Posts by Alctw10

Quote from Gooochy

Regarding the OTLs, I do wonder if perhaps its worth giving them an "upgrade"? If a system was to be added like mentioed above requring them more. Similar to the US version, where certain features like triaging and auto-transports are avaliable at the "first" layer of ambulance command, tjheir "EMS chief" rather then on the higher level "Mobile Command". Where as on the UK version it is only avaliable on the "second" layer, the ambulance officer?

I don't want to say too much at this time but we will look into how we can "upgrade" OTLs and potentially revisit the AO 👍

Thanks Gooochy.

A lot of the points you've made I have already been thinking about, especially the point with OTLs.

Quote from Stone Mane

I'd like to request for Developer Consideration, the addition of personnel requirements to be added to the Large Scale Alliance mission creation, allowing admins to specifiy resources such as Public Order Officers, Sergeants, Inspectors, Search Advisors, USAR, HazMat, etc to be present for custom missions.


Secondary to this, I feel it could be interesting to add a 'description field' for custom missions allowing admins to add additional information and context to their missions, to allow some more freedom for 'story telling' or just context and descriptions for missions to add a slight increase to the level of immersion possible.

Have tried to get some education requirements in previously however the DEVs advise it's not possible for the creator to have educated staff requirements.

Quote from Morvran

So there has been recent discussions of Crit Care (CC) of late, inlcuding in relation to HEMS and im just curious what people would consider a "realistic" deployment of CC. I currently utelise RRVs for my CC coverage, but would be curious as to what people would consider a realistic deployment of CC beyond the obvious HEMS units

Beyond the obvious HEMS helicopter I utilise all RRV space in the HEMS stations for Critical Care Cars.

I also utilise HRLs placed randomly with the GP cars and CC training to simulate BASICS.

Quote from Morvran

Fair, though for some calls the transport chance just feels a little high

Then you also have some wierd ones like: Broken Ankle call has 100% chance the first responder can treat the patinet, but still has a 70% transport chance?, so not sure by that if it does or does not need a transport

We will be revisiting all patient probabilities in the future.

The broken ankle call was not one of ours.

Quote from Gooochy

For my local trust - Community Midwifes are run essentially the same as CFRs, they get equipment from trust, and use personal vehicles without blue lights to attend. Someone i know does this role for my local trust. She works as a midwife in hospital, but on days off will assist ambulance service, when she can. Its perfectly realistic to require one for most calls as the Ambulance Service will always try to get two if possible.

Thank you Alctw10 for considering increasing paitents to 2 - it is very much appreciated 🙂

Can i also throw one more labour call into the ring

Labour - Breech Birth (where the baby comes out bottom/feet first instead of head-first)

Thanks Gooochy, the CM requirements will remain as are.

Absolutely, pop it on the mission suggestion 👍

Quote from Gooochy

Though i would like perhaps min of 1 and a max of 2 paitents, as some trusts (mine included) will transport in two seperate vehicles of avaliable?

I can see the missions have a max of 1 patient, I will request this to be 2 and adjust the transport probability.

Quote from Hmcqueen04

Instead of the child birth mission being removed could you ask for it to be changed so that community midwives are needed please?

I will request for the mission to be removed, there are already 3 requiring CMs and the mission in question is an outdated one.

Quote from Morvran

The issue I have here is that its not always clear what calls do and do not require transport. Like with CC, it can feel a little random at times where a call can be dealt with without transport or need an Ambo. CC, was just my way of making CC a little more involved without needing to go super detailed on Custom ARRs (such as the notorious sprained calls, that I know you guys didnt have much say in)

Welcome to the world of dispatching.

But seriously, if it was obvious what missions didn't need transport then the community would complain it's not realistic.

If you really want to see before dispatching then you can by viewing the mission details, time consuming yes but if it bothers players that much its an option.

Quote from Morvran

I can see the requirement for 2x DCAs for the Premature birth in that case.

But would 2x DCAs be needed for the water broken all the time?

And for both the Home Birth and Water Broken, I dont have issue with needing multiple Community Midwife trained personnel, but is there any perticular reason its handled via vehicle requirement and not personnel requirement (like how all the Transport Police calls work for example). Also given that the CM vehicles can seat 2?

This would help mitigate some of the resource demands needed for some of these calls.

As for the Child Birth call. I dont know if it necessarily needs removal persay, but maybe a name update?

I kinda see it like someone has gone into labour somewhere away from home and needs transporting to the hospital directly, without waiting for a CM? I assume that does happen from time to time.

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I take on board your comment about the vehicle itself.

CMs often use their own vehicles (atleast in my area and surrounding) to respond, this is usually during their working day in the community or from home while on call. This is why the requirement was set as vehicles to simulate this.

Depending on what the community wants I can request a change.

I'll ask for a feature to let players choose which events to disable 👍

The unit requirements for the Labour calls are spot on.

Labour - Waters Broken. This mission (like the other 2) was introduced as part of the CP introducing CMs. This mission is to simulate an ambulance response, the CMs often would turn up before/after crews. Again, this is intended as an ambulance mission not CM only.

