Why EMS Scripts Define Roleplay Quality

Emergency Medical Services are the backbone of any serious FiveM roleplay server. When someone gets shot in a firefight or wraps their car around a telephone pole, what happens next determines whether your server feels like a living world or a respawn simulator. The best EMS scripts create structured, immersive medical roleplay that keeps players engaged even when their character is bleeding out on the sidewalk.

This guide covers the top 10 FiveM medic and EMS scripts available in 2026, with detailed breakdowns of features, framework support, and pricing. Whether you run a dedicated GTA RP server or a casual semi-serious community, there's a script here for your needs.

For broader context on server jobs, check our complete guide to FiveM job scripts. And if you're building out your law enforcement side alongside EMS, the police scripts guide pairs well with this one.

Comparison Table: Top EMS Scripts at a Glance

Script	Framework	Price	Highlights
esx_ambulancejob	ESX	Free	Classic ambulance job, hospital system
qb-ambulancejob	QBCore/QBOX	Free	Integrated death/injury, air rescue
ps-mdt (EMS MDT)	QBCore	Free (GitHub)	MDT integration, dispatch system
okokMedic	ESX/QBCore	~$30	Full hospital UI, billing, whitelist
Renewed-EMS	QBCore/ESX	~$20	Modern UI, revive system, hospital zones
codem-ambulance	ESX	~$25	Advanced injury system, surgery
fd-ambulance	QB/ESX	Free	Stretcher/gurney, carry system
wasabi-ems	ESX/QBCore	~$35	Realistic vitals, trauma system
linden_ambulancejob	ESX	Free	Lightweight, stable, hospital bed system
t-ems (Tebex EMS)	QBCore	~$40	Surgery UI, body cam, advanced billing

1. esx_ambulancejob

The Community Standard

Framework: ESX | Price: Free (open source)

The original FiveM ambulance script, esx_ambulancejob has been the community standard for years. It's stable, well-documented, and every ESX developer knows it inside out. While it doesn't have the flashy UI of newer paid alternatives, it covers the fundamentals: ambulance job with on-duty toggling, revive mechanics, basic hospital check-in, and medical item usage.

Key Features

• On/off duty toggle with ambulance vehicle spawning
• Revive mechanic with configurable revive items
• Basic hospital bed system
• Death timer with optional NPC revive fallback
• Easy to extend and customize

Best for: ESX servers that want a no-nonsense, reliable base to build upon.

2. qb-ambulancejob

The QBCore Equivalent

Framework: QBCore/QBOX | Price: Free (GitHub)

The QBCore community's answer to esx_ambulancejob, qb-ambulancejob is tightly integrated with QBCore's inventory and job systems. It ships with an air ambulance (helicopter) option, injury-based death states, and a clean NUI interface for medical interactions. QBOX users can run the maintained fork without issues.

Key Features

• Integrated with QBCore job system and pay
• Air ambulance helicopter support
• Configurable injury states (bleeding, broken bones)
• Hospital check-in with billable cost
• NPC revive fallback after death timer expires

Best for: QBCore and QBOX servers wanting a free, framework-native EMS solution.

3. ps-mdt (EMS Module)

Professional Dispatch Integration

Framework: QBCore | Price: Free (GitHub)

Project Sloth's MDT system includes a dedicated EMS module that brings genuine dispatch coordination to your medical services. Paramedics can view active calls, coordinate with police, and manage patient records. It pairs with ox_lib for UI components, making it one of the more polished free options available.

Key Features

• Full MDT interface for EMS units
• Dispatch system with call management
• Patient record tracking
• Integration with police MDT for joint incidents
• Real-time unit location display

Best for: Serious RP servers with active EMS whitelisted factions that need coordination tools.

4. okokMedic

The Full Hospital Experience

Framework: ESX/QBCore | Price: ~$30 (Tebex)

okokMedic is one of the most complete hospital management systems available. Beyond basic revives, it adds an entire hospital workflow: check-in reception, waiting room system, examination, billing, pharmacy, and whitelist management for EMS staff. The UI is polished and players actually feel like they're interacting with a functioning hospital.

