In Development

Utilities

MSFS 2024

Virtual Medical Dispatch

The full immersion of MEDEVAC

About this project

Virtual Medical Dispatch (VMD) is a highly realistic medical aviation operations and dispatch simulation platform designed to replicate the complexity of real-world air ambulance, medevac, organ transport, and critical medical logistics operations.

The platform combines aviation dispatch, medical coordination, flight operations, crew management, and financial planning into a single integrated system, enabling users to manage missions as if they were operating a real air ambulance company, medical flight center, or specialized aviation operator.

VMD is built for users who want a professional-grade simulation of the operational environment faced daily by:

Medevac dispatchers
Flight coordinators
Operations control center (OCC) managers
Medical transport coordinators
Charter brokers
Airline managers
Critical care logistics specialists

Core Vision

The objective of Virtual Medical Dispatch is to create the most immersive and realistic simulation of medical aviation operations possible.

Rather than functioning like a simple game, VMD behaves like a digital operations center, where every mission requires real operational decision-making involving:

Aircraft availability
Crew legality
Medical team readiness
Fuel planning
Weather considerations
Airport restrictions
Hospital coordination
Financial viability
Regulatory compliance

Every mission should feel like managing a real-world emergency operation.

Mission Types

Virtual Medical Dispatch supports a wide range of medical and aviation missions.

Air Ambulance / Medevac

Emergency or scheduled patient transfers using medically configured aircraft.

Examples:

ICU transfer
Trauma evacuation
Repatriation
Neonatal transport
Long-range critical care transport

Organ Transport

Time-critical transportation of organs between hospitals and transplant centers.

Examples:

Heart transport
Liver transport
Kidney transport
Lung transport

These missions require extremely tight time management and route optimization.

Medical Escort

Commercial or private jet passenger support with onboard medical supervision.

Examples:

Nurse escort
Doctor escort
Stretcher transport
Wheelchair assistance

Emergency Response

Urgent mission activation with rapid dispatch.

Examples:

Disaster response
Remote extraction
Offshore evacuation
Humanitarian relief

VIP Medical Charter

High-end medical transport for private clients, embassies, or governments.

Combines:

Luxury aviation
Intensive care capability
Concierge services

Aircraft Management

VMD includes realistic fleet management across multiple aircraft categories.

Turboprop Fleet

Ideal for short-range regional medical transport.

Examples:

Pilatus PC-12
Beechcraft King Air 200

Light / Midsize Jets

Used for medium-range patient transfers.

Examples:

Cessna Citation CJ3
Embraer Phenom 300

Heavy Jets

Used for long-range and intercontinental medical evacuation.

Examples:

Bombardier Global 6000
Gulfstream G650

Airliner Medevac

For large-scale evacuations and complex medical logistics.

Examples:

Airbus A320
Boeing 737

Each aircraft has realistic operational parameters:

Range
Fuel burn
Payload
Cruise speed
Runway requirements
Maintenance intervals
Medical configuration limits

Medical Operations System

The medical layer simulates real patient transport complexity.

Each mission can include:

Patient Profiles

Stable
Critical
ICU
Neonatal
Infectious
Trauma
ECMO-supported

Medical Equipment

Ventilator
Oxygen
Defibrillator
Infusion pumps
Portable monitors
Stretcher systems
ECMO unit

Medical Crew

Mission staffing may include:

Flight nurse
ICU nurse
Doctor
Surgeon
Respiratory specialist
Paramedic

The system validates whether crew capability matches patient requirements.

Dispatch & Operations Center

The dispatch center acts as the heart of VMD.

Users manage all active missions through a live operational interface similar to a real airline OCC.

Dispatch tasks include:

Receiving mission requests
Quoting clients
Assigning aircraft
Checking crew legality
Monitoring ETD / ETA
Coordinating hospitals
Managing permits
Handling diversions
Responding to emergencies

Optional advanced realism includes ACARS-style communications between aircraft and dispatch.

Financial & Business Management

VMD includes a realistic aviation finance engine.

Users must manage both mission execution and profitability.

Revenue sources:

Client billing
Charter sales
Insurance reimbursement
Government contracts
Hospital agreements
Concierge services

Cost factors:

Fuel
Crew costs
Medical staffing
Airport charges
Handling fees
Maintenance reserves
Insurance
Leasing

Financial KPIs include:

Profit per mission
Cost per block hour
EBITDA estimate
Cash flow
Margin analysis

Supports multi-currency billing:

Realism Features

Virtual Medical Dispatch is designed for hardcore simulation users.

