EMS Special operations

Hey all, love what is being discussed so I thought I would offer my Australian input.

NSW Ambulance have Special Operations (Rescue Trucks and Utility Vehicles), Operation Commanders (basically Fly-Car like Supervisors), Intensive Care Paramedics (Use normal Ambulances, better training) and Extended Care Paramedics (ECP, use smaller vans that are not designed to transport patients to hospital).

Our standard Ambulances are ALS so I'm considering that I may have to use BLS for my Extended Care Paramedics, addition of mental health calls (something that is responded to frequently IRL) that take some time to complete and is also something I would consider implementing for BLS/ECP. We also have Rapid Response Units (Fly-Cars and Motorcycles).

On the topic of mobile emergency doctors, we have those on board helicopters, however, there is always an ambulance available for emergency doctors if using a helicopter is not practical.

Below are some photos, I think these would really benefit the EMS side of callouts and work for the US, UK and AUS. I hope this was helpful.

Quote from Generic Dispatcher

Hey all, love what is being discussed so I thought I would offer my Australian input.

NSW Ambulance have Special Operations (Rescue Trucks and Utility Vehicles), Operation Commanders (basically Fly-Car like Supervisors), Intensive Care Paramedics (Use normal Ambulances, better training) and Extended Care Paramedics (ECP, use smaller vans that are not designed to transport patients to hospital).

Our standard Ambulances are ALS so I'm considering that I may have to use BLS for my Extended Care Paramedics, addition of mental health calls (something that is responded to frequently IRL) that take some time to complete and is also something I would consider implementing for BLS/ECP. We also have Rapid Response Units (Fly-Cars and Motorcycles).

On the topic of mobile emergency doctors, we have those on board helicopters, however, there is always an ambulance available for emergency doctors if using a helicopter is not practical.

Below are some photos, I think these would really benefit the EMS side of callouts and work for the US, UK and AUS. I hope this was helpful.

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Just to make sure there is no confusion, my Australian view is from South Australia whilst Generic Dispatchers view is from New South Wales.

Seeing HART-type units in-game would be amazing. They have the capacity to work at height, in confined spaces, during structure fires, water rescues, mass-casualty incidents, entrapment's, hazardous chemical / CBRN and during live terror attacks such as a roaming firearms incident or bomb threat. They also have their own Mobile command unit and a POD system that allows them to bring an off-road casualty transport ATV to a scene.

Mobile Command Unit

Rescue / Boat Carrier (RHIB stored in the top part)

^ Incident Support Unit (Hazmat)

^ POD unit featuring the ATV

^ HART IRU (one of two main response vehicles.

^ Other IRU vehicle.

^4x4 HART Paramedic vehicle.

It would be awesome to perhaps have these in-game and rather than being a requirement, you were to receive a bonus when they are used to treat casualties at, for example an entrapment or chemical spillage. (They are not able to transport, so ALS / BLS would still be required anyway)

As for Critical Care and other EMS services, we have:

Can you please let us know when and where we will be able to put in missions once this hopefully becomes a feature? Thanks

EDIT: Hold on, just found the pinned missions suggesting thread. Would that be the place to put it?

Here in the UK, "fly cars" are simply rapid response - often used for rural areas or those who need a first response without the requirement of an ambulance

Critical car / HART / MERIT is specialised paramedics and doctors, along with air ambulance cars

Quote from ManyFireman

Here in the UK, "fly cars" are simply rapid response - often used for rural areas or those who need a first response without the requirement of an ambulance

Not necessarily, some RRV's, such as in London are specialized Advanced Paramedics.

But yes, HART/MERIT air ambulance Critical care etc are all advanced paramedics

Some RRVs - however most, especially here in the West Midlands, get used as a first responder, rural response, or a minor call.

Quote from ManyFireman

Some RRVs - however most, especially here in the West Midlands, get used as a first responder, rural response, or a minor call.

The primary idea of the 'standard' RRV and First responders in the UK, was actually to cut response times to the most critical calls.

Yeah - more "minor" calls as I said

Critical Care Paramedics in the US are generally for interfacility transport. Our normal street medics can generally sedate (with like Ketamine) or Rapid Sequence Induction, Surgical Airways, etc.

Quote from TACRfan

For future development purposes I am interested if you area uses any of the following types of vehicles.

• Special operations such as rescue
• EMS Chief units
• Critical care units such as emergency doctors and advanced paramedics.

Please feel free to let me know here and post pictures of your local units as it would really help with getting a good idea of a EMS specialist side that works for everyone.

Would players be interested in seeing EMS missions with special vehicle requirements such as patients with an E code sometimes requiring critical care training or mass casualty incidents requiring EMS chiefs and EMS Equipment units?

Please let me know.

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Some departments uses EMS chief units

The CCT units i see where it goes from hospital to hospital... AMR has a stroke unit now it can be use in the game for strokes only

For heavy rescue in EMS some departments have them for MVA's

I'd love to see a Medical command unit involved. Maybe it can do the same tasks as a FIRE MCV but there is also calls that require both? Something like a drug lab fire usually has a load of patients , maybe that would require both command units? In the incident of a School Fire for example, you could send a Medical MCV to the scene which will act the same as the fire one, this could be the same swaped.

I'm happy to see that the EMS-sector will be updated and expanded.

What about this idea: You have to know, my stations are situated in Chicago. IL and I'm building as real as possible. There are a bunch of special vehicles at the CFD and I really don't see each of those to be implemented here. But as I also play the german "Leistellenspiel" (which is the originally version of missionchief), there is one EMS-Vehicle that I am missing.

Chicago FD has got Battalion Chiefs and Deputy District Chiefs (which I use as MCV as well as the Command Vans) on the firefighting side. On the EMS side they have "Paramedic Field Chiefs" which I would understand as some kind of an EMS-Battalion Chef or even EMS-District Chief.

Maybe it would be possible to implement the "Paramedic Field Chief" as a tactical leadership unit, that is required if more than 5 (or 10) patients occur? A very nice feature for this unit would be the option (to be activated in the vehicle's settings) to handle transport requests automatically. (FYI: In the german Leitstellenspiel there is a vehicle doing this since a long time). I would not mind the personnel to require special education (could be called e.g. "EMS operational management")

Quote from TACRfan

EMS Chiefs is on the list. How or what purpose other than a battalion chief they will serve is at this time undecided though.

This may sound stupid but could the Flycar serve a multi putpose role as an EMS Chief as well so we have a Chiefs Vehicle/Paramedic Unit so the Flycar would be used more or would that mess a lot of things up?

Quote from rescuenut93

This may sound stupid but could the Flycar serve a multi putpose role as an EMS Chief as well so we have a Chiefs Vehicle/Paramedic Unit so the Flycar would be used more or would that mess a lot of things up?

On another note is this one of those things which could benefit from the requirement of a trained EMS 'command' person rather than the vehicle?

Quote from TACRfan

Technically I would assume so. It hasn’t been considered if I’m honest but it seems like a good idea.

So would Sebastian go for this despite it being considered a combination unit?

Quote from me181

On another note is this one of those things which could benefit from the requirement of a trained EMS 'command' person rather than the vehicle?

So you're saying rather than a new unit or combination unit have training for personnel instead to turn the Flycar into a Command Unit?