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Ambulance Job / EMS System

This Ambulance Job is the most advanced FiveM EMS script, built for ESX, QBCore, and Qbox. It delivers realistic vitals, interactive medical treatment, CPR, fractures, NPC doctors, stretchers, and full hospital management—all in one ultra-optimized package. Perfect for serious RP servers looking to upgrade their emergency services with a high-quality, feature-rich ambulance job system.

See Ambulance Job / EMS System in Action

Get a quick look at how our script works—features, performance, and real in-game action. See what makes it stand out and how it can level up your server.

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Built as a Complete EMS System

Sky Ambulance Job is designed as an all-in-one package for serious RP servers. Instead of piecing together multiple medical resources, DLC-style add-ons, or missing core features, you get a complete EMS workflow in one system that is actively maintained and expanded.
All-in-One Package
Everything your EMS faction needs is built into one system, from treatment and hospital workflows to management, storage, billing, records, and field operations.
No Extra Purchases Needed
No missing core mechanics, no DLC model, and no need to buy extra scripts just to make your medical department feel complete and professional.
Weekly Improvements
We ship regular updates, fix reported issues continuously, and keep expanding the system with new features based on real server feedback.
View Changelog
Active Customer Support
Our support is active, responsive, and focused on helping server owners and communities get the most out of the system.
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Monthly
Access the Ambulance Job feature set with flexible monthly billing. Ideal for testing or short-term projects.
19.99 €
15.99 €
 /month
  • Full Access to All Features
  • Lifetime Updates
  • 24/7 Discord Support
Lifetime
Most Popular
Pay once, use forever. Best value for long-term servers or serious projects that want full control and peace of mind.
79.99 €
63.99 €
  • Full Access to All Features
  • Lifetime Updates
  • 24/7 Discord Support

Vital Signs

A fully simulated vital-sign model where pulse, blood pressure, oxygen saturation, and glucose respond realistically to injuries. Medics must read the monitors, identify the underlying cause, and intervene before the patient goes into cardiac arrest.
  • Each patient displays live Pulse, BP, SpO₂, and Glucose values, helping medics determine whether they need fluid resuscitation, oxygen therapy, glucose treatment, or other interventions.
  • Different injuries affect vitals dynamically: blood loss lowers blood pressure, starvation causes critical glucose drops, and untreated conditions can lead to pulse collapse and cardiac arrest.
  • Immersive minigames simulate taking vital measurements—blood pressure, pulse, oxygen levels, and glucose—before making diagnosis and treatment decisions.
Vital Signs
Vital Signs
Vital Signs
Vital Signs

Treatment Guidance

A smart assistance system that displays contextual medical to-dos during patient care. It helps inexperienced players understand what steps to take next, while maintaining enough realism to satisfy trained medics.
  • During treatment, players receive step-by-step hints for actions such as checking vitals, bandaging wounds, giving oxygen, or starting CPR, ensuring even beginners know exactly what to do.
  • To-dos adapt to the patient's condition in real time—when vitals change or injuries worsen, the task list updates instantly so players always follow the correct medical order.
  • Although designed to guide new players, every instruction follows real medical logic, offering an experience that remains authentic and satisfying even for real-life EMTs and paramedics.
Treatment Guidance

Wound Treatment

A complete trauma-care system where open wounds, bullet injuries, and severe bleeding require hands-on treatment. Medics must stabilize wounds, remove bullets, and wrap bandages accurately to stop bleeding and prevent further deterioration.
  • Apply bandages through a realistic wrapping minigame where the player follows a guiding line around the limb or injury, simulating proper medical bandaging technique.
  • Gunshot wounds require removing embedded bullets using an interactive minigame that simulates extracting projectiles from body parts.
  • Our custom clothing ensures that bandages appear visually on the correct areas of the body, both during treatment and after, enhancing immersion.
Wound Treatment
Wound Treatment
Wound Treatment

