The invention discloses a pre-hospital emergency remote medical rescue system. The pre-hospital emergency remote medical rescue system comprises a pre-hospital emergency ambulance for receiving patient information entry to form patient identity data, collecting patient vital sign information to form patient condition data, obtaining audio and video information in the ambulance in real time and sending the audio and video information to an emergency treatment processing terminal, and an emergency treatment terminal for receiving the patient identity data, the condition data and the audio and video information in the ambulance sent by the ambulance, establishing a patient file, uploading the patient file to a hospital patient information database, judging and diagnosing the current conditionof the patient, feeding back a diagnosis and treatment scheme to the pre-hospital emergency ambulance and guiding the emergency work in the ambulance. The pre-hospital emergency remote medical rescuesystem is established on the basis of a Beidou second-generation satellite, can realize timely, accurate and effective pre-hospital information sharing for a patient, breaks through a green channel for the patient, and gains precious time for reception; and whole-course monitoring and consultation guidance are provided for patients through mobile monitoring and audio and video consultation, so that accidents are reduced, and the treatment efficiency and quality are improved to the maximum extent.