I would like to make a few recommendations based on my experiences within MissionChief so far.
I've noticed that in a lot of these forum threads 'realism' is the main drive, so I am going to try and provide
as much evidence based items as I can. The first item I would like to recommend is a training course aimed at EMS personnel.
You buy Ambulance Station #1 and begin with 2 (*2) Emergency Medical Technicians (EMT) Basic, and 1 EMT Intermediate.
As you progress you hire new EMT Basics and can then train them to become EMT Intermediate and eventually full fledged Paramedics.
These promotions would give small boosts to the speed of triage between 5%-15%. I'm not sure if this next part will be too
advanced for the game but it would also be really cool if Paramedics were able to push drugs whereas EMT-B and EMT-A can not. (This is based on US EMS)
I am not sure what these courses should cost since real world costs for training and in-game costs deviate quite a bit.
I've also noticed that the cost of treatment and transport are pretty far fetched from the real world. In my state (in the US) it costs an average of (*1) $400 to $1,200 for services rendered by EMS. I'm not stating raise it to a crazy high amount but $250 seems pretty low, even if you doubled it to $500 it would be much more realistic.
"The cost can be nothing out-of-pocket in cities where services are covered by taxes, but usually ranges from less than $400 to $1,200 or more plus mileage."
"Ideally, you'll never need to ride in the back of an ambulance. But if it happens, here's what you should know: Ambulance services are extremely expensive. After receiving a two-mile transport in February, Santoro experienced sticker shock: His ride added up to $2,691.50. May 20, 2017"
"So what are the different levels of EMT. Pretty much all states distinguish between 3 levels of EMT: EMT-Basic (EMT-B), EMT-Intermediate (EMT-I), and EMT-Paramedic (EMT-P). While all states simply refer to EMT Basic and EMT Paramedic, a lot of states use different description for EMT Intermediate, which we will get to shortly"