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[GUIDE] How to be a Paramedic (Updated for 4.4)

gm1003

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#1
Click a spoiler to expand the section

Some spoilers, especially the subsections in Emergency Procedures, might have the titles cut off on mobile if you’re not in landscape mode
How to become a Medic Intern
  1. Think of this position as the “Paramedic Cadet”, this is where you’ll start in Emergency Medical Services
  2. Go to the hospital and press [E] on the EMS Recruiter NPC and sign up to be a intern
    • There are no requirements
  3. Hold B and call for a paramedic to pick you up in their ambulance and inform the EMS Director who you’re tagging along with
    • The paramedic will mentor you with treating patients and help you level up and getting XP by driving you to both NPC missions and real victims
    • You will earn $165 every 15 minutes on duty, $248 if premium (minus current tax rate)
    • You have all the tools paramedics have (First Aid, Defibrillator, Surgeon NPC), just not an ambulance
  4. If someone asks for help, a notification will appear in the chat
    • type /911 and click the callout to claim it
      • this also works in a vehicle
How to become a Paramedic
  1. After doing plenty of NPC missions, helping victims alongside your paramedic mentor, and doing some time at the mines, you’ll finally reach the requirements to become a Paramedic
    • You need to be Player level 5 and Job level 10
  2. Take a career driving license test at the Town Hall front desk (about $1,500)
  3. Go to the Hospital Valet NPC and press [E] to spawn your ambulance
    • You will earn $365 every 15 minutes on duty, $548 if premium (minus the current tax rate)
  4. Hold B to announce to the EMS Director if you are responding to a 911 call or you are ready to respond
    • this is so 5 ambulances don’t all go to just one victim, that doesn’t sound very efficient does it? communication is key
  5. If someone asks for help, a notification will appear at the bottom right of your screen
    • type /911 and click the callout to claim it
      • this also works in a vehicle
How to be the EMS Director
  • After spending a lot of time at the mines and reviving plenty of real victims and NPC’s, you’ll be able to unlock the “Director”
    • You need to be Player level 25 and Job level 50
    • You will earn $525 every 15 minutes on duty, $788 if premium (minus the current tax rate)
    • only one player can be the Director at a time
  • The Director’s responsibilities are to oversee the medical department and hold everyone of his workers accountable and organized
    • similar to a Police Chief or Fire Chief
  • As well as the standard medical tools (Defibrillator, First Aid Kit), you also get the “Department Tablet”
  • Unlike the Mono-Tablet, the Department Tablet gives you the ability to view all your employees and their rank in the “Management” app
  • If any employee fails to meet expectations like acts unprofessionally repeatedly (like spamming the radio) or commits a felony, you can demote that player from the Management app in your Department Tablet as you see fit for any legitimate reason whatsoever
    • that player is immediately removed and temporarily banned from EMS for 30 minutes
    • if the employee is disgruntled or armed and dangerous, it is recommended to call police to escort the individual out of the hospital
    • if the employee was demoted or fired for committing a crime, report him and the crime to the police
Ambulance Controls
  • Use your keys to unlock/lock from outside your ambulance
    • [LMB] to lock, [RMB] to unlock
  • Hold [E] and click "Toggle Locks" to lock/unlock your ambulance from the inside
  • [LMB] to change your lightbar
    • Hold to toggle on/off
  • [RMB] to change your siren
    • Hold to toggle on/off
  • [ALT] + [SEAT NUMBER] to kick out a passenger as the driver
  • [SEAT NUMBER] to change seat
  • [ALT] + [LMB or RMB] to use your blinkers
  • [R] for horn, [R] for warning horn if the siren is on
  • [H] is for engine, that’s probably why your ambulance isn’t moving
  • [J] is for seatbelt, if you don’t have it on you’ll literally fly out the windshield when you hit something and you’ll pass out for about 10 seconds
First Aid and Emergency Medical Procedures (Updated for 4.4)
    1. Switch to your first aid kit and press [RMB]
    [*]
    1. Assess the scene
    2. If it is not safe, use /gov chat or switch to the law enforcement radio frequency and inform the police
    3. After the scene is deemed safe, park your ambulance close to the victim but not obstructing traffic or first responders
    4. Instruct the injured to get out of the road for the safety of both of you
    5. Use your first aid kit and press [LMB] on the injured (call for backup if there’s a lot of injured)
    6. Report the location as “code 4” when all the injured have been treated, indicating that the situation has been dealt with
    [*]