CPR System

When a patient’s pulse drops to zero due to untreated critical vitals, immediate CPR is required to bring them back. Medics perform realistic chest compressions and rescue breaths through interactive rhythm-based gameplay.
  • If worsening vitals such as blood loss, low oxygen, or severe hypoglycemia are not treated in time, the patient’s heart stops and CPR becomes the only way to revive them.
  • Perform chest compressions by pressing space or clicking in the correct rhythm, accurately simulating real-life chest compression timing and force.
  • After a set of compressions, medics give rescue breaths by following a guiding line on screen, simulating proper ventilation technique.
  • Server owners can fully customize CPR difficulty: number of compressions per cycle, number of breaths, and how many cycles are required to bring the patient back.
CPR System
CPR System
New in Version 1.1.0

Bleeding & Pain System

A realistic injury consequence system where bleeding and pain evolve over time, requiring fast and correct medical treatment to prevent unconsciousness.
  • Wounds cause varying bleeding levels that drain blood over time, affecting health and eventually knocking the player unconscious if untreated.
  • Stop bleeding quickly with a tourniquet as a temporary fix, or apply gauze and advanced quick-clot bandages through interactive minigames for proper stabilization.
  • Taking damage causes pain with multiple intensities, applying visual effects and altered camera behavior for immersive injury feedback.
  • Different pain medications reduce pain for varying intensities, requiring medics to choose the right drug for the situation.
Bleeding & Pain System

Fractures & X-Ray

Intense trauma can break bones that stay hidden until the patient limps or gets scanned. Hospital staff confirm fractures with the X-ray room and treat them to remove pain.
  • Immobilized players can't be diagnosed for fractures until they wake up and start limping, mirroring real emergency uncertainty.
  • Send patients through the hospital X-ray to reveal exactly which bones are broken and log the results in their chart.
  • Apply casts to remove pain and stop the limping animations once fractures are fixed.
Fractures & X-Ray

Crutch & Wheelchair

Assign crutches or wheelchairs with medical authority, let players roleplay their recovery, and keep aids locked on until treatment ends.
  • On-duty medics grant crutches or wheelchairs for a set duration so patients follow the prescribed care plan.
  • If a player owns a mobility aid item, they can equip or remove it on their own whenever they want for RP.
  • Mobility aids assigned by medics stay locked until the timer expires, preventing premature removal mid-treatment.
Crutch & Wheelchair

Stretcher & Radial Menu

Deploy a custom stretcher prop, transport patients realistically, and run every action from a unified radial menu.
  • Grab the included stretcher from an ambulance trunk, carry it around, and load patients onto it with smooth animations.
  • Roll the stretcher plus patient straight into the vehicle interior so medics can drive them to the hospital without breaking immersion.
  • Use the radial menu to treat nearby patients, manage stretcher actions, issue bills, or carry players from a single menu.
Stretcher & Radial Menu

NPC Doctor Coverage

Keep the city alive even when medics are off duty. Automated hospital doctors and roaming AI paramedics step in whenever your server is short-staffed.
  • Players can check in at the ER and get patched up or revived by an AI doctor whenever active medics are below your threshold.
  • Drag unconscious friends to the hospital front desk and hand them off to the NPC staff for instant treatment.
  • From the death screen, pay a fee to summon an AI paramedic who drives up in an ambulance, revives the player, and leaves the scene.
NPC Doctor Coverage

Deathscreen & Knockout

Keep downed players engaged with injury readouts, minigames, AI medic calls, and configurable respawn shortcuts.
  • Players see their injuries and death cause so they know what happened and what medics will treat.
  • Pass time with a minigame, send a dispatch ping, or pay for an early respawn if enabled in config.
  • If medics are offline, pay a fee to summon an AI paramedic who drives up in an ambulance, revives the player, and leaves the scene.
  • When players are knocked down in a fist fight, they are only knocked out for a configurable duration and then automatically get back up without needing treatment or revival.
Deathscreen & Knockout
Deathscreen & Knockout
New in Version 1.1.0

Death & Body Bags

Certain fatal injuries permanently kill a player, requiring proper body handling and hospital transport instead of medical treatment or revival.
  • Headshots, explosions, or other defined damage types can be configured to instantly kill a player, making revival and treatment impossible.
  • Medics place deceased players into a body bag and transport them using a stretcher, following realistic post-mortem procedures.
  • Delivering the body bag to the hospital morgue respawns the player at a separate location and grants the medic a configurable reward.
Death & Body Bags

