Montana Mod v2.5 RELEASED

[Johhnnyy]

On 9/14/2019 at 8:06 PM, Fred03 said:

EMTs do vary from state to state with some states like New Jersey barley allowing their EMTs to do anything and some states like Montana allow their EMTs to do a lot more, Montana specifically recognizes 4 different levels of EMS provider and various endorsements.

EMR (emergency medical responder, used to be called first responder) with possible endorsements to allow them to use pulse oximiters and naloxone (narcan)

EMT (emergency medical technician) with possible endorsements for: medication administration, IVs/IOs, airway (allows the use of a King Tube) and naloxone (narcan),

AEMT (Advanced emergency medical technician, can do basically all the stuff an EMT with all the endorsements can do) with possible endorsements for : medication administration (more meds)

Paramedic (can do all the stuff of an AEMT plus additional) with possible endorsement for: Critical care (transfer of critical patents/more meds and equipment)

 

https://leg.mt.gov/content/Committees/Interim/2017-2018/Economic-Affairs/Meetings/Nov-2017/EMT-scope-of-practice11-2017.pdf

 

Quick question, out of curiosity. Can EMS personnel legally declare a person dead, not like make certificates or anything that wild, just saying "Yo this dude ain't comin back to us, we should stop", things like that. If so, who? Can an EMT or AEMT do it, or is it for Paramedics only? I think EMRs are out of the queation.

[Johhnnyy]

On 2/10/2021 at 8:34 PM, itchboy said:

This was my initial concept but it proved too difficult because of how the volunteer firefighter system was made. Instead I just left it to the player to decide how to dispatch the units.

I have tweaked the volunteer script so you get between two to four personnel in the day time, and at most, six at night.
The player has the responsibility to dispatch the appropriate number of units per call.

Here's some updates to playable units. Colors have been done, and I am readying up the resources for liveries.

No volunteers are available at night, this is something I noticed in tons of Montana Mod 2.5 videos on YouTube

[Johhnnyy]

On 7/31/2023 at 3:11 AM, itchboy said:

Both of these things are intentionally capped by script. Adjusting them without knowing how the code works can cause undesired behavior. 

I am still on the fence with how I will arrange things in the coming updates to the mod. Specifically, I can't have more BCSO cars until I make all the bases needed for them, which could take however long. I don't want to include repeats of existing vehicles, for sake of pumping the numbers up.

Regarding volunteer firefighters, the reason I asked for people's real life POV's was a fun way of adding more volunteer personnel to the mod so that more personnel can be playable.

Thank you for doing the research on this one. I have evidence now and I can make that judgement call with the mod. I'll have it be courtesy lights by default (as it is now) and sort out the lights/sirens commands later on.

I still don't know how I'll proceed with that because Dillon's batt chief appears to also be a POV, while Lima VFD has a dedicated vehicle. Maybe I'll keep their speed the same but remove the sirens from the 2 chief vehicles.

If you like, you can still keep the sirens on chief's POVs, and just pretend the chiefs that own them have signed them off to the state, to meet section 2a of 61-8-102. After that, they can't have much freedom as to what they can do with their state-signed POV while off duty. The state-signed POV fo a chief would then act like a fire department owned vehicle for take home purposes, not a POV.

[Johhnnyy]

On 4/14/2024 at 11:32 AM, funfun100 said:

This is amazing! How do I repair a hydrant though? I am stuck on that and I am not sure how to fix it!

Just use the TEC menu to call an Engineer, and have the engineer fix the hydrant.

[Johhnnyy]

Found this on the Dillon Volunteer Fire Department page of the City of Dillon website.

[Hex_]

Whenever I try to save the game in Campaign -> Freemode the game crashes. It brings up error messages. It 'Saves' but when I load the save the same error messages pop up, hitting "Retry" doesnt seem to do anything, and when it finally loads I have no UI and can select unis.

[mercurygrandmarquis1]

On 4/16/2024 at 9:20 PM, Johhnnyy said:

Quick question, out of curiosity. Can EMS personnel legally declare a person dead, not like make certificates or anything that wild, just saying "Yo this dude ain't comin back to us, we should stop", things like that. If so, who? Can an EMT or AEMT do it, or is it for Paramedics only? I think EMRs are out of the queation.

Yes I have declared people dead before as an EMT in certain circumstances. DNR present, obvious signs of death. I have worked jobs with medics and they can terminate CPR with medical control approval. (They have to call the doc.) On one occasion I got to call the doc myself for termination orders but that was a situation that I doubt will repeat itself

[Johhnnyy]

On 4/20/2024 at 4:17 PM, Hex_ said:

Whenever I try to save the game in Campaign -> Freemode the game crashes. It brings up error messages. It 'Saves' but when I load the save the same error messages pop up, hitting "Retry" doesnt seem to do anything, and when it finally loads I have no UI and can select unis.

You have to use the campaign, not freeplay.

