Chris07 Posted October 31, 2014 Author Report Share Posted October 31, 2014 Yes, but you have to get them through upgrades by spending XP. Quote Link to comment Share on other sites More sharing options...
erfd Posted November 1, 2014 Report Share Posted November 1, 2014 We RSI often where I work, fortunate to have very skilled medics and EMT partners, Where I'm from we have EMR, EMT, and Paramedics. EMTs can:- Peripheral IV insertion - EZ-IO administration - Administration of the following medication: - EpiPen and EpiPen Jr. (IM/subcutaneous) - Nitroglycerin spray (SL) - Albuterol nebulization - Oxygen therapy - Glucagon (IM/subcutaneous) - Benadryl (Oral) - Use of the semi automatic defibrillator LifePak15- Lucas Device - Cardiac monitor application (including 12 lead) Rhythms strips are to be confirmed by Paramedic/RN/MD - Provide initial treatment for anaphylaxis - Provide oxygen therapy - Provide fracture immobilization - Airway adjuncts: oral/nasal or KING airway - Initial burn management - Initial treatment of the medically unstable patient - Initial management of the trauma patient - Apply CAT Tourniquet - Response to multiple casualty incidents - Response to Hazardous Materials incidents Paramedic Medications: Adenosine (Adenocard) Lopressor Albuterol (Proventil, Ventolin) premixed for nebulization - 2.5 mg Lorazepam (Ativan) Aspirin (ASA) Magnesium Sulfate Atropine Midazolam HCL (Versed) Calcium Chloride 10% Naloxone (Narcan) Cardizem (Diltiazem) Nitroglycerin tablets or spray 0.4 mg (grains 1/150) Dilaudid Nitroglycerin IV gtt DuoDote Ondansetron (Zofran) Duo Neb Oral Glucose (Reactose, others) Dextrose 50% Oxygen Diphenhydramine HCL (Benadryl) Proparacaine HCL (Tetracaine) [or equivalent] Epinephrine 1:1000 and 1:10,000 Racemic Epi Neb Etomidate (Amidate) Sodium Bicarbonate Fentanyl Succinylcholine (Anectine) Furosemide (Lasix) Terbutaline Sulfate (Brethine) Glucagon Toradol (Ketorolac) Haloperidol (Haldol) Vecuronium (Norcuron) Ketamine Zofran I'd like to see the fire department first respond to all medicals except for psych in nature. Quote Link to comment Share on other sites More sharing options...
randomperson139 Posted November 1, 2014 Report Share Posted November 1, 2014 I like the idea of this, good luck! We RSI often where I work, fortunate to have very skilled medics and EMT partners,Really? We can't do RSIs over here, it's a skill purely for the Doctors at the moment. Quote Link to comment Share on other sites More sharing options...
erfd Posted November 1, 2014 Report Share Posted November 1, 2014 I like the idea of this, good luck! Really? We can't do RSIs over here, it's a skill purely for the Doctors at the moment.That's surprising! Yeah, when I started at my current service I was surprised how often they do it compared to some surrounding services. It is great to be able to do when you have a patient that is very distressed, and really nice for unconscious people with clamped down jaws that need an advanced airway. Quote Link to comment Share on other sites More sharing options...
randomperson139 Posted November 1, 2014 Report Share Posted November 1, 2014 That's surprising! Yeah, when I started at my current service I was surprised how often they do it compared to some surrounding services. It is great to be able to do when you have a patient that is very distressed, and really nice for unconscious people with clamped down jaws that need an advanced airway.The issue over here is more lack of use for skills like that. It wouldn't be used often enough.When it comes to advanced airways, endotracheal intubation on its own is another thing that is probably normal over there. Whereas over here, trusts aren't allowing it any more for new Paramedics. Anyway, this is kinds going off topic. A topic in the Off-Topic section may be an idea if you're interested in what we can/can't do in different countries. There must be other Medical staff on here. Quote Link to comment Share on other sites More sharing options...
Chris07 Posted November 1, 2014 Author Report Share Posted November 1, 2014 erfd, Minnesota is one of a very few places that has incredibly liberal protocols. There are a lot of rural locations and transport times can be long, thus the need for those skill sets. RSI and even surgical airways are far from the norm in the rest of the country....which I why I will include them. Quote Link to comment Share on other sites More sharing options...
Chris1990 Posted November 5, 2014 Report Share Posted November 5, 2014 Hows the mod coming along? Quote Link to comment Share on other sites More sharing options...
Chris07 Posted November 6, 2014 Author Report Share Posted November 6, 2014 Still in planning phase. I'm waiting to see what EM5 offers before I begin actual production. Quote Link to comment Share on other sites More sharing options...
erfd Posted November 6, 2014 Report Share Posted November 6, 2014 erfd, Minnesota is one of a very few places that has incredibly liberal protocols. There are a lot of rural locations and transport times can be long, thus the need for those skill sets. RSI and even surgical airways are far from the norm in the rest of the country....which I why I will include them.True, I guess I don't know much about rural EMS, I've always worked in the metro or suburbs. Our local doctors found much better outcomes in patient care allowing advanced prehospital care interventions. Even if only 5-10 minutes away from the hospital, we can get critical care started. We used to have all the different levels (Basic, I, A, Medics, etc.) but it was decided it was better for patient care if all providers were trained to advanced levels and allowed more versatile use of Medic/EMT trucks. It allows much better flow on critical calls to, to be able have the EMT do the IV/IO, start cardiac monitoring, etc. while the medic prepares performs other advanced procedures as needed, as well as allow EMTs to take more of the transports to allow medics to get more breaks and drive instead of being bombarded by transports. It also allows non-transport fire and other EMT first responders to apply early use of basic, but important medication and start IVs for the EMS crew before arrival. Overall works great for the providers and patients, at least in our area. Quote Link to comment Share on other sites More sharing options...
