Posts by Charlieaa

    You may have seen the recent post by missionchief on Facebook offering some information on a coming ‘large medical update’


    As usual I feel like the team are adding pointless or unnecessary features whilst ignoring more pressing issues.


    A community midwife vehicle? This isn’t something used by any UK ambulance service and is not an emergency service. Considering the team keep reiterating their opinions on non-emergency services in game like highways agency. I understand the thought process behind this but don’t feel it’s worth adding when there’s numerous other more pressing matters. And I certainly wouldn’t want this to be mandatory on calls like active childbirth.


    I have some reservations about the GP update, I personally use GPs in game already to provide response to the critical care requests that are not emergencies e.g. back pain or difficulty breathing, I treat it as a GP referral. If there was a similar system I would understand, as ambulances often refer patients directly to GP or OOHGP. However, they don’t convey patients to a GP surgery which is what concerns me, and if we have the clinic in game already how is this different?


    The specialist paramedic RRV should be interesting and I’m glad to see this being added.


    The specialties also look good and I hope the team decide to replace not add. These new specialties would be realistic but would cause issues in combination with the current unrealistic specialties in my opinion.


    As always, I appreciate the work of the forum team and dev team and know that you all work very hard to make the game enjoyable for everyone.

    Let me know what you guys think :)

    ScotSTAR have an ECMO-capable ambulance which does adult trauma transfers, but it's more of a trial vehicle and I don't think any other services have one like it

    There are also other areas which offer ECMO transfer such as Guys and St Thomas in London I believe. But these aren’t emergency services they’re funded by the NHS trust and provide contracted services for that specific need. There would be no 999 involvement

    Adult Critical Care Transfers are provided by NHS or Private Emergency Ambulances, they’re no different to any other frontline ambulance. It’s only paediatric that have specialist transfer vehicles and teams.


    I would however like to see emergency inter-facility transfers, like how you have the transfer mission for urgent care centres to the nearest ED. It would be nice if for example you transport a patient to the nearest hospital without the needed speciality a mission would then later spawn to transfer that patient.


    For example, ambulances often convey to the nearest ED as opposed to the required hospital for time-critical reasons. E.g. Stroke and Major Trauma may be taken to a local ED for immediate interventions and stabilisation before further transfer to the tertiary stroke or major trauma centre. And this would often be done by a frontline crew unless the hospital has a contract with a private organisation. 😊

    No, in the UK most patients don’t require blue lights to the hospital. Sometimes don’t require blue light response to the pt in the first place.


    Ambulances only use blue lights to hospital when they are pre-alerting, so when they’ve radioed ahead for the hospital to be informed.

    I would like that to like of a crew restock or going state 4 for refreshments aka food and stuff


    Also restrictions on some places air ambulances that can’t at night due them not having nvgs also weather conditions so helicopters can’t fly in low visibility and bad weather


    I think this could be used for the police to booking someone in to custody and the whole hand off

    I set my air ambulances to have shifts only during day 😊

    Hi,

    I was wandering if anyone had any ideas as to why this may be happening


    I play mobile and PC and use APNG graphics. I’ve never had an issue with them but yesterday made 3 new graphics.


    They work completely normally on PC but when on mobile they go at like 5x speed.


    All my other APNG graphics are still working fine it’s just these new ones that I’ve made and they go normal speed on PC.

    HCP admissions in real often frequently result in discharge at scene or another form of alternative pathway.


    As do CAT1 calls.


    A HCP reviews a patient e.g. appointment with GP because of fainting episode. GP wants pt to go to hospital for an ECG. Ambo crew attend, instead of conveying do said ECG, do their assessment and if appropriate use alternate pathway instead of conveyance.

    Hi all,

    I like to play quite realistically so I’m aware that some people would not enjoy a feature like this so maybe it could be toggalable.


    I’d like to see vehicles go status 6 unavailable more often. For example meal breaks, restocking and when at hospital.


    Meal break- be able to set a time during the shift, this could be achieved by having additional boxes for what times the vehicles are available instead of just start and finish


    Hospital- Like a response delay be able to set a delay so a vehicle will take X amount of time before leaving and becoming available again after handing over at hospital.


    Restocking- After completing a certain amount of jobs e.g. 20 the vehicle needs to restock. So would need to visit a large station as they would irl to access stores which often aren’t available at all stations. (I’m aware that police and fire don’t really do this but would be cool for ambulance)

    Hi,

    I have previously commented on this but am still noticing the issue


    OTL vehicles do not act as an RRV and do not treat patients


    Could this be changed please so that OTLs are able to provide treatment

    Name/Type of Mission: Peri Arrest


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 50%


    Credit Reward: 500


    -----------------------

    Name/Type of Mission: Flu Outbreak


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1-6


    Critical Care Chance: 10%


    Credit Reward: 500


    -----------------------

    Name/Type of Mission: Minor RTC


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1-4


    Critical Care Chance: 10%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Headache


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 10%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Unconscious


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 30%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Slurred Speech


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 10%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Agonal Breathing


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 50%


    Credit Reward: 500


    -----------------------

    Name/Type of Mission: HCP Admission


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 10%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Emergency Patient Transfer


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 10%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Catheter Problems


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 10%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Chronic Pain


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 40%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Head Injury


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 40%


    Credit Reward: 500


    -----------------------


    Name/Type of Mission: Unwell baby


    Units Required: Ambulance


    POI Required (Use “none” if not needed): None


    Patients: 1


    Critical Care Chance: 20%


    Credit Reward: 500


    -----------------------