EMS / Paramedic

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The paramedicsEMS emoji.png of Transport Tycoon are lifesavers. Performing this job will be saving the lives of many poor AI.
There is one main objective as EMS: Receive AI calls to revive and transport them to the hospital.

Getting started

You must have level 5 strength to do EMS missions!

Objective: Receive AI calls to revive and transport them to the hospital

  • Head to one of the 10 Paramedic Stations. Paramedic Station.png EMS Helicopter can land on the rooftop (If the hospital has a designated Heli landing Pad).
  • Walk to the entrance or rooftop main door (For EMS Helicopter) and press E to go on duty.
  • Wait for an automatic call to occur.
  • Follow the GPS to the location marked on your map. EMS Friend.png
  • Press E to revive the AI.
  • The revived patient will get into your EMS Vehicle.
  • Head back to the hospital now marked on your map with the patient. EMS Target D.png To drop off the patient you must drive your ambulance inside the orange circle or there will be an orange circle on the rooftop to land with the EMS Helicopter.
  • Congratulations, you’ve successfully completed an AI callout and will now receive Medic Exp!
In the event where you're unable to revive a ped, the ped is not reachable or the ped is stuck after reviving: Enter your vehicle and attempt to drive away. If the ped does not teleport inside the vehicle, cancel the mission by pressing M ► Stop Job and then head back to the Paramedic Station to go back on duty.
If when reviving an AI while on duty the AI refuses to enter the helicopter then fly to the dropoff point, get out and get in a couple of times, the subject should eventually teleport and you'll finish the job.


Level requirement/s Name Price Fuel Top Speed in mph
$10.000 70L (Petrol) 97.75
Ambulance (Blue)
Ambulance (Blue).png
$10.000 70L (Petrol) 97.75
Ambulance (Retro)
90s Ambulance.png
$10.000 70L (Petrol) unknown
EMS Speedo Express
Speedo Express (EMS).png
$2,500,000 70L (Petrol) 100
EMS Speedo Express (Blue)
Speedo Express (EMS).png
$2,500,000 70L (Petrol) 100
EMS + Trucking LVL 100 (Premium required)
Coast Guard Executioner
CG Executioner.png
$35,000,000 70L (Petrol) 95.25
EMS + Garbage LVL 100 (Premium required)
Coast Guard Sandking
CG Sandking.png
$35,000,000 70L (Petrol) 95.25
EMS + Hunting LVL 100 (Premium required)
Park Ranger
Park Ranger.png
$35,000,000 70L (Petrol) 96
Firefighter LVL 1
$25,000,000 unknown unknown
Firefighter LVL 447
Fire Speedo
Fire Speedo.png
Free unknown unknown

Name Cost Level Requirement
Police Maverick
Police Maverick.png
$100,000 EMS level 1
Helicopter Pilot level 5
$2,000,000 EMS level 1
Helicopter Pilot level 20
Coast Guard Swift
CG Swift.png
$35,000,000 EMS level 1
Helicopter Piloting level 100
Tycoon Premium

Paramedic Stations

Paramedic Station Region Coverage
Mount Zonah Medical Center
West Vinewood
Pillbox Hill Medical Center
East Vinewood
Central Los Santos Medical Center
Central Los Santos
St. Fiarce Hospital
Palomino Highlands
Sandy Shores Medical Center
Central San Andreas
Fort Zancudo Fire Station
Paleto Bay Care Center
Paleto Bay


Unlock EMS Level requirement
Unlocked the Ambulance and Retro Ambulance 1
Unlocked the Speedo Express Ambulance 20

First Responders LLC - Public

  • As of June 22nd 2021 FRLLC has become public.
  • Vehicles (apart from trailers) and perks have been integrated into normal gameplay for everyone to access and enjoy.
  • Trucking routes have been tweaked to fit the public ecosystem.

Pill Box Hill Hospital - Perks

Back Warp to the hospital. Front Warp to the hospital. Warp to the helipad. Helicopter garage.
FRLLC Down Warp.png
FRLLC Up Warp.png
FRLLC Heli Warp.png
FRLLC Heli Spawner.png
Self Storage. Job Changer. Fuel Station & Repair Shop. Vehicle garage.
FRLLC Self Storage.png
FRLLC Job Center.png
FRLLC Fuel & Repair.png
FRLLC Garage.png


You can change your job to Trucker: Commercial or Trucker: Illegal* at the FRLLC HQ Job Changer, it's marked on the map by the Specialized Job.png icon.


*To work as Trucker: Illegal, you need to first have lvl 17 in Trucking.

  • Boxes of Full Pill Capsules are items which you will need to deliver from the FRLLC HQ to different hospitals around the map.

- To start the delivery step on the big blue circle inside the hospital and press E, by doing that you will get a destination of where to deliver the boxes of pills, after finishing the delivery you will get rewarded with EXP Tokens (EMS)

  • Defibkits are being used while doing the EMS AI callouts.

- Each Defibkit will give you 10% more experience per drop-off of the patients while working as Paramedic.

Box of Full Pill Capsules & Defibkit Route

FRLLC Trucking Routes.png