1. Information
Our purpose
Arida Medical Services is a governmental agency responsible for providing care and ensuring the safety of every person in Arida.
What we expect of you
Be the best version of yourself: honest, selfless, responsible, and able to take orders. Every member should work well together.
Performance of duties
Perform every duty with propriety and without favouring anyone, regardless of status, sex, race, religion or political position. Never let personal feelings, emotions or friendships affect your work. Carry out duties courteously and to the highest standard.
Core values
2. Chain of command
Know who to speak to. Don't go straight to High Command, who are exceptionally busy. Abusing the chain of command, or being unkind to other members, risks removal. Current post holders are on the home page.
3. General rules
- Understand and follow the chain of command
- Respect your colleagues
- Perform your duties to the best of your ability
- Remain professional at all times
- Use correct radio communication and stay on the frequency
- Respect the law and follow all guidelines
- Stay at least 150m from an active gunfight or crime scene until Code 4
- Log out if AFK for more than 15 minutes
- Treat everyone equally, and give care by severity
- Only enter a KOS zone after 2 minutes without gunshots (Search & Rescue)
- Sell, donate or give away any equipment, clothing or vehicles
- Possess any firearm
- Be intoxicated to the point you can't act rationally
- Pick up patients declared DNR or DOA
- Revive or heal during an active situation
- Let anyone persuade you a victim can't be revived
- Be inactive for more than a week
- Go AFK on duty to farm money
- Enter DOC without permission (arrest there means removal)
- Spawn vehicles inside buildings or objects
- Wear unprofessional hats, or act unprofessionally
- Put anyone in harm's way when driving or using equipment
- Show favouritism to anyone
4. Equipment & vehicles
Every rank wears its own shirt with EMS pants, black boots and an invisible backpack; gloves are optional. Helicopters need Aviation training.
| Rank | Vehicles | Helicopters |
|---|---|---|
| Chief to Division Chief | All | All |
| Captain, Lieutenant, Second Lieutenant, Chief Paramedic | Charger | – |
| Critical Care, Advanced, Senior Paramedic, Paramedic | Tahoe | – |
| Advanced EMT, EMT | Ambulance | – |
| Trainee EMT | Ambulance, doubled up with an FTO or EMT+ | – |
5. On-duty equipment
No face coverings such as gas masks (riots only) or balaclavas. Body armour only once Code Red is declared, fully white or black, with no weapon holsters.
6. Vehicle codes & radio
Keep radio traffic short, clear and professional, for example "[CH-01] is 10-76 to East Boat Shop." All 24 10-codes are on the Codes page.
7. Communicating with PD
Make sure PD frequencies are clear, then announce yourself as AMS ("AMS to PD") and wait for PD to confirm before continuing. Only contact PD frequencies to request assistance, or clearance to attend a call where LEO is present, including major crimes. PD or DOC contacting AMS will say "PD to AMS" or "DOC to AMS".
The Communications section of the handbook was a work in progress. It's now replaced by the Communications & Confidentiality mandate.
8. Declaring someone dead (DNR / DOA)
Replaced by mandate. The old handbook rule allowed DNR for breaking community rules (RDM, VDM). That is no longer allowed. Follow the DNR & Refusal of Treatment mandate.
- Only a Senior Paramedic or above, on duty, may declare DNR or Refusal of Treatment.
- DOA only for a patient who took their own life, or is stuck under the map or glitched. Alert command on duty.
- Log every declaration with evidence on the AMS DNR/DOA channel before going off duty. The Reports page takes the same details.
9. Response, treatment & discharge
Medical response and custody
The nearest AMS unit responds and calls it out on the radio. On arrival, check the scene is safe. At an active gunfight, back off to 150m and wait for an officer to declare Code 4, or for two minutes without shots. The god-heal medkit is only for mass casualty events of 4 or more patients, because it doesn't encourage roleplay.
Treatment and discharge
Severe injuries are transported to hospital for full treatment. Patients revived by non-AMS aren't in AMS custody unless they need further treatment; help them when the scene is Code 4, but revives come first. A resuscitated patient isn't fully treated, so check they don't need more care before discharging them.
