Fire and EMS Standard Operating Procedure

This SOP provides a fictional framework for Fire and EMS roleplay. It is not real medical, rescue, firefighting, or hazardous-material guidance. Server rules and player consent control every scene.

1. Mission and priorities

Fire and EMS personnel shall protect life, stabilize incidents, reduce preventable harm, coordinate safe transport, and document care. Operational priorities are:

1. responder and public safety;
2. rescue and life preservation;
3. incident stabilization;
4. property and environmental conservation; and
5. evidence preservation after immediate hazards are controlled.

2. Readiness

Before entering service, members should verify their authorized character, certification, unit assignment, radio, CAD access, personal protective equipment, and vehicle status. Members may perform only capabilities represented by approved training and available server mechanics.

3. Response levels

Use the response level assigned by dispatch or incident command. Warning equipment permits a priority response but does not remove the duty to drive with care. Reduce or discontinue an emergency response when updated information no longer supports it.

Stage away from violence, hazardous materials, unstable scenes, or law-enforcement operations until the responsible agency declares an access route reasonably safe.

4. Incident command

The first qualified unit should provide an arrival report, identify obvious hazards, establish command when needed, and request appropriate resources. Command should announce:

• incident designation and location;
• command post or operating position;
• current conditions and priorities;
• staging area;
• access and egress routes; and
• resource requests.

Command may transfer to a more qualified or better-positioned member after a clear briefing. Unified command should be used when fire, EMS, law enforcement, public works, or another agency shares significant responsibility.

5. Patient contact

5.1 Consent

Explain the proposed assessment and treatment in roleplay-appropriate language. A conscious person with roleplay capacity may accept or refuse care. Consent may be implied for an unresponsive person or immediate life threat when server rules allow.

Never force graphic medical roleplay or demand real medical information. Use scene fades or simplified descriptions when requested.

5.2 Assessment

Perform a structured roleplay assessment appropriate to the complaint and available mechanics. Identify immediate threats, major symptoms, mechanism, relevant history voluntarily provided, and need for transport or additional resources.

Do not represent a real diagnosis as certain. Use language such as “findings are consistent with” or “suspected” where appropriate.

5.3 Treatment and transport

Provide only approved fictional interventions. Explain significant procedures, reassess after changes, and transport to the appropriate in-game facility when indicated. The receiving facility should receive a concise handoff covering complaint, findings, interventions, response, and safety concerns.

6. Refusal of care

A refusal should be accepted when the patient is able to understand the situation, options, and reasonably foreseeable roleplay consequences. Document:

• the assessment offered and completed;
• apparent capacity;
• information and alternatives explained;
• the patient’s decision;
• witnesses or medical control consultation when available; and
• advice to seek help if the condition worsens.

Impairment, severe distress, altered consciousness, or an immediate self-harm risk may require protective-custody coordination under server policy.

7. Death and resuscitation scenes

Follow server mechanics, consent rules, and medical-lead direction. Avoid graphic detail. Once death is determined under the approved roleplay process, preserve the scene, notify law enforcement or the coroner function, and avoid moving property unless required for safety.

Fire and EMS personnel should document medical observations without making criminal conclusions.

8. Fire incidents

For structure, vehicle, wildland, or industrial fires:

• establish command and announce conditions;
• identify life hazards, exposures, access, utilities, and collapse risks;
• create operational zones and staging;
• coordinate rescue, suppression, ventilation, and accountability through approved roleplay mechanics;
• request additional alarms or specialized resources early; and
• conduct a final accountability and scene-status report.

Only trained roleplay positions should direct interior operations or specialized rescue. No document on this site is a substitute for real training.

9. Vehicle collisions and rescue

Position units to protect the scene without creating unnecessary obstruction. Coordinate traffic control with law enforcement, address fire or hazardous-energy concerns, establish patient access, and preserve reasonable paths for other responders.

Patient care takes priority. When practical, avoid unnecessary alteration of evidence and advise law enforcement before vehicles are moved. Document any movement required for rescue or safety.

10. Hazardous materials and suspicious substances

Do not approach, touch, smell, open, or test an unknown hazardous substance unless the role and server system specifically authorize it. Establish a safe perimeter, position uphill or upwind in roleplay when appropriate, deny entry, request the designated resource, and identify exposed persons.

Suspected explosive devices remain a law-enforcement and bomb-resource matter. Fire and EMS should stage for rescue and fire protection at the location designated by command.

11. Mass-casualty incidents

An MCI exists when patient needs exceed immediately available resources. Command should establish medical coordination, request additional units, designate triage, treatment, and transport areas, and maintain patient tracking.

Use simplified server-approved triage categories and avoid competitive or graphic treatment roleplay. Transport decisions should balance severity, available facilities, and scene safety.

12. Behavioral health and self-harm scenes

Use calm communication, reduce unnecessary personnel and stimulation, and coordinate with law enforcement only to the degree needed for safety. Do not promise confidentiality that cannot be maintained. A player’s real-world safety concern must be escalated through server administration and appropriate real-world resources, not handled solely in character.

13. Medication, controlled substances, and patient property

Patient medication and valuables should remain with the patient unless safety, evidence, or receiving-facility policy requires transfer. Document any property taken into custody and the recipient. Suspected contraband should not delay urgent care.

Medical records are confidential. Share information with law enforcement only when the patient consents, a valid process applies, or immediate safety requires it under server policy.

14. Coordination with law enforcement

Law enforcement controls criminal threats, custody, traffic enforcement, and evidence. Fire and EMS controls patient care and fire-rescue operations. Neither function should direct the other’s professional decisions outside immediate safety and unified command.

Persons in custody remain patients. Restraints may be adjusted when necessary for care if safety can be maintained. Medical information should not be broadcast unnecessarily.

15. Reports

Complete the appropriate incident or patient-care record before ending duty when practical. Include:

• dispatch and arrival information;
• scene conditions and hazards;
• patient complaint and relevant observations;
• approved assessment and interventions;
• changes in condition;
• consent or refusal;
• transport and receiving handoff;
• agencies and units involved; and
• unusual events, exposure, injury, or equipment issue.

Use objective language. Do not include real personal information or unsupported criminal conclusions.

16. Quality review and critical incidents

Supervisor review is required for responder injury, death in care, major refusal dispute, medication or property discrepancy, significant exposure, mass-casualty response, unusual force around patient care, or formal complaint.

An after-action review should identify what happened, what worked, what needs improvement, and assigned corrective actions without turning the process into public blame.