    1. The developer of the EMS system @rako made a video guide on YouTube for treating an unconscious victim:
      if you don’t want to watch it, below is a text guide
    2. Assess the scene
    3. If it is not safe, use /gov chat or switch to the law enforcement radio frequency and inform the police
    4. After the scene is deemed safe, park your ambulance close to the victim but not obstructing traffic or first responders
      • if the victim is on the road, drag him to the side for the safety of both of you
    5. If there is more than one victim, call for backup using /gov chat or the radio
    6. Bring out the victim context menu by holding [E] on the victim
    7. While still holding [E], move your mouse to the “Check for pulse” option
    8. If a someone has already stabilized the victim, skip to the “If the victim is stabilized” section of the guide
    9. If someone has not stabilized the victim, a notification will read “low pulse”, “strong pulse”, or “no pulse”
    [*]
    1. Inform the bystanders and EMS that the victim has deceased
    2. Transport the victim to the hospital without lights or sirens (most likely the body will disappear before you even get there)
    [*]
    1. Select your defibrillator and use it with [LMB] to revive the victim
      • *CPR Kit: Anybody with that kit can attempt to stabilise their fallen buddies/strangers for up to 50% chance of stabilising them. EMS isn't required to have that item, your character is already trained in CPR. This is intended for people outside of EMS like civilians and police.
    [*]
    1. *Adrenaline Auto-Injector: Everybody who has that item is able to instantly pop it into their downed (but stabilised) buddy for 100% chance of bringing them up - Remember to use it not too often, or you will cause a heart attack of the target. EMS does not get that by default, it's a high level item (player level 85) and it's very useful in shoot-outs, costs about 2.5K. EMS can optionally buy this if they have the player level; if not, proceed with the steps below...
    2. Press [E] near the back of the ambulance and select “pull out a stretcher”
      • you can also carry out a 2nd stretcher from the back of your ambulance
    3. Click [RMB] on the stretcher to grab it
    4. Drag it to the victim, stop grabbing the stretcher, and select “put patient on stretcher” from the stretcher context menu
    5. Grab the stretcher and drag it to the back of the ambulance
    6. Select “put stretcher in ambulance” from the stretcher context menu
    7. Inform EMS you are transporting a victim and drive to the emergency room drop off (near the valet)
    8. Bring out the stretcher and drag it next to the surgeon NPC
    9. Press [E] on the surgeon and let him work his magic
    10. HALLELUJAH he’s alive
    [*]
Tips and Reminders:
  • Combat healing (healing others during a raid) is strictly forbidden by the server rules
    • so is combat reviving
  • You are allowed to run red lights when responding to an emergency, just make sure to use your warning horn to alert others when you are crossing the intersection
  • You can get away with speeding when responding to an emergency, just don’t do it while turning a corner
    • you’ll get rekt by either a wall or a car
  • When not responding to an emergency, you must abide by all traffic laws
  • Always listen and do not argue with the EMS Director, after all he can demote or fire you
  • You cannot carry a firearm
  • You can still be arrested or fined by the police
  • You cannot be hired by a 3rd party to be their “healer”, you serve the people of Paralake
  • If you see criminal activity
    • call the police
    • do not be a hero, it will get you killed
  • Keep in mind that only EMS can use the surgeon NPC, if people come to the emergency room with an unconscious person and no medic is there the victim will die
    • something I’ve seen in the server is that a medic intern will be appointed the “designated surgeon” (basically the guy who stays at the hospital), but at least he gets XP for the surgeries he does ¯\_(ツ)_/¯
  • Hold [C] and click the radio icon at the bottom right corner to turn it off or on
  • Hold [C] and click the frequency next to the radio icon (ex. 114.2) to switch channels
    • Emergency Services is for medical workers and the fire department
    • Law Enforcement is for police
    • Public Services is for tow trucks, mechanics, and the impound lot
  • Like I mentioned at the start of the “How to become a Paramedic” section, mining is a great way to increase your player level so you can become a paramedic or even the EMS Director
    • type +attack or -attack in the console to auto-mine or stop auto-mining
      • use this responsibly, you can’t just go AFK and watch some Netflix, you gotta stay in the game or you’ll get kicked by a admin
  • Don’t move while doing defibrillation, CPR, surgery, or a pulse check
    • it will cancel the action and you’ll have to start over
Comment with what I should add to the guide or correct
 
