The RTW requests a NEF (NA), but there’s no doctor available…in some operational situations, the message then comes “We’re waiting here”. Setting aside the fact that I as a dispatch center don’t receive any information about what the emergency medical service has on site, I also can’t know when a doctor would be free again. In the reality I know, the RTW drives to the hospital without a doctor and doesn’t stay at the scene for who knows how long. In rural regions, there aren’t as many NAs available as, for example, in the city. The time of day also plays a role, because at night there’s usually no RTH flying either.
So I propose either limiting this “waiting” time or changing it completely so that the RTW drives without a doctor.
Another possibility would be to give “private practice doctors” the functionality of an emergency physician, so that when no NA is available, they can at least be ordered to the scene to stabilize the patient for transport or to perform the medical procedures until an actual emergency physician can be ordered to the scene.