Hospital Respawn

Control where patients wake up after bleeding out. Offer a choice of hospitals or keep respawns automatic based on your config.
  • Enable the option so players can choose their preferred hospital when they respawn.
  • Disable the selector to automatically send patients to the closest hospital if they bleed out.
  • Configure whether patients drop all items, keep specific whitelisted gear, or keep everything when they return.
Hospital Respawn

On/Off Duty System

Hospital staff clock in with a realistic duty terminal, track hours automatically, and stay synced with the rest of your infrastructure.
  • Players drag their employee ID across the sensor to start or end a shift, just like a real hospital.
  • Shifts log total hours and trigger salary payments.
  • Medical interactions, tools, and menus only work when the player is actively clocked in.
On/Off Duty System

Next-Gen Boss Menu

Built for hospital leadership, designed for servers that run smoothly without admin babysitting. This boss menu gives your organization the power to manage itself—handle finances, staff, roles, and permissions internally, without requiring server staff to intervene.
  • Give hospital management a complete financial overview—track profits, expenses, payments, and cashflow with statistics and transparent audit logs.
  • Hospital leaders can invite, promote, demote, remove, or reward staff with ease. Keep your EMS department structured and efficient without involving server admins.
  • Every withdrawal, payout, storage interaction, and sensitive action is automatically logged. Leaders always know who did what, improving trust and accountability inside the organization.
  • Hospital management can fully configure role-based permissions—from finances to storage to staffing. The organization controls its own structure securely.
  • Hospital leadership can manage all roles internally. Adjust salaries, set payout intervals, and—on ESX servers—create, move, reorder, or delete roles entirely without admin help.
Next-Gen Boss Menu
Next-Gen Boss Menu
Next-Gen Boss Menu
Next-Gen Boss Menu
Next-Gen Boss Menu
Next-Gen Boss Menu
Next-Gen Boss Menu
Next-Gen Boss Menu
Next-Gen Boss Menu

Storage & Supplies

Give leadership control over every bandage and syringe with organization storage, personal lockers, persistent trunks, and wholesale restocking.
  • Leaders decide who can open the organization storage and can restrict specific items to certain ranks for true chain-of-command control.
  • Each employee has a private locker to stash personal gear before clocking in or to store issued kit when clocking off.
  • Job vehicles use our own trunk system so everything placed inside survives server restarts and stays tied to that unit.
  • Leadership can spend organization funds at the wholesale shop to restock meds and equipment in bulk.
Storage & Supplies
Storage & Supplies
Storage & Supplies
Storage & Supplies

Cloakroom

ESX servers get a self-serve wardrobe system so outfits stay consistent and under leadership control.
  • Use the boss menu to decide which roles can create, edit, or delete outfits in the cloakroom.
  • Leadership designs the official uniforms or casual looks once and every staff member can equip them instantly.
  • Only ESX servers get this built-in cloakroom; QBCore and Qbox crews keep using their own appearance scripts.
Cloakroom

Medical Billing

Issue hospital invoices on the fly with leadership-defined presets, custom notes, and broad billing compatibility.
  • Medics set the amount and reason per patient or choose from presets for common treatments.
  • Leadership builds and updates billing templates inside the boss menu so pricing stays consistent.
  • Supports the most popular billing systems already—and if yours isn't covered, we'll add support.
Medical Billing
New in Version 1.3.0

Health Insurance

Players can purchase medical insurance to significantly reduce treatment costs. Insurance plans vary in price, duration, and coverage percentage, allowing players to choose protection that fits their budget and playstyle.
  • Choose between Basic, Standard, or Priority insurance plans, each covering a different percentage of medical bills—from high co-pay budget options to premium low co-pay coverage.
  • Players can select insurance durations such as 7, 14, or 30 days. Longer coverage provides better value while maintaining a realistic renewal cycle.
  • When insured, only the remaining co-pay percentage is charged during treatment, automatically lowering hospital bills and encouraging long-term insurance use.
Health Insurance

Garage & Vehicle Shop

Separate garages for ground and air units let leadership buy, store, and manage every fleet vehicle with persistent gear.
  • Cars and helicopters live in their own garages so crews grab exactly what they need.
  • Leadership spends organization money to buy a limited number of vehicles, keeping the fleet under control.
  • Every job vehicle includes a trunk with storage that survives server restarts.
Garage & Vehicle Shop
Garage & Vehicle Shop

