Posts by Morvran

These would be awesome additions. Ambulance calls certainly feel a little.... lacking... At times

Quote from mjkerr

This issue / error is very random
Just send the nearest vehicle, any vehicle will do

Yeah, but shouldnt need to do that though

This is still on-going as well

Just gotten this again after not having it once in 2 months. So either I got lucky or it got fixed and has come back.

Quote from renalmedic

proposed Ambulance QOL update

Maybe there needs to be a thread for this, to discuss and suggest ideas, with the main post getting updated with said suggestions (which are "accepted")

Their value also needs to be increased. They just dont seem to reward enough to be worth it. 25-30k I think would be a better number.

Also, the cap of 99 patients rather than say, 250-300 is also a shame

Dorset Police just acquired one such vehicle for use of the Rural Crimes team:

Name/Type of Mission: Suspected Stroke

Units Required: 1x DCA

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

Patients: 1 - C1 (70% of CC) 100% Transport

Department Required: Stroke Centre

Credit Reward: 500

It's also surprising we dont just have a straight "suspected stroke" call either.

Quote from omnishambles

Can I tag on to this and add that it would be really useful to have the 'Missions' filter re-added to the OpenStreetMap 2.0 map.

Im on OpenStreetMap 2.0 and have mission filters

As it currently stands, the filter options on the map are a tad limited and I think there are a few changes that could be made to make it a more useful feature.

Organise the list

At the moment, the filter list is.... dis-organised, with related buildings no where near each other, nor is the filter list even alphabetical

For example:

Are next to each other, but GP Surgery is right down near the bottom.

I would propose one of 2 solutions here

1) make the list alphabetical

2) Group things by type (i.e police, fire, ambo and SAR) either with with little separating sub-titles or just grouped together normally.

In either case, it would make it far nicer to actually use the filter list.

Small vs standard vs large

At the moment, all buildings of a certain kind appear regardless of which building they actually are. It would be useful to be able to filter by small, standard or large building types at times and I think this could be reasonably easy to implement. This could either be done by simply having each as a separate building (though of course for now that would just be standard and small building types, unless the next suggestion was also added) or by having a sub-filter underneath the original building option, in the same way you can select "my misisons" or select which call type is displayed.

Extensions

There is also no easy way to see which stations may or may not have certain extensions built, or you want to filter the map by a certain extension type, such as aviation firefighting. This could be a little drop down next to each building type, a sub-filter. Allowing you to breakdown the map to show precisely what you want to be able to see.

If there is concerns that the extra filter options could clutter it too much, then they could be tied to a new setting under Maps and vehicles for something like "advanced filters".

Quote from Gooochy

Perhaps im going on a tangent but personally I do not train every RRV in CC as this is unrealistic. Within our Make Ready Centres there is one 1 CCP to cover the whole region, i label them differently and have custom ARRs set. Then I have an army of SRVs (Solo Response Vehicles - essentially our RRVs) utilising fleet lists to place them somewhat accurately. I send my SRVs to most C1 calls to backup crews, and often more then one on calls like Cardiac Arrest, Unconcious Child, Fall from height etc etc, I also send them on C2 calls to either speedup response times to C2s when greater then 20 mins for a DCA, or where "extra hands" i feel could be useful for the crews on calls like "Spinal injury, Traumatic Limb Amputation and many others. I also use JRUs for any call requiring police + ambo as one of the counties i cover, has three. Then I use co-responders to speed up response times to rural calls.

Then I also use the GP vehicle on a HRL at every A&E hospital (i dont simulate UTCs or hospitals without ED) to represent on call doctors. I make custom AARs for these to.

HEMS I have 2 bases, with 3 helicopters (1 with 1, 1 with 2), and then two HEMS rrvs trained in CC, and also with custom AARs. These I send to Mass Cass, Serious RTC, traumatic injuries etc

Yeah, that does sound quite good. Might overhaul my setup a bit then.

Quote from Alctw10

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.

Thank you

Quote from Alctw10

We will be revisiting all patient probabilities in the future.

The broken ankle call was not one of ours.

Yeah, that I think is all that is needed for a lot of the calls. Just a review and a little refinement. And where some are your calls and some aren't, the lack of consistency can make things a tad confusing.

Quote from Gooochy

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

Yep, that would be a good. I think this in-part why I was a tad confused by the 2x DCAs for only 1x Patient, figuring that the mother and baby would usually always be transported together and if they werent it would be 2x Patients. (assuming the mother wasnt just transported whilst still in labour and instead transported after birth)

So with that change, plus some tweaks to the transport chance / adding a line for the water broken call for first responders to be able to handle the call without transport (like on the home birth call)

Then yeah, it makes sense.

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.

This and Alctw's earlier explanation then makes far more sense regarding the 2x CM vehicle requirement.

Quote from Gooochy

Labour - Breech Birth

Yeah, that would be a good one. Could expand the list quite a fair bit I think, and maybe also having them have a chance of upgrading as well.

Like home birth (no transport requirement) becoming a breach birth needing transport.

Another one might just be changing the current Child Birth call into one where the mother is just transported straight to the hospital whilst in labour? 1x DCA + 1x CM? "Labour - Active Labour"? or something like that?

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

Quote from Alctw10

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.

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

Quote from Alctw10

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.

Ah I see, yes that would make sense on that front as well then.

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?

That is a good idea as well.

Quote from Alctw10

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.

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?

Quote from Alctw10

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.

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)

Quote from Gooochy

Also a way to toogle off seasonal missions personally not a fan of the spring/autumm/summer/winter missions as the event toogle doesnt disable these

It doesnt? Thought it did. Then yeah that is a good shout too

Quote from dog-r-me2

I feel like the RRVs should be made use of more too. They kinda sit idle at the mo

I make use of them for CC, so instead of ambos being trained in CC by default (I do have a few, but not many) I have all RRVs trained in CC, so any calls needing CC get an RRV. But yes, that is another option, change it so that rather than needing 2x Ambos, it could be 1x Ambo and 1x RRV/Ambo or something