Posts by Charlieaa

  • Major Trauma Centre

    An MTC is a classification for a hospital which has been deemed to meet the requirement of an MTC. Which are good surgical and medical departments for every field. Good radiology department. Excellent Emergency Department. And most importantly has the ability due to its specialised staff and resources/equipment to better deal with trauma patients. E.g the rule is if a patient had experienced a major trauma even outside a hospital, they will be transported to the nearest MTC, just like if a patient was burned outside an MTC they would be transported to a burns centre. This is the same for a lot of cases such as heart attacks, strokes etc.

  • UKIRG

    This is an alliance that goes back to the start of MissionChief, with new leadership we have re-emerged and are looking to recruit new members.
    We are based in the UK but do have some members in the US.
    The requirements to be a member are only the following:
    -Maturity and respect at all times
    -Be active (or notify of absence)
    -Try to include yourself in alliance events
    -Contribute to the alliance if possible
    We have areas available ranging from Scotland to the Isle of Wight.
    We are a very supportive alliance and happy to facilitate the growth of new or old players.
    We look forward to seeing you soon!

  • Fire Helicopter

    Oh also, if you were to add helicopters for fire, fire planes would be cool. And then also because UK don’t have those you could add air ambulances as in planes for areas like Scotland and other private ambulances which operate retrieval services and then have call outs which require a patient retrieval from fat away. And also coastguard planes and helicopters which could be an addition to the rescue boat dock kind of thing.

  • Dispatch Centre Enquiry

    Ok so I was reading some threads and TACRFan mentioned this button which says:
    Create your own coverage area. Stations belonging to this dispatch center are considered for missions in the assigned dispatch center area.
    Could anyone explain what this is for me?

  • Anyone got a full UK setup

    Quote from Caolan753

    Would you say that the IROs or clinical team leaders would be Silver commanders? Or would they be gold ( Do gold commanders even go to the scene or do they just manage and run the scene from the central control room?)

    Hi, I'd recommend you use EMS chiefs as whatever your particular services has, for example my service (NWAS) doesn't have many but the ones they do have are unmarked. I know SECAMB use team leader vehicles and WMAS have Incident Officers. These vehicles are Bronze Command who provide the actual on scene command.


    I volunteer for St John Ambulance and we have whats called a Duty Officer, they will be sent to calls which have multiple resources on scene to co-ordinate better or may be tasked with managing a specific area for example we generally have one at our alcohol reception centres. We also then have different officers such as the Welfare Officer (incharge of child and adult welfare whether that be intoxicated people or something else), Treament Centre Manager, and then Tactical Commander (Silver Command) and Strategic Commander (Gold Commander), Tactical and Strategic are really seen doing the nitty gritty bits but are often hidden away in our command/control post and give commands specifically to the bronze commanders. Additionally, bronze commanders are assigned a district/area control e.g north, south, west, east.


    The NHS and Ambulance Services use a simmilar structure of Bronze, Silver and Gold command, also simmilar to that used by the police, fire and other emergency services.


    Bronze Command - The ones actually on scene organising and commanding things.


    Silver Command - Rarely seen in the field but can be, normally the highest ranking person on duty e.g an ambulance area manager/sector manager/consultant paramedic etc or in hospital the Director of Nursing, or other director etc. Can be deployed to the actual incident if required and if it's very large but generally stay in the emergency operations centre or wherever based in hospital.


    Gold Command - These will never go to the actual incident because their role is much bigger than just managing the incident, there role is to manage the active incident and everything it affects. Having a terrorist attack and needing 30 ambulances for it doesn't just mean others will stop dying, therefor the Gold Commander has to coordinate the overall continued safe and stable delivery of service whilst still attending to the major incident. They often do this by drafting in additional resources whether that be external organisations e.g St John Ambulance, British Red Cross, bringing in units from other areas to cover that area or getting off duty staff. In hospital gold command is the NHS itself who will not just be coordinating one hospitals response to a major incident but multiple, as in the event of a major incident casualties will be distributed across multiple hospitals with the most serious going to the MTC (Major Trauma Centre). The NHS trust or NHS England will be the gold commander.



    Hope this helped :)



    Also, this is no where near a full UK setup but I am close to completing Merseyside. I have 11 police stations, 14 ambulances stations, and 23 fire stations, I also have some stations in Warrington/Runcorn/Widnes which is North Cheshire. I plan on expanding into Greater Manchester once I am fully finished with Merseyside.

  • Hospital turn around

    I don't understand why this is happening to you, if anything I'd love your situation, I have 11 police stations, 14 ambulance stations, and 23 fire stations as I have just finished the fire service in a specific area and I'm now focussing on police and ambulance, however, the majority of my calls are fire which I find unrealistic as they're more rare in real life where as police and fire are almost constantly doing stuff, where I live anyway.


    I believe you can discharge a patient without transportation for free however you don't get a reward.


    What I would recommend is either slowing down the amount of calls you get (missionspeed) or build urgent care centres, which only hold 5 but they're only 200k plus 2 ambulance slots and can always be upgraded to hospitals later, although in your case you'd probably benefit from upgrading the hospital at 20k an upgrade.


    I have 2 hospitals and an urgent care centre and I rarely fill my beds at any centres, when I do it's generally due to a major incident.

  • Timer on Serious medical missions

    The thing with this is though it is realistic and people who let calls stack up, which I do myself are really not being realistic but are trying to get a lot of credits quickly. I think there should be some sort of deceased patient in future because even if patient patients are treated instantly they could still die.

  • BLS training

    I've said this before in another thread but the police and fire vehicles already get patients and treat them a little bit, giving them training in ALS is pointless really because it's only going to achieve the same thing, you still need an ambulance anyway.


    Are you suggesting that with ALS training they could be used as like a flycar so BLS ambulance and an ALS fire engine could go and to a C, D or E call and the BLS ambo could transport?

  • Fly car question

    Ye UK is different. Our calls are ordered CAT 1 - 4, 1 being the most serious, an immediate threat to life, e.g cardiac arrest, serious trauma, etc. Cat 2 is the most of our calls being life threatening e.g assault, breathing difficulties, bleeding etc. Cat 3 is still an emergency but doesn't require a response, calls such as fallen person, minor injuries, sepsis. Cat 4 being urgent like a patient transfer or something minor like that, dependent on the service it's dealt with differently but my service NWAS, often refer to a healthcare professional over the phone to treat it or transfer to the urgent care desk which might send an urgent care ambulance or doctor etc (urgent care ambo is our equivalent of BLS but they're rare).


    All of our calls are responded to on blue lights and sirens.


    Cat 1 should be responded to in about 8 minutes.
    Cat 2 about 20 minutes.
    Cat 3 about an hour.
    Cat 4 about 4 hours.


    https://www.england.nhs.uk/urg…g-ambulance-services/arp/

  • Vehicle Graphics - IUsed2HavAWii69

    Ye with NWAS we have few support vehicles just loads of IRUs and each of them is kitted our differently for specific incidents. I know dotted across our ambulance stations we have ‘Major Incident Unit’s which are like big lorries with stuff in and Liverpool has 1 Mercedes Sprinter ISU, and I know Manchester has a few support vehicles as well as the public support unit (haven’t a clue what that’s for).

  • Hospital Expanions/Specialties

    Also an addition, mental health expansion and to fit with the idea of specialist hospitals, a mental health hospital/unit.
    And just to clarify specialist hospitals could be different building and cost the same or when you buy the building you can choose the type e.g general, paediatric etc.