Paramedic here,

So I get that this just launched. Right off the bat, horrible performance. I've got a beefy rig, but had to bring it down to Medium to just get over 60 frames.

Traffic systems are pretty fair, but need a bit of work. Driving is excellent, but a chore if you're doing it by the book and not going emergency traffic everywhere. (Let my partner drive while I do the work in the back, yo!)

Patients. This is where it gets dicey. I'm only a little over an hour in, and the system in place for scenes is not well set up. Firstly, every Paramedic worth their salt is going to be able to have a portable vital monitor system they can move directly to the patient and assess vitals THERE, not in the ambulance. There should be a system in place to check the basics right off the bat. Life-threatening hemorrhage, Airway, Breathing, and Circulation. I get that information within 30 seconds when I do my encounters in real-life.

Interventions are, foundationally, correct. However not every intervention reacts appropriately to every patient. I've got myself a hypotensive trauma patient, but turning on the heat makes them have a fever immediately? If a patient's O2 saturations are normal, they do NOT need O2, so don't put it as an optional treatment if it isn't indicated. Medications do certain things I expect, but not do other things. I wish Saline was administered from a bag, not from a syringe! GRR!

What killed it for me, is that there was a patient loading animation that was zoomed in on me, but the zoomed in never fixed itself, so I had to be stuck in that position, making it difficult to continue.

BUGS APLENTY!

You have time to fix this. It is playable, therefore passable... However I must warn you that it is going to be difficult to meet my expectations with your price tag. Justify it with your proactive and swift work to get these things corrected. I'll give this another go once I see some patches come through.

Its a great idea but has many flaws;

- Traffic is just horrid, turn it down to low and its ok otherwise enjoy sitting there at junctions and traffic wont move with sirens off,
- Bugs galore, many times i have been unable to get into the back of the ambo,
- kind of flawed.... i had a burn victim with a small cut so i covered them in bandages (i wanted the achievement) no vitals taken, yet still got a S grade??
- same calls, constantly going to a bike accident, construction workers, fire and gun shot, no particular order. ive unlocked many more but always seem to just go for them.
- why is pretty much every call go multiple casualties but yet only me there and doing anything. for realism sake please add other ambulances in the game so your not just leaving people on the ground.
- your colleague is as useful as a ashtray on a motorbike.... why cant they do anything. at least make me PIC and boss them about or even start me as a newbie and get bossed about such as assess that Patient whilst they do something else then when you level up you become PIC and you can boss them to assess that patient or whatever.
- finally why no kit bag?? who has ever seen a paramedic without a kit bag?? why cant i do vitals as part of my triage, give oxygen before they get on the ambulance etc. GIVE ME A KIT BAG!!! (which you can boss your colleague round to fetch it)

it could be a really good game and hope it get updated and fixed as at the minute its only just a yes to buy.

I'm an Emergency Medicine physician, and before medical school I worked as a Medic. After playing the demo, I was excited for this game, as I felt it showed a lot of promise, however I am really let down.

Pros:
- Driving feels nice
- Graphics are alright
- Basic medical concepts are correct

Cons:
- More monotonous than working on an actual truck. You get the same calls over and over again, since you have to "unlock" different types of conditions/CCs.
- Performance is horrible. I have a 7800XT and even with the settings at medium, I still get stuttering and frame drops
- Horrible patient assessment system. You here the same voice lines over and over "I don't know, I just don't feel good," and instead of just modeling phyiscal S/Sx on a patient, you have to open a menu to see results of your assessment ("contusion on arm" "patient is nauseous" "active bleeding on leg.") I feel choosing to do that is just so lazy and ruins the point of this being a video game.
- Zero critical thinking is needed. The call you receive is for an anxiety attack, and when you get there it is an anxiety attack. You check vitals, assess them (but they don't actually say anything pertinent to the call), you give them benzos, then you transport. That's it.
- As a whole the medical accuracy is pretty poor. Your partner will yell at you that the BP is getting "too high", when it is 140/84, which makes no sense, as I bet my BP is probably higher than that right now. When a patient begins to deteriorate, their vitals move in ways that make zero sense physiologically (e.g., why is this panic attack patient satting at 60% with a RR of 18 and on O2?)
- Missing some of the most interesting parts of EMS, such as EKGs, codes (not just chest compressions), resuscitations, advanced procedures, alternative vascular access, etc.
- Lots of bugs. Have encountered over a dozen in the 4 hours I've played.

Overall, really disappointing. Was hoping there finally was a good medical based game, but I've used virtual simulation software that is more enjoyable than this.