Ten years of the community-based emergency first aid responder (EFAR) system in the Western Cape of South Africa: What has happened, what has changed, and what has been learned.

"Declaration of Competing Interest The authors declared no conflicts of interest."

"Thank you to all the dedicated EFARs, EFAR Champions, EFAR instructors, volunteers, CBO partners and Community Advisers–past, present, and future. We also acknowledge the strategic support and guidance from members of the EFAR leadership committee in the Western Cape: Lee Wallis, the co-founder of the EFAR system and on behalf of Emergency Medicine Cape Town, Kubendhren Moodley and Radomir Cermak on behalf of the WCG College of Emergency Care, Shaheem De Vries on behalf of WCGH EMS, Heike Geduld from Emergency Medicine Cape Town, and the WCGH EMS District managers. Finally, Pumzile Papu the former Operations manager at WCGH EMS, and all those involved with the initiation of the first EFAR communities including Michelle Twomey, Michelle Klaasen, Suleiman Henry, Christine Jansen, Gerry Gordon, and all those at the Manenberg People's Centre, Mothers Unite, Women on Farms, AFEM, and the Emergency Medicine Society of South Africa."