• Don’t know if I’m just being thick but I’m struggling with this new update on my game. HEMS crewing is now requiring the 3 people like the update however missions still requires HEMS for patients and I can’t find this expansion or the ambulance officer anywhere?

  • Don’t know if I’m just being thick but I’m struggling with this new update on my game. HEMS crewing is now requiring the 3 people like the update however missions still requires HEMS for patients and I can’t find this expansion or the ambulance officer anywhere?

    Large ambulance stations and hart bases have the expansion and you need a station ejth the expansion to get ambulance officers or you can buy them at HRLs without the expansion

  • Just been going over the details of the update since we have now cleared the chaos of a double credit event.


    The new education hasn't been a issue here plenty of courses on the go and I will have staff in every station trained for Ambulance Officer.


    The one issue is locking ambulance officer to the mass casualty extension, this is a bit of a pain especially as they are avaliable in HRLs. I take it this is a mistake? Just now I am planning on building HRLs and housing Ambulance Officers in them but don't want to end up losing them if it is a mistake.


    Next the Mass Casualty Unit, this is a great idea but feel it may be a little too realistic for the game. (And also unrealistic to an extent).



    Mass Casualty units are very rare in UK they are generally part of a resilience plan for NHS Trusts. Some trusts will have 1 or 2 units that may fit this sort of category but some have none. So having the limit is good in this sense but it will be a problem for some of us (I'll explain in a bit)




    From what I have seen and researched in to how mass casualty incidents are handled in the UK, it focuses around working at scene using a triage system. Where there would be 1 or more assessment points that will have patients that are "walking wounded" assessed to see could they be treated on scene and left to go home/make own way to further care. If hospital visit is needed then they would be placed in a patient transport ambulance. There are often brought in to major multiple casualty incidents. They are also used at times to ferry extra staff and supplies if needed. Yes the MCU sort of covers this but not in a true fashion of how it is done in parts of the UK. So would have been good to reflect this in the game. Any patient who couldn't mobilise themselves would be a traditional ambulance transport.


    We could easily of had the MCU required as it is plus have PTS provided to be the transport side of it. It would have been a bit more realistic and also help make incidents more manageable. The MCU could be sent to scene first and then it could trigger x amount of PTS needed.


    Now, the realism is great in that players are limited to what they can have of the MCU. 1 for every 15 stations for premium players and 20 for standard. This is good but I feel will pose a massive headache for some.


    There are several of us who play multiple areas some even multiple countries. As such due to the restrictions will be very limited in MCU cover.


    Myself I cover Scotland, I currently can only have 3 MCU which will most likely not be enough, especially on days where I play a lot and get a very busy game. I can have several major calls on the go at once going from Aberdeen to Glasgow. What I fear is that once I add in at the 3 locations I will struggle majorly as in could be in Aberdeen other in Edinburgh and the final one in Glasgow. I could then generate a call in Stirling, Perth or even out in the rural area around Loch Lomand or even have all 3 units down in the central belt and I get calls up on the Moray Coast. It would be better if the limit was 1 for every 10 for premium and 1 for every 15 for standard. This would allow a little more flexibility for us and given that the game doesn't spawn calls realistically it would make it more manageable.


    Basically we all know playing realistic units is near impossible, playing realistic station locations is somewhat possible but having realistic call spawning is not as we do that then game will become boring, so if we need to sacrifice a wee bit of realism to improve game playability it would be fine. As really do think that if this is left many players may just lose interest.

  • I didn’t want Ambulance Officer locked to that expansion. I tried to explain that it’s not mass casualty but because the devs wanted the expansion, I feel they felt that there should be two vehicles unlocked by purchasing it rather than 1. And if the expansion is turned off/not bought, calls shouldn’t require these units.


    They were supposed to be at HRL’s all along as a lot of the time this rank would use personal vehicles.


    I will try and get the limit removed but it may prove difficult, reducing it may be an easier option but still difficult.