Chris07 Posted November 20, 2014 Author Report Share Posted November 20, 2014 Anyone have an idea on a service name for the paramedic ambulance company you will be playing as?The current name I'm thinking of: Northview Emergency Medical Services Authority - NEMSA The name has to describe the service, which the above does. The ambulance provider is the medical authority in the EMS system. While some Fire Departments have Paramedics, whenever the ambulance paramedics show up, they are in charge. (Hence my desire to have the word "Authority" in the name although it is not required).While the company is not "Government-run" it is a contracted "not-for-profit" organization. Also, the company is the exclusive ambulance provider for the county, with the exception of a few larger cities who use their local fire department as their ambulance provider. The county is diverse ranging from urban to suburban to downright rural.Any other ideas for names or do you guys like that? Quote Link to comment Share on other sites More sharing options...
erfd Posted November 20, 2014 Report Share Posted November 20, 2014 I like simpler names like Northview Paramedics, Northview Ambulance, Northview Advanced Life Support Ambulance, Northview County Ambulance, etc. Quote Link to comment Share on other sites More sharing options...
Fred03 Posted November 20, 2014 Report Share Posted November 20, 2014 Northview EMS. Keep it short, keep it simple. Long names invariably get shortened in common speak anyway and something can have authority without having the word "authority" in the name. Example the "Northview Fire Department" would have jurisdiction over fire scenes but the name isn't the "Northview Fire Authority". Quote Link to comment Share on other sites More sharing options...
Chris07 Posted November 21, 2014 Author Report Share Posted November 21, 2014 How about Regional Ambulance Service? Or Maybe Regional Emergency Medical Services (REMS for short) Quote Link to comment Share on other sites More sharing options...
rcmp123 Posted November 21, 2014 Report Share Posted November 21, 2014 RAS seems good to me (Regional Ambulance Service) Quote Link to comment Share on other sites More sharing options...
rescue_nerd Posted December 6, 2014 Report Share Posted December 6, 2014 The concept is great but I imagine it would take a huge amount of time and skills to create such a mod. Quote Link to comment Share on other sites More sharing options...
Chris07 Posted December 21, 2014 Author Report Share Posted December 21, 2014 After a lot of consideration, I've decided to start developing this modification in EM4 with an eventual port to EM5 when the modding capabilities mature in EM5. Quote Link to comment Share on other sites More sharing options...
LAD23DER Posted December 21, 2014 Report Share Posted December 21, 2014 That's sounds awesome! This is going to be a great mod. Good luck! Quote Link to comment Share on other sites More sharing options...
SparkyTheGamer Posted December 22, 2014 Report Share Posted December 22, 2014 Gotta say, this looks very interesting...take this far, yeah? Quote Link to comment Share on other sites More sharing options...
Chris07 Posted January 1, 2015 Author Report Share Posted January 1, 2015 Does anyone know of an existing model for a Stryker Power-Pro or MX-Pro stretcher (NOT THE M1)?I want to know if one exists before I break out the 3D modeling software. Quote Link to comment Share on other sites More sharing options...
EmergencyFan97 Posted January 1, 2015 Report Share Posted January 1, 2015 I looked, but didn't find one. However, there is a lot of EMS equipment on here: http://emergency-forum.de/index.php?page=Database Most of it is free to use with permissions given. Quote Link to comment Share on other sites More sharing options...
Chris07 Posted January 1, 2015 Author Report Share Posted January 1, 2015 Yea I saw a bunch of those. Thanks.Guess I'm modeling a stretcher...fun...lol Quote Link to comment Share on other sites More sharing options...
jamnj88 Posted January 2, 2015 Report Share Posted January 2, 2015 This mod could be really interesting I see a lot of people killing the patients though. Quote Link to comment Share on other sites More sharing options...
Unit 42 Posted January 4, 2015 Report Share Posted January 4, 2015 Anyone have an idea on a service name for the paramedic ambulance company you will be playing as?The current name I'm thinking of: Northview Emergency Medical Services Authority - NEMSA The name has to describe the service, which the above does. The ambulance provider is the medical authority in the EMS system. While some Fire Departments have Paramedics, whenever the ambulance paramedics show up, they are in charge. (Hence my desire to have the word "Authority" in the name although it is not required).While the company is not "Government-run" it is a contracted "not-for-profit" organization. Also, the company is the exclusive ambulance provider for the county, with the exception of a few larger cities who use their local fire department as their ambulance provider. The county is diverse ranging from urban to suburban to downright rural.Any other ideas for names or do you guys like that?WOW!!! That reminds me exactly of Richmond Ambulance Authority here in VA. That's an awesome idea! Quote Link to comment Share on other sites More sharing options...
Chris07 Posted January 4, 2015 Author Report Share Posted January 4, 2015 Just finished the initial version of the map texture. The map is a full sized map, which features a lot of residential areas. It is a slightly modified version of a texture found on emergency-forum.de by VPI. Map Subject to Change as things develop: Quote Link to comment Share on other sites More sharing options...
Guest Posted January 4, 2015 Report Share Posted January 4, 2015 Are we going to be able to use any of the fire units or is this strictly EMS based? Quote Link to comment Share on other sites More sharing options...
