Take a seat and start your job in a fully modeled and realistic ambulance, all of which are based on real vehicles. Make your way to a accident site in the open city, without loading screens. The world has Dynamic day and night with different weather effects. The faster you get people to the hospital, the more money you earn. The way you use the money is up to you, personalize the ambulance or upgrade the lifesupport in it. Upgrading the lifesupport keeps the patients stable for longer, giving you more time to get them to the hospital. You can also use the money to purchase different ambulances.There are also a lot of customisation options for the Ambulances, including paints and acessories.