Emergency care in China: what to do in the first hour
Short answer
In mainland China, call 120 for an ambulance. If the patient can travel safely, a taxi or ride-hail car to the nearest large hospital's emergency department (急诊, jízhěn) is often faster. Bring the patient's passport and a way to pay, because public hospitals usually ask for payment before each test or treatment.
Key facts
- Ambulance (mainland China): 120. Police: 110. Fire: 119. Traffic accidents: 122.
- Hong Kong and Macau use 999 for emergencies, not 120.
- Emergency departments are labelled 急诊 (jízhěn) and are open 24 hours at large public hospitals.
- Registration needs the patient's passport; a photo of it helps if the original is elsewhere.
- Public hospitals usually take payment step by step — registration, then each test, then medicines — and may ask for a deposit before admission.
- 120 dispatchers mainly speak Mandarin. Have the address ready in Chinese characters.
Call 120, or go yourself
Call 120 when the person can't be moved safely: suspected heart attack or stroke, serious injury, unconsciousness, severe breathing difficulty, or heavy bleeding. Stay on the line and give the address first — dispatchers need the location before anything else.
Go by taxi or ride-hail when the patient can sit up and travel. In big cities this is often quicker than waiting for an ambulance. Ask the driver for the nearest large hospital's emergency department:
请带我去最近的医院急诊。
Qǐng dài wǒ qù zuìjìn de yīyuàn jízhěn.
请叫救护车!
Qǐng jiào jiùhùchē!
In Beijing, the Red Cross emergency centre also runs ambulances on 999. Outside the mainland, Hong Kong and Macau use 999 as the general emergency number.
What to have ready
- Passport (or a clear photo of it). Hospitals register patients by ID.
- A phone that can pay: Alipay or WeChat Pay linked to a foreign card, or the hospital's own payment mini-program.
- Some cash in RMB, as a fallback if a payment fails.
- The address in Chinese — copy it from a map app or your hotel booking.
- A list of medicines, allergies and conditions, ideally with the Chinese translation. The hospital Chinese guide has phrases you can show.
- Your insurer's 24-hour assistance number, if you have travel or international health insurance.
What happens at the emergency department
Large public hospitals run a separate emergency department (急诊) that stays open around the clock. The usual sequence is:
- Triage (预检分诊): a nurse checks how urgent the case is. Serious cases are seen first.
- Registration (挂号): show the passport and pay a small registration fee.
- Doctor's assessment: the doctor orders tests such as blood work, an ECG or a CT scan.
- Pay, then test: in many public hospitals you pay for each test before it is done, at a counter, a kiosk or by scanning a QR code.
- Treatment or admission: if you are admitted, the hospital usually asks for an inpatient deposit (住院押金).
Public or international hospital?
| Public Grade 3A hospital (三甲医院) | International / private hospital | |
|---|---|---|
| Emergency capacity | Full emergency department, specialists on site | Varies; some have full emergency care, some are clinics |
| Language | Mainly Mandarin | English-speaking staff |
| Cost | Lower | Several times higher |
| Insurance | Usually pay first, claim later | Often direct billing with international insurers |
| Best for | Life-threatening emergencies | Urgent but stable problems, follow-up care |
For a life-threatening emergency, the nearest capable hospital matters more than language. Once the patient is stable, many foreigners transfer follow-up care to an international department or private hospital.
After the emergency
- Ask for copies of everything: the medical record (病历), test reports, the diagnosis certificate (诊断证明) and official invoices (发票). Insurers usually need them; see paying for healthcare in China.
- If you'll stay longer than your visa or visa-free period allows because of treatment, contact the local Exit-Entry Administration early. See visas and entry for medical travel.
- For serious incidents, your embassy or consulate can help contact family and may provide lists of English-speaking doctors.
Questions people ask
Do 120 operators speak English?
Sometimes, but don't count on it. Dispatchers mainly speak Mandarin, and English support varies by city and shift. Ask a hotel receptionist, shopkeeper or anyone nearby to make the call, or read the address aloud in Chinese. A pin shared in a Chinese map app helps the ambulance find you.
Can I choose which hospital the ambulance takes me to?
Public 120 ambulances normally take patients to the nearest suitable hospital, and you may not get a choice. If you want a specific private or international hospital and the situation is not life-threatening, many of those hospitals run their own emergency lines or you can travel there by taxi.
Will a hospital treat me if I can't pay straight away?
Hospitals are expected to provide emergency treatment to critically ill patients, but you should expect to be asked for payment or a deposit as soon as possible. Having Alipay or WeChat Pay set up with a foreign card, plus some cash, avoids most delays.
Should I go to a public hospital or an international hospital in an emergency?
For anything life-threatening, go to the nearest large hospital — usually a public Grade 3A (三甲) hospital with a full emergency department. International private hospitals are easier for language and insurance, but not every one has the capacity of a major public emergency department.
Sources
- Medical care in 2026 for foreigners in China, HiredChina
- Hospital payment methods in China: a 2026 practical guide for international patients, Medical Travel China