HEMS - Not a Quick Fix

Quote from Alctw10

Recently there has been an increase in posts relating to HEMS so I thought I should provide some sort of update.

Back in January 2022 the HEMS requirement was removed and replaced with the current Critical Care requirement meaning it could be fulfilled by helicopter or RRV as IRL. Before this patients would instead require HEMS.

To support the above change RRVs were then also added to the HEMS station.

Fast forward to now, we all want HEMS to have a use. Unfortunately it's not a quick fix due to the change made. The DEVs are also aware something needs changing.

In short we are looking into options and have a few, all of this relies on some tests being made behind the scenes - thats all I can say, again not a quick fix.

I will keep everyone as updated as possible, any further threads though regarding HEMS I will remove so we can keep it all in once place.

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Thank you for the update

Do you have any concepts/ideas on how you’d like HEMS to work? That you can share of course.

Quote from Alctw10

Back in January 2022 the HEMS requirement was removed and replaced with the current Critical Care requirement meaning it could be fulfilled by helicopter or RRV as IRL

Does the HEMS actually work in any capacity?
I assumed it could be used as an ambulance, to cut down on travel / mission time
However when I send one RRV and one HEMS, the patient does not get transported

Quote from mjkerr

Does the HEMS actually work in any capacity?
I assumed it could be used as an ambulance, to cut down on travel / mission time
However when I send one RRV and one HEMS, the patient does not get transported

If you send an ambulance officer with the HEMS & RRV it should automatically transport the patient to hospital

Quote from mjkerr

Does the HEMS actually work in any capacity?
I assumed it could be used as an ambulance, to cut down on travel / mission time
However when I send one RRV and one HEMS, the patient does not get transported

HEMS currently cannot treat a paitent alone, it requires a DCA to support which i dont agree with, as i find myself shorthanded in some areas without ambulance cover, where it can be 30+ mins for a DCA for a cat 1, whereas HEMS can get there within 10. These areas have co-responders (irl and ingame) so normally HEMS will attend with the fire brigade but unfortuantly this isnt possible

Quote from Gooochy

HEMS currently cannot treat a paitent alone, it requires a DCA to support which i dont agree with, as i find myself shorthanded in some areas without ambulance cover, where it can be 30+ mins for a DCA for a cat 1, whereas HEMS can get there within 10. These areas have co-responders (irl and ingame) so normally HEMS will attend with the fire brigade but unfortuantly this isnt possible

Maybe that is all the short-term change needed.

replace the DCA hard requirement for any Ambo unit or CR or JRU.

So long as the unit can treat, the HEMS can transport. Increases the value of both HEMS and CRs which currently, just dont feel like they have much value either. Ive got them deployed realistically, but never actually dispatch them.

For those that play realistically I can see a potential negative impact to this. For example, an excessive amount of patients requiring HEMS, or HEMS unavailability e.g. overnight.

As a compromise if the HEMS was to become a requirement, could we introduce also a HEMS RRV or something else than could then fulfill the requirement.

Quote from Alctw10

You're describing the exact position we're in, only it's Critical Care Requirement.

It was previously HEMS required, but the community wanted it to be realistic and fulfilled by RRV. This was then changed to Critical Care so you could do this by HEMS or RRV.

The best solution I can think of is to either add a new patient requirement or mission unit requirement for something like "doctor required" or "advanced paramedic" or something to that effect (Exact term im not 100% sure of) which can then be assigned to/fullfilled by a HEMS, HEMS RRV (new unit) or speciality/doctor RRV (new unit).

That way its not 100% dependent on the HEMS (vehicle) or HEMS buildings to provide total coverage, but HEMS then is a core part of it.

Then just make sure the spawn rate is reasonable.

But I think short-term just adjusting the DCA requirement would be good too.

Quote from Alctw10

Granted the way it was changed allowed for it to be abused.

Can you elaborate a little on what you mean by this?

Quote from Morvran

The best solution I can think of is to either add a new patient requirement or mission unit requirement for something like "doctor required" or "advanced paramedic" or something to that effect (Exact term im not 100% sure of) which can then be assigned to/fullfilled by a HEMS, HEMS RRV (new unit) or speciality/doctor RRV (new unit).

That way its not 100% dependent on the HEMS (vehicle) or HEMS buildings to provide total coverage, but HEMS then is a core part of it.

Then just make sure the spawn rate is reasonable.

But I think short-term just adjusting the DCA requirement would be good too.

Can you elaborate a little on what you mean by this?

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perhaps with the introduction of BASICS/ On-call doctors? Would love that

Quote from Gooochy

perhaps with the introduction of BASICS/ On-call doctors? Would love that

That was kinda my thinking

another possible option is to rework CC.

Make it only required for C1 patients, but increase the reward from treating CC patients.

Makes CC then less.... routine.

Not only is CC a little inconsistant in what does and does not require it (sprain missions for example) but its generally easier to just dispatch CC to everything or just turn it off. It doesnt feel important enough

Quote from Morvran

another possible option is to rework CC.

Make it only required for C1 patients, but increase the reward from treating CC patients.

Makes CC then less.... routine.

Not only is CC a little inconsistant in what does and does not require it (sprain missions for example) but its generally easier to just dispatch CC to everything or just turn it off. It doesnt feel important enough

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Personally yeah i have CC disabled, and i dispatch it to missions i feel apropriate (secamb has 10 CCPs on duty at once, one per MRC) so following ingame wiith the sheer amount of CC paitents, is simply impossible, i'd also like to see a cap of 2 CC requiring paitents at any scene, i dislike when EVERY paitent at a mass casualty-call needs cc. even if graded c3 (walking wounded)

Quote from Alctw10

A lot of PDAs for Major Incidents and those deemed mass casualty will often have multiple CC teams.

I take on the point about the excessive need but won't look to push for a cap on it as it won't be realistic. Large Aircraft Crash with over 200 patients but knowing only 2 x CC resources would be needed is an example I can think of.

Im more talking about missions having literally 100% chances of CC in Mass Casualty, such as Firearms Attacks, Building Collapses, Large + Major Hotel Fire (up to 50 all needing cc), I think Mass Casualty incidents (espically those with 50+ patients) should have lower CC chances like 10-30

Quote from Alctw10

The ability to do this is already in game. "General Practitioner" is available and with HRLs you can mimic BASICS. From my memory it was named this way to avoid trademarked names.

That... explains a lot actually. I did wonder why it was GP, yet required Critical Care. In my head I was thinking surely GP would be better with the SP Training.