Admin Comfort Tools

Set up hospitals, beds, and vehicle stretchers entirely in-game so you don't have to juggle coordinates.
  • Place hospitals and interaction points using the in-game hospital creator with full movement freedom.
  • Use the bed creator to move a ghost ped around and confirm exact coordinates when you want to override automatic prop detection.
  • Faction leadership can adjust stretcher positions per vehicle model directly in the garage—no more trial-and-error config edits.
Admin Comfort Tools
Admin Comfort Tools
Admin Comfort Tools
New in Version 1.6.0

Refund Management

A powerful administrative refund system that gives server staff full visibility and control over player losses. Track every death, review exactly what was lost, and issue refunds safely through a fully logged and permission-based menu.
  • Every player death is automatically logged with a detailed breakdown of lost items, allowing staff to review exactly what was removed and under which circumstances.
  • All refund actions are logged in detail, showing which team member refunded which items, to whom, and when—ensuring full transparency and accountability.
  • Admins can manage refund permissions from a built-in team page, granting or revoking access for staff members without touching server configs.
  • Set individual daily refund limits per team member to prevent abuse and keep refunds fair, controlled, and aligned with server policy.
Refund Management
Refund Management
Refund Management
Refund Management
New in Version 1.7.0

Death Timeout

Prevent instant revenge and combat abuse after revives with a configurable death timeout system. Players who regain consciousness must wait before engaging in any combat, ensuring fair and realistic roleplay flow.
  • After being revived from unconsciousness, players enter a configurable combat timeout during which they cannot attack, shoot, or engage in melee combat.
  • Whitelist specific jobs such as EMS or Police in the config to exempt them from the death timeout, allowing immediate action when roleplay requires it.
Death Timeout
New in Version 2.0.0

Multi-Job Support

Run multiple independent medical departments under one unified system. Create and manage as many EMS-style jobs as you want—perfect for servers with multiple cities, counties, or emergency agencies.
  • Create unlimited EMS-style jobs such as Los Santos EMS, Sandy Shores Medics, Fire & Rescue, or any custom department—all running at the same time under one script.
  • Each job keeps its own vehicles, garages, storage, employees, finances, billing, logs, and medical records—completely isolated from other departments.
  • Perfect for servers with multiple hospitals or cities—each location can have its own EMS organization while still using the same backend.
Multi-Job Support
New in Version 2.0.0

Medical Records

Give medics a complete digital documentation suite directly on their tablet. Manage patients, build detailed reports, and maintain structured condition data — all designed to support realistic medical roleplay and long-term record tracking.
  • Create and manage patient profiles with photos, notes, known diseases, tags, and linked medical reports, allowing medics to maintain structured treatment histories.
  • Write detailed medical reports, define report types, attach descriptions, assign doctors and patients, tag entries, and include images directly from the tablet gallery.
  • Build and organize medical conditions with severity levels, treatment costs, category management, and detailed descriptions to support consistent diagnoses and billing.
Medical Records
Medical Records
Medical Records
New in Version 2.0.0

Public Forms

Allow citizens to submit structured requests directly at designated locations. From job applications to complaints, players interact with a public terminal to fill out forms that staff can later review, process, and archive through their tablet interface.
  • Place configurable form terminals where citizens can browse available forms and submit job applications or complaints through an immersive UI.
  • Authorized staff can access submissions from their tablet, read responses, track applicant details, and mark entries as reviewed or processed.
  • Each form records submission time, player identity, and review status, ensuring transparency and organization while preventing duplicate handling.
Public Forms
New in Version 2.2.0

Prop Placement

Give staff the ability to deploy medical scene props directly from their vehicle trunk. A guided placement mode lets them preview, position, and spawn equipment precisely, while cleanup stays fast through the radial menu.
  • Authorized staff can access a prop list directly inside the vehicle trunk UI and select which equipment or scene prop they want to deploy.
  • After selecting a prop, a ghosted transparent preview appears in front of the player, allowing precise positioning before spawning it into the world.
  • A compact HUD on the left shows the current prop name and keybind hints for confirming placement or canceling, ensuring fast and intuitive deployment.
  • Placed props can be removed later using the radial interaction menu, giving staff full control over scene cleanup without admin intervention.
Prop Placement
Prop Placement
New in Version 2.3.0

