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You are responsible for the ambulance and all emergency operations in your city. With so many people in a city a lot can hap- pen. The results are at best small emergencies that are easily and quickly manageable, such as sports injuries or children with high fever. However in consequence of accidents where several vehicles are involved or accidents with big machines, or es- caping toxic substances from factory outlets big operations are on the agenda too. At any time, the emergency doctor has to be on the spot and it is up to you, to prevent the worst – to help and administer first aid locally and to take the injured persons to the hospital.