Posting here as unable to access Suggestions category.
SUMMARY:
Implement the ability to have a large variaty of units for the EMS and Serch and rescue Category
Pediatrics Critical Care Ambulance
Sercha and rescue Helicopters
New Born Critical Care ambulance
CT scan Ambulance for stroke patients(new in concept of implementation)
Blood and Organ transport vehicle
Logistic For EMS (not related to the fire departament): Tents, Mass casualty, Disaster relif, Patients under collaps buildings, help with Suplay and logitic when atending critical care patients
NRBQ for EMS Only (not related to the fire departament): Higly contagius patinents, Patients under collaps buildings, Patient Descontamination (normaly in spain is done by the EMS). often these units have specialst personal train for these type of care
EMS Units Specialise in riots or Terror related incidents
Psykiatric ambulance
ECMO TEAMS for CPR
PURPOSE:
Realistic EMS and serch and rescue UNITS that are able to add into the call sistem logic
ICU ambulance for infants/ and newbornfor secundary transport are totaly difenrent that a normal ICU ambulance
Some EMS Although help with the transport of blood and organs to diferent hospitals
CT scan Ambulance for stroke is a new concept in development in diferent country
ECMO it is a technology that need specialis personal for it use in Prehosspital Care, it is done in many country and EMS service for refractory CPR
Serch and recue calls can be atended by A SAR helicopter that do not have the posivility of patint transpor care
Examples of use:
Units can ask for a specialise unit in some cases like with strocke patints, CPR Patients, Childbirth, newborn and peidatrics and infant patients
These can be accepted by the dispatch center or Deny (Just like phisician)
For MASS causalty events, Fire with multiple victimes with smoke inhalation, NRBQ, Critical Care patients, CPR calls and plan events with specialise EMS UNIT can be dispatch provaiding logistic only for EMS(TENS, Extra medication, Extra O2) fire departament and civil protection needs it own logisitc
IMPLEMENTATION IDEA:
Ading new types of UNITS
Create new type of calls for these units
Add the posivility of only EMS logistic into the logic of the calls, not needing to move your fire departament or civil protection logistic for a medical problem.
Create a filter for newborn a pediatrics pacients so a specialise unit can be asing for it (for example been able to add a pediatric ambulance or newborn ambulance in the keywords, just like ICU Ambulance)
Implement Sercha and recue calls for mountainous and ski resorts
Im open for discusion of new departaments, i only add some units that i miss in the hospitals
All are good ideas. We have all those units in france too. But i think this will take some time to be implemented in game. I don’t see any priority in doing this. Maybe stable and bug free first would be nice.
Good idea, but ECMO is done by the doctor. So in this case i is not needed. And the ICU ambulance you could just type in that it is as a PICU ambulance.
The thing that i see as an ICU Nurse and EMS nurse is that an ECMO is a verry specialise tecnique that not all NURSES an d phsicians and EMT (in the case of Spain) are not prepere because the lack of traing for that precidure, normally it is done by an intesivist, cardiologist, anestesist or and vascular surgeon depending on the way that the tecnic it is perfone, althoug it needs at Least (technically) a nurse perfusionist for the care ( In spain they are normaly in charge of the extracorporeal circulation and they check the correct running of the diferent ECMO´s at the hospital. I think there was a pilot in Madrid where they try to Cannulate for ECMO in the EMS escenario (2012-2014), In the project what it was contapleted apart from age and pathology requisist, they needed another car with the equitment apart from the physician and a nurse to canulate patients in the EMS scenario, The nurse it was a nurse perfusinist, in the case of the phisician it was a doctor that trained in that precidure for a while until it was able to do it on the street, for my expirience canulate an ecmo its not another tecnick like an intubation or start and IV, its a much complex procidure. And in secundary hospital transfers from a lower level where the ecmo its canulated until they arrive at the new ICU (in the same building/ or diferent Hospital), normaly the team have at least 1 Intensivist with knolege in ecmo + 1 EMS/ICU nurse (depends if it is inside the hospital or it is An our of hospital Transfer) + 1 Nurse perfusionist, i got to say that it is a complex transport
In the case of the pediatric ICU ambulance from my knolge here in spain, there are newborn ICU ambulance for tranfer of newborn patiens from hospital that do not have a newborn ICU to a hospital with one, they bring a neonatal ICU pediatrician, and they are trying to inplement it with a pediatric nurse ( the pediatric nurse its on paper for today), and For pediatrics, at least in barcelona (I heard about it, do not know if its a pilot expirience or it is fully implemented) they have 2 to 3 units for primary calls and for ICU level transfer, The units perform Both task at the same time, in these case i do not know if the phsician has the speciality in pediatrics, but the crew its fully train in pediatric critical care and emergency care, making it kind of wear that can be asing for an adult.
In the case of the dispatcher these can add some optional realism ( in the case that is implemented on the Control center) forcing the palyer to prioricite and make diferent decitions bewteen the diferent calls and in wich you asaing these specials units (for exaple you could have 2 CPR in progres and you need to decide in wich one you are using and ECMO or u prefer to practice ALS CPR and not extracorporeal CPR.
I agree with you the firs step is to amend all the bugs that the simulator has, then i propouse these as a futere step to take in the development, These type of sistem is mostly comun to a european type of sistem from my knowledge, some county insted of nurses and physicians they have paramedics but the logistical way is similar
I agree with you, but first i think it's important to add nurse unit (Cars and ambulance) In italy we have a huge amount of these unit that are still missing. i guess that spain but also france and other countries use them
I agree with you, but first i think it's important to add nurse unit (Cars and ambulance) In italy we have a huge amount of these unit that are still missing. i guess that spain but also france and other countries use them
– gabryzano