• Sorry if this has been brought up before.


    I know the ambulance update is due in the next couple weeks max


    Does the new update include increased capacity for hospitals?


    I'm trying to play realistically in terms of buildings and I have all 6 hospitals in my area built and upgraded.. After a couple of hours they very quickly fill up


    Can we please upgrade hospitals to hold more than 30 patients?

  • I play in quite a rural area (Wales) so some of my DGH are 80km away from ambulance stations and speciality hospitsl such as MTC’s can be cross border in england or 150km drive.


    my hospitals are always at capacity which force me to make long jounrey and basicslly unable to play properly for hours... would love to have more hospital beds or for them to empty at more than 1 an hour

  • I play in quite a rural area (Wales) so some of my DGH are 80km away from ambulance stations and speciality hospitsl such as MTC’s can be cross border in england or 150km drive.


    my hospitals are always at capacity which force me to make long jounrey and basicslly unable to play properly for hours... would love to have more hospital beds or for them to empty at more than 1 an hour

    Yeah, the only way it would work even if they did increase bed count is if they increase how they release patients. Because even though you're increasing bed count, your release rate is still the same. So right now I think Hospitals have 25ish as the maximum capacity, so it'd take a day to clear it all out. Whereas if you increase the amount of beds, lets say you get a maximum of 100 beds, right there is about 4 days to empty it.

    Alliance : U.S. Emergency Services
    Captain
    Joined the game on August 1st, 2016.
    3m Earned Credits as of 12/9/17
    5m Earned Credits as of 07/1/18

  • In hospitals the beds will be staying the same at 30 at least in this update however there will be something coming that will allow the player o have up to 60 beds but I don’t want to spoil much.

  • Not worth a topic of it's own but would certainly make things easier to manage multiple hospital sites tax.


    I'm more thinking for alliances as it's where I've noticed an issue, to change tax on hospitals (and prisons) each one needs to be done individually.


    Couldn't there be an option to edit tax for allocations added?

  • This sort of thing is brought up very often. But if you actually think about it, about 10 beds is actually excessive in some situations, 30 beds is definitely enough and very realistic. If you take into consideration patients being discharged or transferred to somewhere else in the hospital from the ED (patients released after an hour) you've got 10 beds per hour or upto 30 when upgraded. This is actually way more than real life, you've got to remember that realistically you'd have patients also going into hospital by their own means, and not by ambulance, meaning really you'd only have space for about 10 ambulance admissions. Furthermore, in situations where patients are major trauma you'd get even less, for example maybe 4 major traumas and the hospital would probably stop all ambulance admissions. Especially in the UK regarding our situation with the NHS, ambulances queuing for beds is very realistic.

  • This sort of thing is brought up very often. But if you actually think about it, about 10 beds is actually excessive in some situations, 30 beds is definitely enough and very realistic. If you take into consideration patients being discharged or transferred to somewhere else in the hospital from the ED (patients released after an hour) you've got 10 beds per hour or upto 30 when upgraded. This is actually way more than real life, you've got to remember that realistically you'd have patients also going into hospital by their own means, and not by ambulance, meaning really you'd only have space for about 10 ambulance admissions. Furthermore, in situations where patients are major trauma you'd get even less, for example maybe 4 major traumas and the hospital would probably stop all ambulance admissions. Especially in the UK regarding our situation with the NHS, ambulances queuing for beds is very realistic.

    MTC's are geared up to deal with multiple MT+ patients at anyone time. hence why they are MTC's... patients who are MT+ spent very little time in A&E... the criteria is strict and they must be CT'd within a set timeframe and then referred to specialists so they arent hanging about very long compared to your abdo pains, walk ins, ambulance admissions for non life threatening situations.



    Wales has 1 MTC.. based in cardiff.. so any other MT+ patient goes to Liverpool, Stoke on Trent or even QE Birmingham dependent on geography.


    The only priority beds in an A&E is Resus... thats it.. all other beds are first come first serve... no priority is given to ambulances over walk in patients... also sometimes//alot of the time.. ambulance patients are safe and stable enough to sit in the waiting area and be triaged
    as they would as a walk in.

  • But they do accept other types of patient so having 30 beds is still plausable.


    If you take into account Minors, majors, resus, paeds and some hospitals that have MIU attached... they will have more than 30 beds.


    My local DGH will normaly refer to CDU for ambulance admissions

  • Locally to me the EDs each have over 30 beds average clearing time dependent on their condition but unless it is major trauma or emergency surgery patients can be in for well in excess of an hour.


    The hospitals manage the beds by making use of CAUs or MAUs or SAUs (assessment units) but these do not technically discharge from emergency care dept it is more a way to de clock the patient so that the department doesn't breach government targets. Discharging from the ED only happens when the patient either goes home, goes to a ward or transferred to another hospital for specialist care.


    Given how assessment units are used in some places it wouldn't be unrealistic for an ED to have 60 beds avaliable to them at anyone time.

  • What does a hospital department do? It looks like patients could be treated without their designated department.

    You get slightly more credits if you send to a hospital with the required department currently only General Internal, General Surgery and Trumatology are the only ones used in the normal calls.


    You can select the others in custom alliance calls.

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