I personally like that HEMS isn’t a requirement but an option. In real life sometimes HEMS isn’t available and they just have to get on with it. I use HEMS for the most serious cases often in conjunction with Trauma Resources like advanced paramedics with critical care training to add to the realism. But they’re also really useful for calls in rural areas. Sometimes some of my calls are 20+ minutes away from an advanced paramedic or other critical care resource
Posts by Charlieaa
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I think you misunderstood my comment. Only 3 hopsitals in the whole of London have helipads - all MTCs, then a fourth MTC doesn't have a helipad. No other hospitals actually have a helipad on site but this doesn't take into account local areas HEMS will land in and then convey the patient the remaining short distance by road. 27 hospitals in total, only 3 helipads.
Ah yes I did read it wrong sorry.
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I like some of the ideas in here. Certainly work on what expansions are available or needed would be nice as they are a direct copy from the US game, and even those are a copy themselves so not every department is used.
If helipads were to be added, it would be very expensive to retrofit hospitals with them. 24 of my hospitals have helipads whereas 25 don't (8 of those are within Greater London). I've been doing some work recently to work out which hospitals have helipads. In the following areas I've listed the percentage of hospitals that have helipads, regardless of major trauma status. SECAmb (70%), EEAS (47%), SWAS (66%), LAS (11%). London is the outlier as it's so densely populated and built up that it doesn't have a need for helipads as there are so many hospitals in close proximity and even one of the MTCs there lacks one - and that's not the only MTC in the country that doesn't have a helipad.
Some hopsitals provide specialist services without the need or capacity to be a MTC so they may be better units to fly a critical patient to rather than straight to an MTC that could be even further away.
As for the MTC idea in game, it has been planned and put forward and we were expecting it to have been released already but as you can see this is not the case. They would have the capability to have extra beds from what normal hospitals in game have. On that topic, the clinic could do with a rename to Urgent Treatment Centre but this is not a priority and may be able to be done in a hospital update in the future.
With regards to the trauma unit being a specific hospital building in game, this is unnecessary as, according to sources on the NHS website, the vast majority of hospitals have a major trauma department. Obviously this doesn't make them a major trauma centre as there are further criteria they need to meet but they can still deal with most common injuries.
Ambulance stacking at hospitals is something that was requested a long time ago. It's 'on the list' but I don't know how easy implementation is with the current transport system but really we need the better variation in hospitals first before we start stacking - and a different approach to how patients are released rather than one an hour. In my opinion, releasing a patient after 1 hour of being in the emergency department would be better rather than simply one person on the hour, every hour. Keep in mind that these patients aren't necessarily being discharged, they are being admitted onto other wards for further care.
Ye I pretty much agree with everything you’ve said. I think you’ve highlighted some good points that I missed. I do understand that in London a lot of hospitals do have helipads however in my area of Cheshire & Merseyside there are two helipads, the Adult MTC and the Paediatric MTC. That’s it, for the whole area. But I can see where you’re coming from that based on area some may have to pay more. However, it is the players choice as to what hospitals the choose to have a helipad on.
With the trauma unit I believe it is really important, I can promise you that it exists, I’m a healthcare student but I can get some websites for you. Although lots of hospitals have ‘major trauma departments’ they often refer to Trauma and Orthopaedics, a Trauma unit is a hospital with additional capabilities such as specialist doctors and other professionals, equipment, departments etc. i believe they’d be useful in game as for someone like you in London with 4 MTCs then really it wouldn’t be much of a problem. In the North West there are only 3 adult and 2 Childrens. That’s for a massive area much larger than London, so trauma units plug the gaps.
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faster release of patients would be nice
I disagree. A patient released every hour is honestly really quick. If you think about the current situation of NHS hospitals in the UK. So for example most EDs will have maybe 30-40 beds ish across all different areas resus, minors etc. they also have patients in corridors. But most of the patients in the ED aren’t from an ambulance but are from just arriving there themselves. At the moment hospitals are full to breaking point and the EDs are completely full and there’s no beds on the wards for patients to be transferred to, most patients are waiting hours and sometimes days to get out of the A&E department. So 10 slots with the option to add more and 1 being released every hour in my opinion is actually too fast.
I have previously posted about a new transport system and in it I mentioned that there should be an ability to have ambulances queue outside a hospital for a bed.
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Hi all. Just a few ideas I have for the developers, feel free to add yours!
I believe that the hospitals expansions just need a complete overhaul.
Clinics I believe are the equivalent of an Urgent Care Centre and the General Internal expansion is appropriate to mirror this in the game.