Key Features

• Full hospital UI with zones (reception, ER, rooms)
• Patient billing with configurable fees
• Pharmacy integration (sell medical items)
• EMS whitelist management panel
• Ambulance garage with job-gated access
• Surgery table interactions

Best for: Serious RP servers with active EMS departments that want a full hospital simulation.

5. Renewed-EMS

Modern UI, Clean Codebase

Framework: QBCore/ESX | Price: ~$20 (Tebex)

Renewed Scripters' EMS script takes a modern approach with a clean NUI, smooth animations, and sensible defaults. The revive system includes a mini-game element (an AED interaction) that makes the process feel interactive rather than a single button press. Hospital zones are configurable and it ships with well-organized documentation.

Key Features

• AED mini-game for revive interactions
• Modern NUI hospital interface
• Configurable hospital zones
• Blood transfusion and IV system
• Clean ESX and QBCore compatibility layer

Best for: Mid-size servers wanting a polished paid script without the full enterprise price tag.

6. codem-ambulance

Advanced Injury and Surgery System

Framework: ESX | Price: ~$25 (Tebex)

codem-ambulance stands out for its advanced injury tracking. Rather than a binary alive/dead state, it tracks specific injuries: broken bones, bullet wounds, lacerations, burns. EMS players treat these specifically, using bandages for cuts and splints for fractures. The surgery system lets trained medics perform procedures that restore full health.

Key Features

• Per-body-part injury tracking
• Surgery mini-game at hospital
• Medical item crafting (bandages, splints)
• Bleed-out mechanic with wound severity
• EMS duty system with configurable pay

Best for: ESX servers focused on serious medical roleplay with injury depth.

7. fd-ambulance (Stretcher/Gurney System)

Carry and Transport Mechanics

Framework: QBCore/ESX | Price: Free (GitHub)

Sometimes the gap in EMS scripts is physical transport. fd-ambulance adds stretcher and gurney mechanics so paramedics can actually carry downed players to the ambulance. It's a focused script that does one thing extremely well and integrates cleanly with existing ambulance job scripts as a supplement.

Key Features

• Stretcher carrying with synced animations
• Gurney push/pull mechanics
• Load patient into ambulance interaction
• Wheelchair variant for hospital interiors
• Lightweight — no conflicts with existing EMS scripts

Best for: Any server that wants to add physical transport immersion on top of their existing EMS script.

8. wasabi-ems

Realistic Vitals and Trauma

Framework: ESX/QBCore | Price: ~$35 (Tebex)

Wasabi Scripts is known for quality, and their EMS package delivers. wasabi-ems introduces a vitals system with heart rate, blood pressure, and oxygen saturation — all displayed on a medical tablet UI. Trauma calls are differentiated by severity, and medics must stabilize patients before transport. It's the closest FiveM gets to a medical simulation.

Key Features

• Real-time vitals monitor (HR, BP, SpO2)
• Trauma severity classification (minor/major/critical)
• IV drip and medication administration system
• Defibrillator interaction
• Medical tablet UI for patient management
• ESX and QBCore support out of the box

Best for: High-RP servers that want deep medical simulation and are willing to train their EMS team.

9. linden_ambulancejob

Lightweight and Reliable

Framework: ESX | Price: Free (GitHub)

For server owners who want a clean, conflict-free ambulance script without overhead, linden_ambulancejob is the answer. It's a leaner alternative to esx_ambulancejob with a tighter codebase, better performance on busy servers, and hospital bed management built in. No bloat, just solid fundamentals.

Key Features

• Hospital bed check-in system
• On/off duty ambulance job
• Revive and heal mechanics
• Configurable respawn timer
• Performance-optimized for high player counts

Best for: ESX servers with 50+ players that need a lightweight EMS base.

10. t-ems (Tebex EMS Suite)

Premium All-in-One

Framework: QBCore | Price: ~$40 (Tebex)

The most feature-complete paid option on this list, t-ems includes surgery UI, body camera integration, advanced billing with insurance systems, and a full EMS management panel for admins. It's the premium choice for servers with dedicated EMS departments and players who spend hours in the medical roleplay space.