Labour - Premature Birth. All Labour calls where delivery is imminent require 2 x DCA, this is because there are 2 patients that may also need transporting separately. This means you can not change it to 1 x DCA and 1 x RRV. The chance for CC is because of the call itself, no explanation needed.

Labour - Home Birth. This mission was introduced to give the CMs something they could complete without the need for ambulances, hence why the chance first responders can take full care is set to 100. This would simulate a planned home Birth with no complications. 2x CMs is the right response as they would not work alone.

Child Birth. This mission predates the CMs. I will put this mission for removal.

RRVs - These only sit idle if you let them, depending on how you play the game.

RRVs are not just for critical care, any mission where the transport percent is below 100 has a chance to be completed by an RRV without the need for a DCA. Similarly these missions also have a chance to be dealt with any other first responder such as CFR/Co-Responder.

I will not put missions out that require RRVs instead of DCAs as this is unrealistic. The only reason the newest labour calls require 2 x DCAs is because of the nature of call and this falls in line with most ambulance trusts response to these calls.

The current system allows for players to use HEMS or RRV just like IRL and also allows for mimicking BASICS with HRLs and General Practitioner Cars (named this way as we can't use real life names).

I had mentioned this earlier in the thread, so for 2 more posts to talk about the same things makes me think posts aren't being read.

Quote from Hmcqueen04

This is the message that appears every time I try to log in

Try things like WiFi turned off, reset phone, check for updates etc.

Moved thread to errors, bugs.

Game is loading fine for me, android device 👍

Quote from Gooochy

Im more talking about missions having literally 100% chances of CC in Mass Casualty, such as Firearms Attacks, Building Collapses, Large + Major Hotel Fire (up to 50 all needing cc), I think Mass Casualty incidents (espically those with 50+ patients) should have lower CC chances like 10-30

Gotcha, I'll refer back to my response before this one then. Whatever rework happens we will adjust the requirements for all missions - This should hopefully balance it all out for those larger missions.

Quote from Gooochy

Personally yeah i have CC disabled, and i dispatch it to missions i feel apropriate (secamb has 10 CCPs on duty at once, one per MRC) so following ingame wiith the sheer amount of CC paitents, is simply impossible, i'd also like to see a cap of 2 CC requiring paitents at any scene, i dislike when EVERY paitent at a mass casualty-call needs cc. even if graded c3 (walking wounded)

A lot of PDAs for Major Incidents and those deemed mass casualty will often have multiple CC teams.

I take on the point about the excessive need but won't look to push for a cap on it as it won't be realistic. Large Aircraft Crash with over 200 patients but knowing only 2 x CC resources would be needed is an example I can think of.

Quote from Morvran

Can you elaborate a little on what you mean by this?

I'm aware some players have trained all ambulance staff in Critical Care so every resource can provide the requirement.

Quote from Gooochy

perhaps with the introduction of BASICS/ On-call doctors? Would love that

The ability to do this is already in game. "General Practitioner" is available and with HRLs you can mimic BASICS. From my memory it was named this way to avoid trademarked names.

Quote from Morvran

another possible option is to rework CC.

Make it only required for C1 patients, but increase the reward from treating CC patients.

Makes CC then less.... routine.

Not only is CC a little inconsistant in what does and does not require it (sprain missions for example) but its generally easier to just dispatch CC to everything or just turn it off. It doesnt feel important enough

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Not all C1 patients require CC involvement and quite often lower coded patients C2-C3 require CC.

The sprain mission was not our doing.

Whatever rework happens for CC we will adjust the requirements on all existing missions and I will try to push for higher payouts when used.

Quote from Charlieaa

For those that play realistically I can see a potential negative impact to this. For example, an excessive amount of patients requiring HEMS, or HEMS unavailability e.g. overnight.

As a compromise if the HEMS was to become a requirement, could we introduce also a HEMS RRV or something else than could then fulfill the requirement.

You're describing the exact position we're in, only it's Critical Care Requirement.

It was previously HEMS required, but the community wanted it to be realistic and fulfilled by RRV. This was then changed to Critical Care so you could do this by HEMS or RRV.

Granted the way it was changed allowed for it to be abused.

Quote from Gooochy

Do you have any concepts/ideas on how you’d like HEMS to work? That you can share of course.

There are a few options but until we know what's possible following the tests it's not worth sharing.

Recently there has been an increase in posts relating to HEMS so I thought I should provide some sort of update.

Back in January 2022 the HEMS requirement was removed and replaced with the current Critical Care requirement meaning it could be fulfilled by helicopter or RRV as IRL. Before this patients would instead require HEMS.

To support the above change RRVs were then also added to the HEMS station.

Fast forward to now, we all want HEMS to have a use. Unfortunately it's not a quick fix due to the change made. The DEVs are also aware something needs changing.

In short we are looking into options and have a few, all of this relies on some tests being made behind the scenes - thats all I can say, again not a quick fix.

I will keep everyone as updated as possible, any further threads though regarding HEMS I will remove so we can keep it all in once place.

Quote from Hmcqueen04

I think the devs should do it so that HEMS can do interfacility transfers but not patient transfers

I will do a thread regarding HEMS tonight as it keeps popping up.