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Rettungsleitstelle Saint Louis City and County

Thomas Street, Jeff-Vander-Lou (63106), Saint Louis

Appliances / Units

169

POIs

146

Keywords

57

Active Users

8

Updated on Saturday 31 October 2026

Welcome to the city of Saint Louis.

This simulation includes both emergency and non-emergency responses.

The city of St Louis has 30 Engine houses and multiple medic units placed throughout the city. This simulation is designed to be very busy.

The airport is also staffed with 2 engine houses from the city and 1 ALS ambulance staffed by Abbott EMS.

Abbott EMS has multiple units present for the non-emergency transfers as well as back-up units for 911.

Abbott also has multiple units that run out of city engine houses for 911 response.

I am also in the process of adding in the other suburban metro departments for some additional game variety.

If you have any feedback or suggestions, please let me know!

This simulation is still a work in progress.

  • Created on
    October 2026
  • Dispatching
    • Ambulance (transport / non-emergency)
    • Ambulance (urgent / emergency)
    • Firefighters
  • Options
    • Start session with precreated patient transports
    • Disable physician-based EMS (no doctors)

Leitstelle der Klasse C