In my old department (we were very rural) most of our firefighters were certified first responders, we responded to all medicals in our town in our POVs. It worked out well as we did what we could to stabilize a patient and then transmitted patient information to the responding ambulance. We often had firefighters (not first responders) respond as well, they came and did what the responders told them what to do, they were invaluable when we had to move a large patient, control a crowd or set up a LZ. So yeah firefighters do often respond to medicals, likely more often in rural areas then in larger cities. (I'm not sure how they do things in the big city, never worked emergencies in one) Also I feel like I should probably suggest that everyone chill out and take a step back. I know that everyone wants the game to be just like the emergency services are near them. I am as guilty of this as anyone else. Obviously the mod creators can't please all of us and perhaps we should just be grateful for them making this mod at all. Maybe we should all just wait and see what the mod creators have up their sleeves. (and before you jump on me, yes I know I'm a hypocrite)