The hospitals however, I think potentially we need different types of hospitals or at least the expansions changed. A lot of the current expansions are American and we are missing so many vital expansions as well as having unneeded ones.
I think we should have the following expansions/hospitals:
- Local Emergency Department
- Trauma Unit
- Major Trauma Centre (Only MTCs should be able to be transported to by HEMS as mostly only MTCs have helipads)
(This reflects the levels of hospitals designated by a regional trauma network in the UK. A Local ED provides the basics for most patients, a Major Trauma Centre is the designated place for any patient with significant traumatic injuries. A trauma unit bridges the gap by providing higher level care than a local ED and is able to treat patients with traumatic injuries which aren’t too serious to require an MTC or to stabilise a patient ready for transfer to an MTC if the MTC is deemed to be too far away. This could incorporate the patient transfer call in the game by having patients moved between different level hospitals)
There could also be other expansions of (for specialist hospitals):
- Stroke Unit (Neuro)
- Heart Attack Centre (Cardiothoracic)
- Burns Unit
- Maternity Unit (Obstetrics)
- Children’s Hospital or Department (Paediatrics)
Although this isn’t every single department/specialty this is what I feel would be best for the game as the majority of hospitals/trusts have most specialties or share them. These expansions/hospital options should be done so that you don’t need one expansion for the other so you can for example make a hospital which is purely Childrens or just a maternity hospital which is what it’s like irl. Local EDs and their hospital are able to treat most patients however there are major trauma centre, burns units etc so that patients with serious injuries/ailments can go to a hospital that specialises in that field.
My setup is currently in the North West, I have a hospitals which are purely childrens, some are purely maternity, some don’t have an emergency department but are the designated heart attack (cardiac) centre. Revamping hospitals like this would make it much more realistic and easier to use.
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It is actually the highest station number + 1 so if you had 10 fire 5 police 3 ambulance you would get 11 (10+1
ye thought so, forgot to say about the +1 bit
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I’m a bit confused as to what you mean by personal missions but if you mean the amount of missions that will spawn. I’m pretty sure it goes off the maximum amount of one type of station you have instead of overall. So say you had 10 of each station instead of getting 30 calls you would only be able to get 10 at a time
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Would also be nice to have more than 1 staging area
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Some more graphics I've made and haven't uploaded. Not all are from scratch some are edited from others bases.
CFRS Scania HRET
CFRS MAN
CFRS Vauxhall Brava
Cheshire Police Peugeot 308
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Full size version
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Cheshire Fire HRET using your new gen scania as a base
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I really agree with this. I would love to be able to play realistic and have lots of ambulance calls stacking and have to divert ambulances but I can’t because fire gets overwhelmed so quickly. This would be the best feature ever
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Something which could be added in the future which would be helpful in game and realistic is the ability to send a transporting ambulance or police vehicle to a facility which is full and have them wait until a space becomes available.
I think the whole transportation system needs a bit of an update to show where vehicles are transporting to and be able to divert them elsewhere but this could be part of that.
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Hi, don’t know if this has been mentioned but when I had 1 foam extension it was requiring 2 foam vehicles and now I have 2 extensions it needs 3. What’s the point in this? I’m having to send foam units across counties, surely irl one foam unit covers it.
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This would also be good in terms of hazmat, swift water rescue. Where I am some stations have a specific skill set which means that they can respond to the lower level calls of that specific skill set. For example some smaller missions could have a hazmat personnel requirement instead of the vehicle whilst the bigger ones still require it
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Could I ask a favour please?
Is someone able to make the BASICS logo into a station icon?
[Blocked Image: https://www.leitstellenspiel.de/hostedimages/buildings/images/000/834/947/original/BASICS.png?1637868371]
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I use to be part of the Red Cross and well that emergency equipment is most likely a kettle and that's it. It will have a few response kits which would be mostly first aid kits nothing else really. Maybe a stretcher and a ancient scoop board that is that old it could feature on the Antiques Roadshow.
Always found the big vans and units like this absolutely useless really. When I was there I could have my unit (typically a land rover or the small mini bus) packed with all the kit I'd need and some extras. Always was more prepared and in order than these response vehicles that rarely moved unless it was being dragged off for a major event like T in the Park.
Ye same with SJA, they’re basically welfare units it’s like a break room effectively
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Kent
Ah ok, I don’t know much about EEAST. I have a similar BRC vehicle and would use it as a welfare vehicle, simply because Mass Cas Eqp is more SORT which is a resource charities tend not to have. But upto you
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What area is it for?
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