Transport & Pre-alerts
Getting a patient from the street into a hospital bed, and telling the hospital you are on the way.
🛣️ The transport chain
Patient on the ground
→ Stretcher (or carry / drag)
→ Into the back of the ambulance
→ Drive to the hospital
→ Out at the Ambulance Bay
→ Stretcher to a bed (auto-snaps within 2 m)Every ambulance model has a configured stretcher position in the back, and a patient monitor so you can watch their vitals on the way.
📢 Pre-alerting a hospital
Tell a hospital you are bringing someone in, before you arrive.
How to send one:
- EMS Tablet → Nearby patients → Pre-alert
- EMS Tablet → Hospital page
- Radial menu → EMS → Pre-alert
What it does
The moment you send it, the hospital's board TV shows:
- the patient,
- the unit bringing them,
- a live ETA calculated from your actual speed and distance.

This is the roleplay glue between field medics and hospital staff. A doctor watching the board can have a bed ready, the surgery table prepped and blood pulled from the fridge before the ambulance arrives.
Rules
| Expires after | 15 minutes |
| Clears when | You arrive within 35 m of the hospital |
| ETA fallback speed | 22 m/s when you are stationary |
AI callout transports create a pre-alert automatically, you do not have to remember.
🚁 Ambulance types
| Vehicle | Rank | |
|---|---|---|
| Ambulance | 0 | The standard unit |
| Lifeguard SUV | 1 | |
| Air Ambulance (polmav) | 2 | Has a stretcher position and monitor |
| Rescue Dinghy | 1 | Water rescues |
All four have stretcher positions configured. See Garage & Vehicles.
🏥 The Ambulance Bay
Each hospital has a drop-off point. It is where the board expects your ambulance to arrive, and it is what closes an active pre-alert.
🛗 Elevators
Hospitals built across several floors have elevator points with one stop per floor. Walk in, choose a floor.
Set up in the hospital creator.
🛏️ Hospital beds
Placing a patient in a bed:
- Puts them into a proper lying animation on the bed.
- Shows them on the hospital board's bed board.
- Lets any bedside monitor next to that bed pick them up.
Drop a stretcher within 2 m of a free bed and the transfer happens automatically.