So after playing this game a bit and expanding into EMS, I'm beginning to see why folks in my alliance and on the forums take veiled shots at hospitals... haha!
I think its time to see changes in how hospitals release patients. For the way this game spawns missions, once an hour just isn't enough, even if you purposefully spread patients across all the hospitals across the region of the accident. Instead of once per hour, perhaps something have each patient on their own timer, with times somewhere around these:
- 1 Hour for patients requiring only a BLS level of care
- 3 Hours for patients requiring only an ALS level of care
- 5 Hours for patients requiring HEMS
I do understand that for some folks this might not be realistic enough, but I'm also trying to think from a game dev perspective. A more complicated change would be to assign each emergency code a hospital length stay (perhaps even as a range with some RNG) and let that be the time for each patient.
I also would like to see hospitals be increased in size significantly. 30 beds is unrealistically small, ESPECIALLY for hospitals with all specializations available within the game. Perhaps there is a way to tie extra beds to specializations, and we could grow our hospitals to Level 1 Trauma centers and unlock more beds? Thats spitballing though... hopefully it inspires someone to run with it towards a better idea.