    I’m not sure I get your point about mass casualty incidents. The way the missions currently work is they have a relatively low transport rate meaning the majority of casualties will be cleared at the scene and won’t need transport. It’s incredibly uncommon to find a vehicle that will transport multiple injured people to hospital at once.


    I do get what your saying about stretching resources. Unfortunately areas that I like to class as ultra rural (Scotland (excluding central belt), Cornwall, Cumbria, Northumbria, Mid and West Wales, North Wales, and Islands such as Jersey) are always going to be difficult to build a realistic setup for because of as you say the way missions are generated. I’d love to see a system that caters for it but unfortunately I don’t know if the demand is there with most players playing in the more built up areas (Glasgow, Edinburgh in the case of Scotland), and also how we could solve this without having to redesign the way missions spawn as this won’t happen due to all the other versions

  • Not wanting to change mission spawning at all just a small change in how MCU limits are to make it more manageable in game.


    As for Ambulance Officers thanks for confirming that HRLs is planned even though it makes no sense as the devs locked it to the expansion but as you say it shouldn't have been, typical of dev team though doing their thing and not the thing that makes sense.

  • Not wanting to change mission spawning at all just a small change in how MCU limits are to make it more manageable in game.


    As for Ambulance Officers thanks for confirming that HRLs is planned even though it makes no sense as the devs locked it to the expansion but as you say it shouldn't have been, typical of dev team though doing their thing and not the thing that makes sense.

    Actually I have had the AO at a HRL so really it is already there

  • If I were you I would build the MCE and AOs at the HART base (your nearest one)

    I've got the base for NEAS in Newcastle, already started the process.

    But no clue where NWAS' HART located yet :/


    Still it would be a challange to send my all specials from Newcastle to Berwick and such.

    But i still want a more or less realistic setup :)

  • Actually I have had the AO at a HRL so really it is already there

    I know it is already there my question was if that was correct placement given that in normal stations you need the expansion to be able to have them there. It doesn't make sense to have them unavailable at a station but available in a HRL. TACRfan has explained though about this.


    I didn't want to be throwing credits at something that could well be removed as it was an error.

  • Realistic Scottish player here and I can confirm, that it is 100% possible to have a realistic set up.


    Having used FOI's and such to gain fleet lists and built as close to it as the game will allow, it is a lot of fun. It gets tricky with HazMat, water tanks and heavy rescue as SFRS have Incident Suport units and Major incident support units that act as all 3 along with prime movers and PODS but is it still very much possible.


    Likewise with SORT, our SRV and CBRN vehicles are one in the same and our ambulance officers normally make up the crew in a PRV/ACU and our OTLS being found in ambulances but its all fun and games.


    I would love to see the next update going to fire as they have been neglected for some time. perhaps water rescue, foam units, airports, forest fire units, divers, boats, drones or fire dogs could be included?

  • Hi I am pretty sure the next update is police, there is some needed changes and units there

  • Yep I've done all the foi referencing too and basically have mostly realistic locations for buildings.


    Police Aviation is unrealistic now but Scotland only has 1 police heli and well tried that and it was slowing progress down due to volume of calls needing it. So added in new locations for it.


    HART (SORT in Scotland) has 3 main bases in Edinburgh, Paisley and Dundee. I have these 3 and was working to see if I could manage with just them but discovered that again is very difficult to progress due to call volumes that need these units.


    When it comes to units in stations I did try realistic and although it works for places like Glasgow and Edinburgh out with them it's more hassle to manage and often would be waiting on specialised units to free up.


    My main aim now is take what Scotland has in the real world use it and improve on it.


    Police for me I have actually added a lot of the now closed rural stations and offices because if I done realistic there would be no cover in game.


    For example where I live our response station is 20 miles away even though there are 2 stations/offices closer, 1 is basically a officie counter staffed by civilians, the other is a full station but doesn't have full response in it. It is one of the hubs for community officers. If we have an emergency and our community officers are unavailable to respond (which is most of the time) we get units from 20 miles away. So response time can be between 15 and 25 mins. So for my setup I've eliminated this inefficiency by having closed stations and non response stations added in.

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