Realistic constraints include:

Crew duty limits
Airport curfews
Slot restrictions
Weather disruptions
Mechanical failures
AOG events
Fuel shortages
Delays
Permit rejections

The objective is to simulate operational pressure and decision-making.

The price?

Free

Devlog1 post

CaptainRafaelMilestone

1 day ago

Devlog #1 — Bringing Crew Scheduling to Life: Inside VMD’s Roster System

Hey everyone,

I wanted to share some progress on one of the biggest systems I’ve been working on for Virtual Medical Dispatch (VMD): the roster generation system.

At first, I thought crew scheduling would be relatively straightforward just assign available pilots and medical staff to missions and call it a day.

I was very wrong.

The deeper I went into how real medevac and air ambulance operators work, the more I realized roster planning is basically the heart of the entire operation. If the wrong crew is scheduled, the mission simply doesn’t happen.

And for a simulation that aims to feel realistic, I didn’t want the system to just “spawn crew” magically.

I wanted it to feel alive.

More Than Just Pilots

One thing I quickly learned is that medical aviation isn’t only about aircraft.

Sure, you need pilots.

But depending on the mission, you may also need:

Flight nurses
ICU doctors
Paramedics
ECMO specialists
Dispatch coordinators
Ground transport staff

A simple patient transfer might need:

2 pilots
1 nurse

But a critical long-range ICU transfer could need:

2 pilots
1 relief pilot
1 ICU doctor
2 flight nurses
Specialized equipment team

That changes everything for scheduling.

Not Every Crew Can Do Every Mission

This became one of the most interesting parts to build.

In most flight sims, crew are generic.

In VMD, every crew member has qualifications.

For pilots:

Aircraft type rating
IFR certification
Night operation clearance
Special airport training

For medical staff:

Trauma certification
Neonatal care
ICU experience
ECMO certification

For example, if you’re flying an ECMO mission using a long-range jet like a Bombardier Global 6000, you can’t just assign whoever is free.

The system checks whether that exact crew is qualified.

That immediately made dispatch feel much more real.

Fatigue Became a Huge Deal

This is where things got fun (and painful to code).

I didn’t want to stop at “legal duty time.”

In real life, someone can technically still be legal to fly while being completely exhausted.

So I built a fatigue model.

The system looks at things like:

Night shifts
Consecutive missions
Sleep disruption
Long duty periods
Time zone changes

Every crew member now has a fatigue score.

That means the dispatcher might see:

Captain available? Yes.
Safe to launch? Maybe not.

That small detail changed the whole feel of the sim.

Now decisions become much more human.

Do you launch immediately with a tired crew?

Or wait 45 minutes for a fresh team?

That’s exactly the type of pressure I want players to feel.

Home Base Matters Too

Another thing I added is crew positioning.

Crew aren’t teleporting around the map.

Each person has a home base.

Examples:

Nice
London
Dubai

So if a mission comes in from another region, the system asks:

Is the crew already nearby?
Do they need repositioning?
Will that delay launch?
Is hotel accommodation needed?

That adds a whole operational layer I really love.

The Hardest Part: Conflicts

This is where the sim starts feeling like controlled chaos.

Imagine this scenario:

You have one crew available.

Then suddenly:

Organ transport request comes in
ICU transfer comes in
One pilot reports sick
Weather worsens

What now?

The roster engine has to prioritize.

Current priority order is roughly:

Critical life-threatening missions
Organ transport
Scheduled transfers
VIP medical charters

That means the sim constantly forces tradeoffs.

And honestly, those moments are becoming some of my favorite parts.

Making It Feel Alive

The biggest design goal for me is simple:

I don’t want Virtual Medical Dispatch to feel like menus and spreadsheets.

I want it to feel like sitting inside a real operations control center at 3 AM while alarms go off and dispatch phones won’t stop ringing.

You’re not just managing aircraft.

You’re balancing:

Human fatigue
Medical urgency
Regulations
Costs
Aircraft availability
Time pressure

That’s what makes medical aviation fascinating to me.

It’s messy, stressful, and incredibly dynamic.

What’s Next?

I’m currently connecting roster generation with:

Mission generation
Finance system
Aircraft maintenance
Live dispatch board
ACARS messaging

Once all of that is integrated, crew planning won’t just affect operations — it’ll directly impact profitability and response capability.

That’s where things get really exciting.

More soon 👀

Wondering when did this project started?

First build is from summer 2025