Ambulance Service

  • Some ideas for ambulance vehicles:

    [*]PTS Ambulance (for transporting patients from home to hospital)
    [*]HART Incident Response Unit (responds to hazardous incidents)
    [*]Rapid Response Motorbikes ?
    [*]HEMS Response Vehicles
    [*]OCED Vehicle (on call emergency doctor) ?
    [/list]Would also like to see the ability for different training oppourtunities:
    [*]HEMS Training (normal staff can train to be hems)
    [*]Advanced/Specialist Paramedic Training (can train to become better i guess)
    [*]HART Training (train to work in HART)
    Anybody got any other ideas?

  • PTS is a good idea but how it would be implemented, I'm not sure. It would possibly mean having to use the ALS/BLS codes as per the US version. If they were to introduce it without codes, it would require its own mission set. Which would actually be interesting. Alternatively, they could look at using UK Category codes for dispatching which would also be nice.

    HART would actually be a very good addition. With the specialist training you've suggested, HART teams would be a valuable and balanced asset for serious calls such as the building collapse.

    RRMs may be a little pointless given there would be no change to function. A nice idea but only really useful as extra sauce once they've brought the game up to date.

    OCED is a very good idea. Possibly used for the serious calls or maybe even its own special missions.

    HEMS cars would be a nice touch for when you have an air ambulance call on your doorstep. Could even double up as a OCED.

    Courses to become an APT could result in a reduced time buff. It would give a strong play to put your RRV paramedics on that course.

    Overall, I think these are some great ideas myself.

  • PTS is a good idea but how it would be implemented, I'm not sure. It would possibly mean having to use the ALS/BLS codes as per the US version. If they were to introduce it without codes, it would require its own mission set. Which would actually be interesting. Alternatively, they could look at using UK Category codes for dispatching which would also be nice.

    Yeah, that would be really cool if they started using the actual call gradings, maybe replaced the deafult icons with the call grade (depending on the way that service dispatches).
    Also I think maybe if the user had an Urgent Care Centre and a hospital then there could be patient transport service missions?

  • Hems would be awesome. As it stands, there is no way to own an air ambulance in the UK version, although the skins are out there for it under SAR helicopter.

    Have thought about HART too! They work hand-in-hand with the Fire Brigade for major incidents in real life.

  • Long time no see.

    I think you play UK version now don't you but for the US version, I use BLS for PTS. But I know you're Cheshire so we're the same, I use UCA's not PTS. So NWAS does this cool thing and basically they're not an emergency ambulance but not PTS. So they still have blue lights and sirens but have urgent care assistants and they transport patients 'already assessed by a HCP' e.g if the patient is stable and an RRV has assessed them but mostly hospital transfers, the UCAs can do some minor clinical intervention e.g wound dressings and oxygen therapy and if the patient derioriated they could go on blue lights. They're really useful because they do all my transfers and then when I get a call like a nosebleed or back pain I send an RRV and a UCA.

    HART is EMS rescue but then again might be different on UK.

    Motorbikes could just be flycars but use a different graphic?

    HEMS and Advanced Paramedics vehicle etc are apparently going to be added soon.

    And an OCED would rarely be used and realistically for this game never be used. But something like HEMS, BASICS etc would be good.

  • Triage codes? If you're referring to the A, B, C, D, E system on the patients then its very much wrong.

    I can assure you it's not wrong.

    I'm a Dispatcher for the ambulance service and previous call taker (still do bank shifts) and they are the same.

    If you're referring to pathways then yes it's different.
    In the interest of making the transfer more simple then copying the US version is the way.
    US used MPDS and so do most of the UK ambulance services. The codes are the same.

  • as far as i was aware we in the UK use a grade of 1-5 not A-E.

    The following is Quoted from Wiki (Better viewed in th photo) This shows the UK uses a grading of 1-5 not A-E

