Oxide EMS

oxide-ems is a complete ambulance-job replacement for FiveM. It drops the legacy qb-ambulancejob / esx_ambulancejob / qbx_ambulancejob flow and replaces it with a database-driven, runtime-configurable system: departments, hospitals, doctor's offices, grades, garages, uniforms, radio channels and the supply shop are all set up from an in-game admin panel rather than from config files.

The resource ships two facility pipelines. Hospitals are the emergency side — beds, hospital respawn, x-ray machines and operating tables. Doctor's offices are the appointment side — a reception bell that pages on-duty staff for walk-in treatment. On top of both sits a full field-care pipeline: examine a patient through a scripted diagnosis camera, treat the bleeding, stabilize them, wheel them out on a stretcher or load them into the ambulance, and revive them at a bed. Treatments themselves run as a graded surgery minigame, so a botched operation has consequences.

oxide-ems is framework-agnostic through o-link and runs on QBCore, ESX and Qbox. Compatibility shims keep the hospital:* event surface, the stock medical items, the stock admin commands and the QBCore doctor-count callback working for any third-party resource that depended on the legacy ambulance job.

Key Features

• Department Builder — Full runtime in-game admin (/ems admin): departments, facilities, grades, salaries, badges, garages, fleet, uniforms, radio channels and the supply shop catalog
• Two Facility Types — Hospitals get beds, respawn points, x-ray machines and operating tables; doctor's offices get a reception desk that pages on-duty staff. Both get clock-in, personal lockers, a management desk and a supply counter
• In-World Placement — Every interaction point is placed by walking to the spot, with live previews — a ghost patient lying on a bed, and resizable preview quads for x-ray screens and surgery monitors
• Diagnosis Overlay — Scripted camera, seven clickable body regions tracked to real ped bones, per-condition pricing and supply requirements, and a live vitals readout (pulse, blood pressure, SpO2, cardiac arrest)
• Triage — Badly hurt patients are locked out of street revives and must be stabilized, transported and revived at a hospital bed. Bleeding must be treated before a stabilization takes, and a fresh wound cancels it. Stabilization freezes the patient's bleedout and respawn timers, as does any procedure a medic is running — nobody bleeds out from under the person treating them
• Surgery Minigame — Treatment runs as a graded keypress minigame everywhere: a clean run cures, a middling run cures with a complication, a failure can worsen the patient, with a hard cap on how much harm one patient can take
• Patient Transport — Load into an ambulance seat, or take the stretcher out of the vehicle, drag it over, load the patient and wheel them back. Patients can climb out of a stopped vehicle themselves if their medic disconnects
• X-ray Machines & Operating Tables — In-world screens: the x-ray display shows the skeleton highlight and findings list to everyone standing nearby, and the operating-table monitor shows the patient's record and a real-pulse ECG
• Hospital Beds & Respawn — A heal-to-full bed loop, medic-assisted check-in as the bed revive, a self-service fallback so an unstaffed server is never a dead end, and hospital respawn points behind a fade-out cutscene with an optional fee and optional inventory loss
• Duty, Pay & Treasury — Duty clock-in, salaries on an interval, department treasury, unpaid back-pay accrual, and a desktop-style boss panel for roster, treasury, payroll, uniforms and fleet. With oxide-tablet running, bosses can also open it from anywhere as an EMS Command tablet app
• Persistent Fleet — Individual vehicles that survive restarts, keep fuel and damage, re-link on clock-in, and are bought and recovered from the treasury. A vehicle is written off only when the server itself sees it wrecked or sunk
• Uniform Builder — Captures what you are wearing and owns only the clothing slots you choose, leaving the rest of the medic's outfit alone
• Supply Shop — Public self-service rows and rank-gated staff rows, revenue routed to the treasury
• Dispatch & Radio — Automatic down and death alerts, a distress keybind for downed players, /911e for anyone, clinic reception pages, understaffed bed-request alerts, and department radio channels with rank and duty gates and automatic tuning at clock-in
• Station Markers — Hold H to see in-world cards that point civilians at reception desks and medics at their clock-in points
• Live Settings — In-game settings editor (/ems settings) covering every setting, stored in the database and applied live — no restart
• Compatibility Shims — The hospital:* event surface, stock medical items, stock admin commands, the QBCore hospital:GetDoctors callback, optional ESX job-table sync and esx_society registration, and g-multijob mirroring
• Multi-Department Enrolment — Optional: one character in several EMS departments at once, each with its own rank, badge and callsign, following their active job
• Localized — Every panel, notification, command and target label reads from locales/*.json

Requirements

Required

Recommended

Optional

Supported Frameworks

Quick Start

The database tables are created automatically the first time oxide-ems starts. The database user needs permission to create tables.

See the Installation Guide for the full setup flow.

Documentation