MedEvac Missions - Unrealistic Distances

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ISSUE DESCRIPTION

Description of the issue:
Since the Missions all disappeared and are now back, the MedEvac missions that are available are all of an utterly unrealistic distance… especially in the USA. The majority of the ones I am seeing are 500+ miles. This is totally unrealistic of a MedEvac flight.

[PC Only] Did you remove all your community mods/add-ons? If yes, are you still experiencing the issue?
Yes / Yes

FREQUENCY OF ISSUE

How often does this occur for you (Example: Just once, every time on sim load, intermittently)? All the time

REPRODUCTION STEPS

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  1. Open Sim
  2. Go to Career Mode
  3. Look at Missions

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[PC Only] Are you using Developer Mode or have you made any changes to it?
No

[PC, MSFS 2020 Only] Are you using DX11 or DX12?

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MEDIA

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So? And why?

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MedEvac would typically bring patients from remote, small airports to the nearest big hospital, usually situated in the regional capital (itself usually equipped with a large, multi-runway airport). For example in Europe it his highly unlikely that you have to cross 3 countries for an emergency.

Limiting the distance would allow shorter missions with specific handling constraints (I noticed, for example, that autopilot banks too much in some cases), introducing diversity in the challenges.

Organ transplants might be a reason for long, urgent flights, though. But in this case it is not the patient who travels.

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How I interpreted is that the patients might had severe injury in a foreign country and had a surgery /treatment, so they return to their home country for recovery instead of staying in a foreign country, but that is more of medical transportation than medevac, at least it would make sense.
For emergencies on shorter distances to regional hospitals often helicopters are used as big hospitals also have helipads to directly deliver critical patients. Probably airplanes are also used just as well as you said, just like in the actual golden mission of medevac, which was a short distance from remote airport to a bigger airport, but I have yet to find one of this.

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I haven’t done any Medevac missions yet, could these be patient transfers? maybe someone being transferred to a specific location for specialized treatment?

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I thought like that too, until I got a patient with kidney stones from Spain to England… I think it would make much more sense to make the medevac heli only mission type as what you’re saying about helis is 100% correct.

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No, they’re pretty stupid. Unless the patient has a preferred surgeon that they want you to fly them from Leeds to some random airstrip in the Alps is realistic?

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Do not agree that the distances in genral are unrealistc.
But i would appreciate it if there was a larger variation of distance/time, on all mission types.
Currently all Medevac seem about same time, as are all med. cargo…
Why not anything between 2-6h ?

What is often unrealistic is the aircraft type used for a specific mission, and the start/destination airport.
Seems completely random.

No one would do a 500nm flight in a unpressurized 208, if you also have PC-12 or 24 available.

Incredible is that evidently no one thought it would be a good idea to integrate an X-check of aircraft performance (range, ceiling, to/ldg distances) vs. mission parameters, when generating the missions randomly !

My last Medevac mission sent me to EYVL, in a PC-24:

20250104213416_1
20250104213416_11920×804 174 KB

Seems about half of what it need to land and get out of again.

And this is by far not the worst i’ve seen.
There evidently also was no double check done on the airports that went in to the mission generator. (still existing, obstacles, actual runway/taxiway position vs what game thinks…)

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Exactly: https://forums.flightsimulator.com/t/medevac-missions-unrealistic-distances/694226/3?u=flyingpir8
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@deneb48 @FlyingPir8
Medevac flights can be multipe hours long. F.e. Rega (Switzerland) provides a repatriation service for who experience a medical emergency while abroad and local treatment is not available.

see by 1:30 min;

this is a Rega flight from Zurich to Warsaw and back to pick up a patient;

longer distances to Dubai are possible too and there are worldwide similar medevac organisations.

2 Likes
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Average of 52 miles.

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see Royal Australian Flying Doctor Service;

Or in Alaska LifeMed Alaska.

Both are organisations flying multiple hour long flights for emergency services in Alaska and Australia far away form any civilization. In Alaska f.e. you have to wait multiple hours for an doctor and he fly with a plane.

You confuse classic „Air Resque with an helicopter to a nearby hospital“ with a transport back to your origin country. This (Medevac) is after Air Resque and the transport back.

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I have to answer you in a separate post, sorry;

To your links;

  1. Link - Travel care aid; read;

Important: „injured in other countries who want to come home“ - Other countries are much far away than 52 miles.

  1. Link - is not working. Losdung error.

  2. Link - NAIC (where you reference the 52 miles);

This is about Air Resque with an helicopter to a nearby hospital. This is not the same as medevac is about long distances.

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Thanks, interesting insights !

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I got one yesterday for the Cessna 208B that was from Hungary to Norway. The patient was having an asthma attack.

Come on.

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Unrealistic is only the reason for the transport.

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Are you meaning to say: “The only unrealistic thing is the reason for transport”? If so, yes, that’s exactly the point of this thread.

Asobo should adjust medevac missions as follows:

  • If the reason for transport is truly an urgent or time-sensitive need, the distance of the mission should be short. Pilots should be graded on preserving mission and patient safety while going for expediency.
  • If the reason for the transport is the necessary specialized care is farther away, but the patient is stable enough to transport, set the distances to whatever.

Examples:

  • Patient was injured while hiking and you are at a remote location - mission should be short and intent is getting them to the nearest qualified trauma hospital
  • Patient has cancer and needs transport to a specialist hospital that is far from their home

There should be a variety of transport distances and those distances should be short or long based on reasonable real-world criteria.

1 Like