[Johhnnyy]

14 hours ago, mercurygrandmarquis1 said:

Yes I have declared people dead before as an EMT in certain circumstances. DNR present, obvious signs of death. I have worked jobs with medics and they can terminate CPR with medical control approval. (They have to call the doc.) On one occasion I got to call the doc myself for termination orders but that was a situation that I doubt will repeat itself

Could an EMT in Montana call a death? I'm trying to look this up but nothing so far.

[Fred03]

12 hours ago, Johhnnyy said:

Could an EMT in Montana call a death? I'm trying to look this up but nothing so far.

It likely depends on the scenario. Often for EMTs or Paramedics to pronounce they're supposed to call medical control (a doctor somewhere) first. However there's exceptions for places with bad communications or if you can't reach medical control for other reason. Often the protocol is written like "for medical arrests terminate after 30 min or 3 consecutive 'No shocks advised' from an AED". And as stated above most protocols allow for CPR to not be initiated (which is tantamount to pronouncement if there's obvious signs of death such as lividity or traumatic injuries incompatible with life. The reason you're not finding it when looking it up is that such specifics aren't at the state level, they're at the individual service/medical director level.

[Johhnnyy]

23 hours ago, Fred03 said:

It likely depends on the scenario. Often for EMTs or Paramedics to pronounce they're supposed to call medical control (a doctor somewhere) first. However there's exceptions for places with bad communications or if you can't reach medical control for other reason. Often the protocol is written like "for medical arrests terminate after 30 min or 3 consecutive 'No shocks advised' from an AED". And as stated above most protocols allow for CPR to not be initiated (which is tantamount to pronouncement if there's obvious signs of death such as lividity or traumatic injuries incompatible with life. The reason you're not finding it when looking it up is that such specifics aren't at the state level, they're at the individual service/medical director level.

Alright, thanks for your help, sir.

[Hex_]

On 4/24/2024 at 12:43 PM, Johhnnyy said:

You have to use the campaign, not freeplay.

I literally said how I was in campaign mode.

The only 'Campaign Mission' there is, is called "Freeplay"

[itchboy]

On 4/19/2024 at 6:09 AM, Johhnnyy said:

Found this on the Dillon Volunteer Fire Department page of the City of Dillon website.

Thank you for finding another image of that truck. Seeing it with front nozzles is giving me ideas.

On 4/21/2024 at 6:17 AM, Hex_ said:

Whenever I try to save the game in Campaign -> Freemode the game crashes. It brings up error messages. It 'Saves' but when I load the save the same error messages pop up, hitting "Retry" doesnt seem to do anything, and when it finally loads I have no UI and can select unis.

It might be something I messed up while coding. I'll have to look into this, thanks.

[Sangmi]

On 4/24/2024 at 12:45 PM, Johhnnyy said:

Could an EMT in Montana call a death? I'm trying to look this up but nothing so far.

The Montana prehospital treatment protocols state that crews can terminate resuscitation efforts in the field under the guidance of their relevant medical direction, though it doesn't specify EMT vs Paramedic. My assumption is that either EMT or Paramedic can declare a time of death depending on the level of the truck (ALS vs BLS) and fill out the appropriate post-mortem paperwork, as long as they've contacted a doctor at the hospital that was going to receive them and gotten their permission to terminate resuscitation efforts. I'll drop a link to the document here. Pages 68 and 69 refer specifically to the cessation of resuscitation by EMS crews in the field. This is the best I could find. I'm an EMT in Indiana so the protocol here is different simply because we have greater access to hospital facilities. 

[Johhnnyy]

8 hours ago, Hex_ said:

I literally said how I was in campaign mode.

The only 'Campaign Mission' there is, is called "Freeplay"

Sorry about that.

[Johhnnyy]

6 hours ago, Sangmi said:

The Montana prehospital treatment protocols state that crews can terminate resuscitation efforts in the field under the guidance of their relevant medical direction, though it doesn't specify EMT vs Paramedic. My assumption is that either EMT or Paramedic can declare a time of death depending on the level of the truck (ALS vs BLS) and fill out the appropriate post-mortem paperwork, as long as they've contacted a doctor at the hospital that was going to receive them and gotten their permission to terminate resuscitation efforts. I'll drop a link to the document here. Pages 68 and 69 refer specifically to the cessation of resuscitation by EMS crews in the field. This is the best I could find. I'm an EMT in Indiana so the protocol here is different simply because we have greater access to hospital facilities. 

Thank you very much, sir! And Ik it's a year late, but you are correct in saying that Montana POVs with reds and without sirens are not POVs. There's this person on the internet here who is a firefighter in Montana. He confirmed that unless a POV has been signed over to the state, it cannot be an emergency vehicle.

N150CZ - YouTube

[Sangmi]

On 4/26/2024 at 10:23 AM, Johhnnyy said:

Thank you very much, sir! And Ik it's a year late, but you are correct in saying that Montana POVs with reds and without sirens are not POVs. There's this person on the internet here who is a firefighter in Montana. He confirmed that unless a POV has been signed over to the state, it cannot be an emergency vehicle.