    Responses in the United Kingdom
    Whilst MPDS uses the determinants to provide a recommendation as to the type of response that may be appropriate, some countries use a different response approach. For example, in the United Kingdom, typically all front-line emergency ambulances have advanced life support trained crews, meaning that the ALS/BLS distinction becomes impossible to implement. Instead, each individual response code is assigned to one of several categories, as determined by the Government, with associated response targets for each.
    Response Determinant NHS England Clinical Response Model
    Also known as
    Target Response Time
    Category 1
    Life Threatening Illnesses or Injuries
    Nearest Advanced Life Support Crew*
    Within 7 minutes on average, within 15 minutes 90% of the time
    Category 2
    Emergency Calls
    Emergency Ambulance Response** or Clinical Callback within 20 minutes
    Within 18 minutes on average, within 40 minutes 90% of the time
    Category 3
    Urgent Calls
    Emergency Ambulance Response or Clinical Callback within 60 minutes
    Within 2 hours 90% of the time
    Category 4
    Less Urgent Calls
    Non-emergency Ambulance Response
    Within 3 hours 90% of the time
    Category 5
    Less Urgent Calls
    Telephone Triage within 120 minutes or Referral to other service
    * This may include an emergency ambulance, a rapid response car, ambulance officers, or specialist crews e.g. HART. Other basic life support responses may also be sent, e.g. Community First Responder.
    ** If an emergency ambulance is unlikely to reach the patient within the average response time, a rapid response car and/or Community First Responder may also be dispatched.
    The exact nature of the response sent may vary slightly between Ambulance Trusts. Following a Category 2, 3, or 5 telephone triage, the patient may receive an ambulance response (which could be Category 1-4 depending on the outcome of the triage), may be referred to another service or provider, or treatment may be completed over the phone.
    Response Determinant NHS Wales Pilot Clinical Response Model[citation needed]
    Immediately Life Threatening
    Multiple Vehicle Dispatch - Lights and Siren
    Emergency Response
    AMBER 1 and 2
    Life-Threatening / Serious Calls
    Lights and Siren
    Emergency Response
    GREEN 2 and 3
    All other calls
    Face-to-face response - Clinical telephone assessment
    Non-Emergency Response

  • @Charlieaa yeah I'm aware of all of that.

    We operate cat 1-5 however every call receives a code.

    For example on the US version a cardiac arrest is 09E01 which is the same for the UK and would generate a CAT 1 response.

    If being moved on the UK side the codes will be needed as it tells you more about the job, if they can implement the coding aswell then amazing but the MPDS codes will tell those that know the category. I appreciate not all would.

    I just don't see how the coding could be implemented as the police calls don't have a grading system so currently on the game a person with a weapon is the same as a shoplifter etc.

    The police grading isn't even on the US version so I'm not sure if that shows its not possible at this time?

    Would be great if someone could shed a light if a grading system could be done?
    Maybe give higher priority calls a timer and give them higher rewards if hit?

    Would certainly make you think more when playing about diverting units etc

  • I also work for an ambulance service in the UK.

    It's a complex system and each particular ?"diagnosis" (a medical problem which we are unable to rule out, e.g - stroke, cardiac arrest, major blood loss etc) will have its own code.. There are 2 medical triage systems used in the UK, which are soon to be nationalised to NHS Pathways.. The other is MPDS.

    Following from above, a Cardiac Arrest would be a Category 1 (7 minute emergency) with both Pathways and MPDS, however the coding for MPDS would be 9-E-1, whereas for Pathways it would be DX010.. This is the simple difference in coding between the two triaging systems.

    Ambulance responses in the UK are a NATIONAL criteria.. Services across the UK may have slight variations in their local policies, but these are negligible.

    When it comes to implementing a medical system into the UK version of MC, I believe a simple "Category 1", "Category 2", "Category 3" etc etc.. would be most appropriate.

    Each incident will require specific resources regardless of the category, because this is how emergency incidents work. All that needs to me made certain, is that a Category 1 call has a MINIMUM of 3 "pairs" of hands.. I.E three paramedics. Within Mission Chief this could be done through a personnel count as opposed to a vehicle count. This allows for more realistic dispatching; for example, one ambulance and one rapid response vehicle; two ambulances; 3 rapid response vehicles and an ambulance (as the clock is stopped when a TRANSPORTABLE resource attends scene).

    The way I would like to see this done is through the MC Content Adviser Teams (myself, and the others appointed for their respective service).

    It is very clear there are some players with great knowledge of the UK emergency services which play the game and are involved on this forum. Knowledge is power - between us, we can ensure a realistic and appropriate medical system which works well for Mission Chief and has a decent amount of lifelike requirements but does not take away from the enjoyment and satisfaction of Mission Chief.

    As for above, taking into consideration response times (which are below) a timer for arriving on scene within said time frame allowing for bonus points would be great.. This could work in a similar way to taking your patient to the correct hospital in relation to the required specialities.

    Category 1: 7 minutes
    Category 2: 18 minutes
    Category 3: 120 minutes
    -- Calls below this point are not blue light emergencies.
    Category 4: 240 minutes
    Category 5: Clinical / Out of Hours (other service) Call back
    ^^ These are NATIONAL across the UK and are no longer referred to as "red/green" calls..
    If anyone has any further suggestions, replies or questions, feel free to always leave a comment.

    Nick :) :)

    NF14 - Content Adviser Team (UK)
    Ex Emergency Operations Centre Staff
    Current Operational Ambulance Staff

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