Smartphones and location-based social networking technologies present an opportunity to re-engineer certain aspects of emergency medical response. Life-saving prescription medication extended in an emergency by one individual to another occurs on a micro level, anecdotally documented. Anaphylaxis in particular, with a combination of stable prescriptions, narrow medical regimens, and high availability, presents a common basis for community formation. In the context of introducing a system for chronic emergency response communities we present an ecosystem that has the potential to change key aspects of emergency response for certain chronic conditions.