Key Features

• Surgery UI with procedure selection
• Body camera system for EMS units
• Insurance system (players can insure against hospital bills)
• Advanced billing and debt tracking
• EMS admin management panel
• Full animation suite for medical procedures

Best for: Established servers with large EMS departments wanting the maximum feature set.

Death and Respawn Mechanics: Getting the Balance Right

The EMS script you choose is only as good as the death and respawn system it pairs with. A few principles that separate great servers from mediocre ones:

• Respawn timers should be long enough to require EMS — 10-15 minutes minimum on serious RP servers. Shorter timers undermine EMS as a role.
• NPC revive fallback is necessary — When no EMS is on duty, players need an out. Configure the NPC hospital bill to be painful enough that players prefer real EMS.
• Item-based revives add economy depth — Revive kits, defibrillators, and bandages should flow through your inventory system and have real in-game cost.
• Injury persistence matters — Scripts that track injuries across sessions (until treated) create ongoing RP hooks.

Framework Compatibility Guide

Script	ESX	QBCore	QBOX	Standalone
esx_ambulancejob	Native	Via bridge	Via bridge	No
qb-ambulancejob	Via bridge	Native	Native	No
ps-mdt	No	Native	Partial	No
okokMedic	Yes	Yes	Yes	No
Renewed-EMS	Yes	Yes	Partial	No
wasabi-ems	Yes	Yes	Yes	No
fd-ambulance	Yes	Yes	Yes	Partial

Setting Up EMS on Your Server

Choosing the script is step one. Getting it running correctly requires attention to a few integration points:

1. Job system integration: Every EMS script needs your job system configured. In ESX, set up the ambulance job with grades. In QBCore, add the job to qb-core/config/jobs.lua.
2. Hospital coordinates: Configure spawn points, bed locations, and interaction zones to match your server's map. Most scripts ship with Sandy Shores and Pillbox Hospital presets.
3. Item system: Medical items (bandages, defibs, painkillers) need entries in your inventory script. See our inventory scripts guide for setup tips.
4. Death timer tuning: Start conservative (15 min) and adjust based on how active your EMS players are during peak hours.
5. ox_lib dependency: Many modern scripts use ox_lib for UI components. Install and configure it first to avoid runtime errors.

Browse our curated collection of EMS and medical scripts in the VertexMods shop.

FAQ

What's the difference between ESX and QBCore EMS scripts?

The core functionality is the same — revive players, manage hospital interactions, run the ambulance job. The difference is how they hook into the framework. ESX scripts use ESX's job and item APIs; QBCore scripts use QBCore's equivalents. Running an ESX script on a QBCore server requires a compatibility bridge and often causes issues. Always match the script to your framework.

Can players self-revive?

Most scripts support configurable self-revive with items like first aid kits, usually at a health penalty. This is recommended so players aren't permanently stuck when no EMS is online. The penalty (lower max health, debuffs) incentivizes seeking proper medical care when available.

Do I need a whitelisted EMS department?

Not necessarily. Some servers run open EMS (anyone can pick up the job) while others require applications and training. Whitelisted departments produce better roleplay but require active admin oversight. Start open if you're building your player base, then transition to whitelist as you grow.

How do EMS scripts handle drug overdoses and other death causes?

Advanced scripts like wasabi-ems and codem-ambulance differentiate cause of death and injury type. Drug overdose states typically require Narcan (naloxone) items to revive, while gunshot wounds need specific trauma treatment. Basic scripts treat all deaths identically — just a revive interaction regardless of cause.

Final Recommendation

For most servers starting out, esx_ambulancejob (ESX) or qb-ambulancejob (QBCore) provide everything needed at zero cost. Once your EMS department is active and your player base is established, upgrading to okokMedic or wasabi-ems adds the depth that keeps medical RP engaging long-term.

Pair your EMS script with quality police and job scripts to build a complete civilian interaction ecosystem. The combination determines the overall quality of your FiveM server's scripting setup.