizen and ending with care being provided to attempt to restore the victim to health. Nurses are key members of the healthcare system, and their clinical competency is crucially important, particularly in the emergency department. There is a close relationship between nurses’ clinical competency and quality of care. As the incidence of medical emergencies are on the rise in recent years it is important to ensure that health personnel are adequately trained to deal with such events.¹