Hospital personnel
This section still lists the old doctor ranks, which have been removed in the restructure. Hospital personnel may use the god-heal medkit once roleplay has concluded. Awaiting update from High Command.
10. Patrol regions
Arida is split into four patrol regions: Westford, Cornwell, Belmont and Riverton. Splitting up cuts response times, since driving across the whole island takes too long.
Pick your region when you clock in on the Duty Clock, going where nobody is covering. Command can move you when they're on.
11. Ride-alongs, leave & volunteers
Ride-alongs
Ride-alongs must be cleared by a Lieutenant or above and wear the ride-along hat at all times. The hat goes back to the hospital at the end. Anyone who keeps it is reported, blacklisted from ride-alongs and banned from applying for 2 weeks.
Leave of absence
LOA lasts roughly 1 to 4 weeks. Requests are on Discord. We understand breaks can come up suddenly.
Volunteer programme
Open to law enforcement officers who want insight into AMS, and to members who need longer away than an LOA allows without fully leaving. Volunteers follow department rules but lose access to promotions and their privileges.
12. Training
- FTOs train new medics in the field. An FTO must be an AEMT or above and hired by HR.
- Basic training: trainees ride along with FTOs, at least 3 times. The FTO makes sure they understand the SOPs and handbook, then reports to HR whether they're ready. Termination of a trainee who'd be a liability needs Lieutenant+ approval.
- Advanced Vehicle Training: contact a Paramedic in the Tactical Medical Unit.
- Aviation Unit Training: open to Paramedics in Search & Rescue and the Tactical Medical Unit.
Upcoming sessions are on the Training Calendar. The full FTO programme is in the HR & FTO SOP.
13. Rank structure
How to write each rank before a name.
| Insignia | Rank | Written as |
|---|---|---|
![]() | Chief of AMS | Chief. J. Wong |
![]() | Deputy Chief of AMS | DChief. J. Wong |
![]() | Assistant Chief of AMS | AChief. J. Wong |
![]() | Division Commander | DivCdr. J. Wong |
![]() | Division Chief | DivChief. J. Wong |
![]() | Captain | Cpt. J. Wong |
![]() | Lieutenant | Lt. J. Wong |
![]() | Second Lieutenant | 2Lt. J. Wong |
![]() | Chief Paramedic | ChPara. J. Wong |
![]() | Critical Care Paramedic | CCP. J. Wong |
![]() | Advanced Paramedic | AdvPara. J. Wong |
![]() | Senior Paramedic | SnrPara. J. Wong |
![]() | Paramedic | Para. J. Wong |
![]() | Advanced EMT | AEMT. J. Wong |
![]() | EMT | EMT. J. Wong |
![]() | Trainee EMT | TEMT. J. Wong |
14. Promotions & time in grade
Every step needs no punishment points. Who's eligible right now is shown to command on the Command dashboard.
| Promotion | Requirements |
|---|---|
| Trainee EMT → EMT | Complete the FTO programme |
| EMT → Advanced EMT | 14 days as EMT |
| Advanced EMT → Paramedic | 14 days as AEMT |
| Paramedic → Senior Paramedic | 14 days as Paramedic; LOI approved by a Lieutenant or higher |
| Senior Paramedic → Advanced Paramedic | 21 days; approved by a Lieutenant or higher; slot available |
| Advanced Paramedic → Critical Care Paramedic | 30 days; approved by the department Captain; slot available |
| Critical Care Paramedic → Chief Paramedic | 30 days; LOI approved by High Command; one position only |
| Advanced Paramedic or higher → Second Lieutenant | LOI approved by the department Captain and Division Chief; position available |
| Second Lieutenant → Lieutenant | 30 days; approved by the department Captain |
| Lieutenant → Captain | Decided by High Command |
| Captain → Division Chief | LOI submitted; decided by High Command |
| Division Chief → Division Commander | Decided by the Chief of AMS |
| High Command | Appointed by the Chief of AMS |
Direct entry applications are approved by Captains and higher.