Helicam

Support air rescue operations with a dedicated helicam system. Paramedics inside helicopters can monitor scenes from above, illuminate landing zones, and deploy rapidly using tactical rappel.
  • Medical crew can activate a stabilized helicam view to assess accident scenes, locate patients, and coordinate ground responders from a clear aerial perspective.
  • Operate a powerful adjustable spotlight to illuminate crash sites, patients, and landing zones. Brightness and radius can be tuned for precise visibility in any environment.
  • Switch between normal, night vision, and thermal imaging to locate injured persons in darkness, wilderness, or low-visibility conditions where visual identification is difficult.
  • Capture aerial photos directly into the tablet gallery for incident documentation. Medical crew can also rappel down quickly to reach patients in areas without safe landing access.
Helicam
Monthly
Access the Ambulance Job feature set with flexible monthly billing. Ideal for testing or short-term projects.
19.99 €
15.99 €
 /month
  • Full Access to All Features
  • Lifetime Updates
  • 24/7 Discord Support
Lifetime
Most Popular
Pay once, use forever. Best value for long-term servers or serious projects that want full control and peace of mind.
79.99 €
63.99 €
  • Full Access to All Features
  • Lifetime Updates
  • 24/7 Discord Support

Engineered for Performance, Security, and Ease

Our script combines high performance, security, and ease of use—everything you need to enhance your server and deliver a reliable, enjoyable experience for your players.
Ultra Low Latency
Designed for high performance with minimal ms impact, even on large servers with 300+ players.
Advanced Security
Automatic cheat detection, exploit-proof events, and server-side protections ensure a fair and secure environment.
Plug and Play
No coding required—just drag, drop, and configure. Designed for fast setup, so you can go live in minutes.
Guaranteed Compatibility
We guarantee the script will work on your server within 7 days—or we’ll refund you, no questions asked.
Detailed Documentation
Step-by-step documentation to help you set up, configure, and customize the script with ease.
Reliable Support
Need help? Our active Discord support team is here to assist you whenever you need it.
Trusted by Top FiveM Servers

What Players Are Saying

Servers of all sizes rely on our Ambulance Job to deliver realistic medical roleplay, smooth performance, and a professional EMS experience.
The ambulance job is really well done. I find it extremely exciting that now every single body part has to be examined — it makes the entire medical RP much more realistic. The process of removing bullets, applying bandages, and going through everything step by step is also implemented really well. What impressed me the most is that you actually have to place the blood pressure cuff on the arm. These small details make a huge difference. Overall: Very strong, really awesome work! 👍🏻
Scott

Scott

Paramedic at Homestory

I also have to say something about it — me and Medical Department? Never 😄 But with the script in its current state, I have to admit I actually had a bit of fun while testing it. I couldn’t do this long-term because it’s just not my thing, but every now and then I’m always willing to help out thanks to your script. I kind of felt like I was playing 'Operation' and like I was thrown back into my childhood — in a positive way. So yeah, you guys did an awesome job ❤️
Tyga

Tyga

Faction Manager at Homestory

What I like most is how you examine people for injuries. Those check-points you have to go through are great! And the continuous development of the system is awesome as well. That way, you don’t just see wounds and gunshot injuries, but other types of injuries too.
Mila

Mila

Event Team at Homestory

Frequently Asked Questions

Common questions about the EMS System.

Feature Requests & Custom Integrations

At Sky-Systems, our goal is to create the best and most complete scripts possible. If you're missing a feature or need integration with a system not listed, simply open a ticket on our Discord—we’ll prioritize it and add support as quickly as possible. Your feedback drives our development!
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Supports All Major Frameworks

Our script is designed to work out of the box with the most popular frameworks. And thanks to open-source framework-related code, it's easy to adapt to any other framework.
ESX framework logoQBCore framework logoQbox framework logo
ESX framework logoQBCore framework logoQbox framework logo
ESX framework logoQBCore framework logoQbox framework logo
ESX framework logoQBCore framework logoQbox framework logo

Upgrade Your EMS Today

Transform your server with the most advanced medical system for FiveM. Install in minutes and give your players a truly immersive EMS experience.