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I was referring to the EMS one. That was the unit that sounded similar to the light rescue truck you mentioned. How does it work? Does it have the jaws of life or does it only carry medical supplies? The 2004 Lima truck is the red one in the screenshot I put up. Assuming they carry medical bags, does that mean the volunteer FF's should have the ability to use it? You may or may not have noticed but the pdf file I am using as a source is 8 years out of date. The actual departments have changed their vehicles considerably. In the fictional universe of this mod, Lima VFD has donated its old engine to Monida- that is why Monida has the 1981 Ford truck. A major thing that the pdf does not cover is the Fire District system in the actual area. There are numerous vehicles bearing the fire district liveries but are staffed by members of the departments covered in the district. District #1 is Lima and what would be Monida, while #2 is Dillon and Grant (not in the mod), and #3 being Jackson and Wisdom (neither will be in the mod). The pdf mentions a county fire department but all other sources tell me the fire districts are county wide fire system. Id like some clarification regarding this before I continue with the vehicles of the mod. Here are some of the fire district vehicles. These are the ones based out of Dillon VFD. There are zero pictures of the fire district vehicles from Lima. Whether these vehicles make it into the mod or not depends on whether these would do mutual aid to Monida or not. http://www.emergency-planet.com/uploads/monthly_2018_04/Untitled.png.f8681b7adf8727a730bebbbca386db86.png

Hello, I'm a career firefighter in a small town of 2,500 people. Like most towns we have a small clinic that handles many things with the exception of cardiac, neurologic and cardiopulmonary resuscitation events. They do not except ambulances because of their lack of an emergency room; it's more of an 'urgent care' if you will. However, they get a significant volume of patient in by their own vehicles to the clinic of varying levels of severity, many of whom they utilize our ambulance service to ship out to the nearest metropolitan which is roughly thirty-five miles West, containing the state's level one trauma facility and several other hospital systems. Working fire and EMS in a small, rural community with resources that are stricken and slim most of the time provides it's challenges and we rely on volunteers to back up the paid staff daily. With that said, has there been any consideration in supplying the VFD in this mod with an ambulance, ran by the volunteers? Typically, volunteer departments in the midwest that do have ambulances will run a 'basic basic' truck, or on good days a 'basic intermediate' truck. Rarely, a paramedic will staff a VFD rescue, but it happens occasionally. Since you plan on having a 'BLS hospital' and an 'ALS hospital' off the map for transports, I was thinking it would be amazing to have the VFD capable of transporting the BLS calls and keeping the ALS units available for more major events. Additionally, working in a resource stricken area provides the necessity for thinking on your feet and taking risks. Often times a BLS ambulance will be the only unit left in the whole county, much less the city I work for, and will find themselves transporting strokes, heart attacks, CPR in progress and other ALS events to the nearest facility for stabilization or intercepts with an ambulance of higher care. All of these rural aspects of EMS provide and unique opportunity to model this game and modification thereof in an awesome fashion to realistically recreate the adrenaline and experience of being a 'basic basic' truck taking in high level calls. Just some food for thought; I have no idea how difficult it would actually be to integrate any of these things. As for items to place in the emergency room shown above: hospitals will always have a waiting room connected to registration and triage. After patient's have registered, be it by ambulance or on their own, they will generally go through triage unless the event is obviously serious such as massive trauma, cardiac, neurologic or respiratory. After going through triage a patient will generally be placed back in the lobby for some amount of time until they are called back to "secondary triage" for patient's that may meet moderately serious criteria. Secondary triage is where IV lines can be started, and certain "intervention medications" can be given such as anti-emetics and opiate analgesics while the patient waits for a room to be seen by a doctor. After the patient's who make it to secondary triage have been treated they are sent back to the waiting room, hopefully feeling temporarily better, and wait again for a room in the actual ER. Anything emergently found during secondary triage will warrant the patient going directly from there to the ER. Common ER items include: crash carts, hospital beds, computer systems, "robo nurses" with vital machines, chairs, gurneys, IV carts, procedure rooms and the contents there of, "code rooms," curtains, employees, sharps buckets, bio bins, cleaning supplies, supply rooms, medication modules, paperwork, printers, food, desks, mobile x-ray machines, accuvein finder carts, etc. Often times in small hospitals where higher level of care hospitals are far out of reach and patients are critical, helicopters or "IFT ambulances" will be utilized after the patient has been stabilized to the maximum of the facilities capabilities. If possible in this mod, it would be awesome to this concept integrated. For example a stroke could be transported to this facility on the map that is capable of contrast CT scans, but has no thrombolytic therapy or clot removal surgery capabilities. Then, an ambulance on the map or helicopter from the Dillon hospital could be summoned for a code three transfer to Dillon. Just some food for thought, hopefully helpful. Very excited to see this mod taking further shape! Also, that brush truck is badass. Will there be the potential for "pump and roll" with forestry lines and grass fires? Rural firefighting in the mid west is 75% medical, 10% structural and 15% wildland.

Thank you to everyone who provided insight. So that the large plot of land in the mod doesnt go to waste, Ill have BLS calls go to the hospital. Everything else is sent to the hospital in Dillon which is an hour away. The medical system wont be the most accurate though. The way I plan on doing it is that as soon as a medic heals a patient, the patient is assigned an injury level based on the amount of red bar health they are currently losing. It wont be changeable or what, but Ill try to at least represent some level of realism. I need help decorating the interior of the facility. This is the ER. What props would I need to model to make it at least appear functional? I dont know what Ill do with this side room. Maybe make it the spawn point for the paramedics. https://imgur.com/vo1dkpY This main hall is the waiting room and lobby. There's an elevator there for the second floor, or should I replace it with conventional stairs? https://imgur.com/T91oXRU Here's a preview of another unit. This is Lima VFD's brush truck. Cab by MikeyPI, rear end by me. Special thanks to Reaper and Armyconrad for helping me figure out what all the compartments and machines were. http://www.emergency-planet.com/uploads/monthly_2018_04/Untitled.thumb.png.662543cdf523e2e66a4cee30e1f6d54a.png