15. Conduct & progression
Professional conduct
You represent AMS at all times, in game and on Discord. Being rude or hostile, arguing with or undermining command in public, misusing the radio, MDT or channels, or anything that brings AMS into disrepute can lead to punishment points, demotion or removal.
Communication with and about command
Speaking to or about command disrespectfully, on any platform, may lead to discipline. Raise concerns through the chain of command or Internal Affairs.
Asking for promotions
Don't. Command monitors activity, conduct and performance. Asking only delays your promotion and may lead to discipline.
Leaving AMS
Give notice to your department command. Leaving without notice means a 30-day transfer and rehire block.
Department transfers
You need 60 days in your current department, a transfer costs at least two ranks, and both departments' command must approve.
16. FAQ
Department SOPs
Each department's own procedures, on top of the Main Handbook. Where an SOP and a mandate differ, the mandate applies.
High Command mandates
Full text. Tap a mandate to open it. Any sanction can be appealed once, in writing, to High Command within 7 days; the sanction stands while the appeal is heard. Members of command face a higher sanction, and High Command may issue any sanction it sees fit.
› DNR and Refusal of TreatmentAMS-HC-M-2026-0001 · Chief Matteo Genovese · 21 Oct 2026 · Supersedes handbook DNR/DOA and IA Handbook 7.5
Every citizen has a constitutional right to medical assistance. AMS may only revoke it, by DNR or Refusal of Treatment, under this mandate. Any member who does so outside it is dismissed.
› Paycheck Farming and Recovery of Unearned PayAMS-HC-M-2026-0002 · Commissioner Joshua Wong · 22 Oct 2026
AMS is funded from a set budget. Paycheck farming takes money from the members who do the work, the departments that need it, and the citizens AMS serves.
| Level | Conduct | Sanction |
|---|---|---|
| 1. Minor | One short lapse, e.g. unreported AFK just over 10 minutes | Verbal warning, logged |
| 2. First offence | A clear instance of farming | Demerits plus repayment |
| 3. Repeat | A second proven offence | Suspension, loss of promotion eligibility, plus repayment |
| 4. Serious | Third offence, organised farming, alts, farming while committing crime, or any farming by command | Instant dismissal, recovery and court proceedings |
› Off-Duty Conduct and Criminal ActivityAMS-HC-M-2026-0003 · Commissioner Joshua Wong · 22 Oct 2026
AMS is trusted by every citizen and faction. A medic who commits crime, even off duty, damages that trust and puts colleagues and patients at risk.
| Conduct | Sanction |
|---|---|
| Minor offence, reported on time | Logged; no action for a first offence |
| Repeated minor offences | Demerits |
| Misdemeanour | Demerits and suspension; a second is grounds for dismissal |
| Felony | Instant dismissal |
| Any Section 4 breach | Instant dismissal; may be blacklisted |
| Not reporting an arrest or charge | Demerits; dismissal if it hides a felony or Section 4 breach |
| Using uniform, vehicles or equipment off duty | Demerits and repayment of any loss |
› Major Incident ResponseAMS-HC-M-2026-0004 · Commissioner Joshua Wong · Lead department: Tactical Medical Unit
Without a clear lead at a major incident, medics arrive in the wrong order, enter unsafe areas and miss the most critical patients. This sets out who takes command and how AMS works with ASP.
› Communications and ConfidentialityAMS-HC-M-2026-0005 · Commissioner Joshua Wong · Replaces the handbook's Communications section
| Conduct | Sanction |
|---|---|
| Misuse of radio or Discord channels | Verbal warning, then demerits |
| Unprofessional or disrespectful communication | Demerits |
| Speaking for AMS without authority | Demerits |
| Sharing internal information outside AMS | Demerits and suspension; dismissal if deliberate |
| Sharing patient information without need | Demerits and suspension |
| Leaking to a criminal group, or for gain | Instant dismissal and blacklist |
| Sharing the AMS frequency outside AMS | Demerits; dismissal if given to a criminal group |
Source: [SL] AMS: Main Handbook, the department SOPs and the five High Command mandates. The Google Docs remain the official copies.