N150CZ - YouTube

I'm not good for much, but I do enjoy my research. I'm always happy to help solve quirky little mysteries like the ones that keep popping up in this thread. Looking through protocols is very fun to me haha. 
Without sounding too silly.. a POV that gets signed over to the state wouldn't be a POV anymore, right? 

[Johhnnyy]

58 minutes ago, Sangmi said:

I'm not good for much, but I do enjoy my research. I'm always happy to help solve quirky little mysteries like the ones that keep popping up in this thread. Looking through protocols is very fun to me haha. 
Without sounding too silly.. a POV that gets signed over to the state wouldn't be a POV anymore, right? 

Idk, you'll have to ask the guy I listed above. Thankfully, you can do so in the comments of his YT vids.

Edit: I think he said something like that, but Idk.

Edited April 29 by Johhnnyy
Added more details

[Hex_]

Another question: Why does the Volunteer engine only hold 2 firefighters? That doesnt make it very effective for fire fighting, and is below the standard for how many should be on an engine.

[Johhnnyy]

10 hours ago, Hex_ said:

Another question: Why does the Volunteer engine only hold 2 firefighters? That doesnt make it very effective for fire fighting, and is below the standard for how many should be on an engine.

It's probably to simulate having less firefighters than ideal. Monida Pass is officially a city, legal wise, but they are more or less like a town, population wise.

[Fred03]

20 hours ago, Hex_ said:

Another question: Why does the Volunteer engine only hold 2 firefighters? That doesnt make it very effective for fire fighting, and is below the standard for how many should be on an engine.

A variety of "in universe" explanations:

1. Apparatus may pre-date that specific standard
2. Apparatus may be designed so that its shorter and can fit into tighter rural areas like down narrow dirt roads which required sacrificing cab size.
3. Other firefighters may be expected to arrive on other apparatus.
4. 2 people is the minimum needed to utilize a fire engine in real world (not NFPA) applications.
5. Few if any departments 100% meet everything the NFPA would like to see.

There's the NFPA standard and then there's the real world. There's few departments outside the military and major urban departments that are 100% NFPA compliant with everything. On my first volunteer department we had engines that could seat 3, 5, and 9. Rarely was every seat filled on an engine, often other firefighters would arrive on other apparatus or in POVs on-scene.

[Hex_]

20 minutes ago, Fred03 said:

A variety of "in universe" explanations:

1. Apparatus may pre-date that specific standard
2. Apparatus may be designed so that its shorter and can fit into tighter rural areas like down narrow dirt roads which required sacrificing cab size.
3. Other firefighters may be expected to arrive on other apparatus.
4. 2 people is the minimum needed to utilize a fire engine in real world (not NFPA) applications.
5. Few if any departments 100% meet everything the NFPA would like to see.

There's the NFPA standard and then there's the real world. There's few departments outside the military and major urban departments that are 100% NFPA compliant with everything. On my first volunteer department we had engines that could seat 3, 5, and 9. Rarely was every seat filled on an engine, often other firefighters would arrive on other apparatus or in POVs on-scene.

in regards to #2, you can see the cab is open and there is room for at least 2 other firefighters 

[Johhnnyy]

13 hours ago, Fred03 said:

A variety of "in universe" explanations:

1. Apparatus may pre-date that specific standard
2. Apparatus may be designed so that its shorter and can fit into tighter rural areas like down narrow dirt roads which required sacrificing cab size.
3. Other firefighters may be expected to arrive on other apparatus.
4. 2 people is the minimum needed to utilize a fire engine in real world (not NFPA) applications.
5. Few if any departments 100% meet everything the NFPA would like to see.

There's the NFPA standard and then there's the real world. There's few departments outside the military and major urban departments that are 100% NFPA compliant with everything. On my first volunteer department we had engines that could seat 3, 5, and 9. Rarely was every seat filled on an engine, often other firefighters would arrive on other apparatus or in POVs on-scene.

There are two jump seats at the back of the engine's cab. It's probably to simulate a VFD in a town that has absolutely nothing to upgrade their VFD.

[mercurygrandmarquis1]

On 4/24/2024 at 12:45 PM, Johhnnyy said:

Could an EMT in Montana call a death? I'm trying to look this up but nothing so far.

I'm speaking solely for NY BLS. Other states have a tendency for being a lot more restrictive even with signs of obvious death

[Johhnnyy]

On 4/30/2024 at 9:43 PM, mercurygrandmarquis1 said:

I'm speaking solely for NY BLS. Other states have a tendency for being a lot more restrictive even with signs of obvious death

I heard EMTs can't do shit without a med control doc on the phone. At least that's what Fire Department Chronicles said on YouTube.

Fun fact: Nurses in the Philippines, where I'm originally from, are the paramedics. We don't have paramedics there, so the nurses are the next best thing. We do have EMTs. Nurses and EMTs can call deaths. PNP cops can't call deaths, but PNP-SOCO (Scene of the Crime Operatives) can.