Last edited:

rako

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Jun 15, 2017
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#2
I love it, good job.
Just a reminder:
For normal people, CPR just raises the timer by 4 seconds. Only medics can stabilize people after 3 CPR's.
 

gm1003

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#3
I love it, good job.
Just a reminder:
For normal people, CPR just raises the timer by 4 seconds. Only medics can stabilize people after 3 CPR's.
I should probably add that lol
 
#4
Addition:
When at the scene of an incident on the highway, park your Ambulance to the side of the road where it will not obstruct traffic flow, go to the casualty and bring them back to the side of the road to your ambulance so that you are at much less risk of being run over and commence CPR;
Doing this will prevent other drivers from hitting you at 80Mph and flattening you, this will in-turn stop the highway from becoming clogged up with debris (bodies and vehicles) which will cause further pileups
 

gm1003

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#5
Addition:
When at the scene of an incident on the highway, park your Ambulance to the side of the road where it will not obstruct traffic flow, go to the casualty and bring them back to the side of the road to your ambulance so that you are at much less risk of being run over and commence CPR;
Doing this will prevent other drivers from hitting you at 80Mph and flattening you, this will in-turn stop the highway from becoming clogged up with debris (bodies and vehicles) which will cause further pileups
ohhh yeah, been there done that lmao

I’ll add it
 
#6
ohhh yeah, been there done that lmao

I’ll add it
HAHA! yeah I know, I've been in high speed pursuits quite a bit and hitting an ambulance driving full speed the wrong way along the highway at full speed has... consequences... very painful consequences.

I've come flying around a corner to two parked ambulances and hit them both, killing the medic who was trying to revive the medic which had been hit whilst trying to revive a fire fighter who was attempting to put out a car fire because the car swerved to avoid a random police cadet on the highway, hit the wall and blew up. o_O
 
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gm1003

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#8
it is still important that bystanders constantly perform CPR back-to-back until paramedics or interns arrive as they can buy the victim 4 more seconds of life everytime they do it, increasing the victim’s chance of survival
After the scene is deemed safe, park your ambulance close to the victim but not obstructing traffic or first responders
  • if the victim is on the road, drag him to the side for the safety of both of you
new additions to the guide as suggested by @rako and @Matthias Gomulee
 

Shiba

New Member
Jul 27, 2018
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#9
Awesome!

Just a quick question, you’ve mentioned that you are able to switch radio frequencies in order to contact the proper authorities. Could you perhaps label which frequency contacts which department? (# for EMS, # for Police, etc.)

Also, I don’t know if this was a temporary client side bug, but when checking my player level, the percentage until advancement is in the negatives. I’ll see if I can get a screenshot today, since it seems I can’t advance in player level.

All and all, a very imformative guide.
 

gm1003

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#10
Awesome!

Just a quick question, you’ve mentioned that you are able to switch radio frequencies in order to contact the proper authorities. Could you perhaps label which frequency contacts which department? (# for EMS, # for Police, etc.)

Also, I don’t know if this was a temporary client side bug, but when checking my player level, the percentage until advancement is in the negatives. I’ll see if I can get a screenshot today, since it seems I can’t advance in player level.

All and all, a very imformative guide.
well clicking the radio frequency well pop up a dialog menu that has the frequencies with them labeled, but I can still add them to the guide

yeah that bug has happened to me, try rejoining
 
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gm1003

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#11
Edit: added a video guide
  • If someone else is hurt and unconscious
    1. The developer of the EMS systen @rako made a video guide on YouTube for treating an unconscious victim:
 

gm1003

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#12
Edit: new section “How to be the EMS Director
 

gm1003

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#13
Edits for Update 4.2:
  • added spoilers like the cool kids use
  • deprecation of the /911 command from the guide
  • new 911 Mono-Tablet app mentioned in both the "Paramedic" and "Medic Intern" sections
 
Last edited:

gm1003

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#14
Edits for Update 4.3:
  • added /911 again as it now opens the 911 app on your MonoTablet
  • removed [ALT] + [N] from Ambulance Controls and added "Toggle Locks"
  • added where to carry out a stretcher and how you can carry out a 2nd stretcher for First Aid and Emergency Medical Procedures subsection "If someone else is hurt and stabilized"
  • removed subsection "if the victim was shot by the police" as unconscious people can now be handcuffed
 
Last edited:

Leon

Well-Known Member
Jun 18, 2018
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#15
This is an incredibly useful guide, thanks for taking the time to make it as I will be using this for when new players create a report when they need help starting out.
 
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gm1003

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#16
@Leon I'm glad you like it! The devs are constantly adding new things to EMS and I'll update this guide whenever they do
 

gm1003

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#17
Edit:
  • Added job level requirements and paycheck amounts from @DangerZone640’s guide, his guide has the levels for every job and some suggested jobs for beginners
 
Last edited:

gm1003

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#18
Finally updated the guide lol

Edits for Update 4.4:
  • Added descriptions for CPR kits and adrenaline auto injectors and their uses
  • Removed 4 second critical state timer increase with CPR as this is no longer in the game
 
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