'Drive-In Theater'
Posts by renalmedic
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The SP in game is an SP-UC, London run the PRU, which is a similar function, but I don't think any others do.
A revamp of HEMS and SP-CC I could get behind.
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I have sent RRV's, but it still requests an ambulance! I had 1 today which is why I posted!
(ALL my RRV's are trained in Critical Care and Specialist Paramedic
Can't replicate this I'm afraid.
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RRVs will clear non-inj falls and any other missions with 0% probability of transport. They can clear any ambulance mission so long as the patient doesn't need transporting.
Can't help with 2 cos I've ignored that update, but, is the requirement for two midwife trained staff or two vehicles?
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Yer, one every other day. Have you got stadium POIs down?
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Heatstroke is not a stroke, absolutely does not go to a stroke unit.
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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.
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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.
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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.
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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.
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UTI goes home, occasionally medics, or, very occasionally, Urology, but only if you can blame it on a piece of their plastic.
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Agreed. Fire only ever attend as part of an existing CFR agreement.
If anything, you'd expect police to attend a dead child.
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renalmedic How were you able to find these please
Mixture. Most of it is creative googling, obsessive use of WhatDoTheyKnow, social media stalking and the occasional suitably vague text message to a mate.
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renalmedic I'm not quite following your argument - are you implying that outside London there is nothing that happens that requires any form of ambulance command unit? Up here in Scotland, much more rural than most of England, ambulance command units are among some of the most regularly deployed special resources in the entire country (including other services). To say that they only go to pre-planned incidents when some ambulance command units in the busiest areas get mobilised 3, 4 or even 5 times per day is simply absurd.
I'm saying that working alongside four ambulance services for the last decade, going to predominantly serious, major and otherwise interesting incidents and working academically in PHEM, I've never seen them deployed.
I'm saying that I know that LAS that they use theirs a bit more frequently and that some days they even have the spare dispatchers to properly staff them!
If you say that you have dispatchers on a mobile command unit running on jobs 5 times a day in Scotland I'll believe you, at least until I can catch up with one of their EPRR blokes.
But, the final thing I'm saying is that none of this remotely convince me that ambulance service CUs should be operating as fire service CUs in game.
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YAS Manor Mill Resource Centre,
Manor Mill Ln, Beeston, Leeds, LS11 8LZ
EMAS Mansfield Operational Support Base, Hamilton Way, Mansfield, NG18 5FA
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I'm not sure whether ambulance services beyond London ever really use command units other than at preplanned events.
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Every ambulance service outside London can use command units - it's a national capability
Yer, but when was the last time one of them turned a wheel?
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I'm not sure whether ambulance services beyond London ever really use command units other than at preplanned events.
In EEAST and London, IRO & LOM vehicles are set up with the ability to do a some of that function. In practice, we'll all just use Fire's command trucks.
Ambo command vehicles are however, very different and distinct from the SIRU (or whatever it's replacement is going to be) and I wouldn't want to see a merger of them in game.
I'd be happy to lose them from the game - I certainly never use them. But somce they're here, I think they should operate as an AO rather than as a fire command unit.
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An update about a year ago removed the need for HEMS from all missions.
The only time they might be needed now is for alliance large scale missions.
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SAR Pt.2 has launched with the following vehicles:
- Control Van- Operational Support Van
- Boat Trailer
- Drone Vehicle- Drone Unit (Police & Fire)
- Personal Search and Rescue Vehicle
- Search and Rescue 4x4
- Fly Car
I'll be honest no clue what any of this means apart from the drone unitsI presume its some sort of lowland SAR