Posts by renalmedic

    These are good ideas, but, would Airfield Ops be a useful addition to the airside incidents?

    I suspect crewing will remain at 2 persons for the vehicle and there may be more use of the crew carriers - perhaps this could be reflected in the game as a requirement for a minimum of 4 HART personnel at incidents requiring both the PRV & SRV, and 8 required at incidents requiring 2 of each.

    Realistically, most HART jobs are either attended by 1 (on a primary), 3 (in a pod) or 6 operatives. Each team only has 6 on duty (although staffing has always been a problem).

    HART is hard to model in a game like MC; realistically, they'd be sending 3 people to each persons reported fire and 6 to all the height, hazmat and water jobs and something to all the bus and multi-cas jobs. But, by virtue of it being a game those jobs are massively over-represented.

    The new HART fleet are starting to roll out in England & Wales.

    Each team will have five Incident Response Units, on MAN chassis with a box body functionally similar to the secondaries and replacing both them and the primaries.

    There's an additional Hilux for each team, also badged as an IRU which isn't a PRV and is supposed to be used to provide off-road capability in addition to the Polaris.

    I don't know if anyone has quite decided how they'll be deployed (with the old units, a team would be typically split into two pods with a primary & secondary each).

    Is it too much to hope the devs are going to update the HART mechanic in the game?

    In a lifeboat station, go to 'Set Mission Spawn Area'. Previously there was a map where you could set a radius in which missions would spawn. Now, there's buttons for 'Mission Area 1' through 5 where you appear able to designate five different circular areas in which missions can spawn.

    Not tested it though.

    I quite like the idea, I use BTP quite extensively in my set up.

    But I'm not *entirely* sure why it needs to be an extension in itself. It could just be a new unit(s) and missions within the existing game structure.

    The 3:1 ratio for large hospital is going to be problematic; there are very few hospitals that don't accept children or have a delivery suite or have critical care (I'd suggest that the overwhelming majority actually have all three), if you're playing realistically almost every single hospital needs to be large. It might be better to limit MTC or Burns Centres (which are truly limited in the UK) to 1 in 10 or 15.

    Non-ED hospitals (e.g. Barts or Broadgreen for PPCI, Alder Hey for Children, East Grinstead for Burns) were always going to be complicated to do and I don't think that can be reasonably expected.

    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.

    Totally agree.

    There is some variation in nomenclature and procedure around the country but the broadest definitions of why ambulances go to certain hospitals universally apply;

    DGH/TU, MTC, HASU, PPCI, Burns Unit, Burns Centre, Delivery Suite.

    There are lots of adult critical care transfer transfer teams that have sprung up in the last two years. ACCTS in Wales, RETRIEVE in South West, ACCS in EoE, ACCESS in London, and so on. They (mostly) have their own vehicles contracted from PAS or VAS or, in one(?) case, from the local NHS ambo trust.

    They do very little work, a small handful of jobs a day. Honestly don't see it adding a huge amount to the game.

    That said, I definitely *can* see a game play feature that requires players to transfer patients between their hospitals; e.g. from a hospital without Traumatology to one with. However, most hospitals I see in game are spammed with all the departments, the departments as they stand are grossly unrealistic, and a large chunk of players in any decent alliance won't have their own hospitals.

    The naming changes as you move between counties and, I don't think really means that much. Is a wholetime pump ladder in London less capable than a retained rescue Pump across the border in Essex? Is there a difference between an Extended Rescue Pump in Sussex and a Enhanced Rescue Tender in Suffolk?

    In terms of playing, I'd like to play realistic but I've settled for Rescue Pumps for whole time appliances and Water Tender for retained.