If like me, you like management and strategy games, this game might offer you something different - especially if you've not played any of these Emergency/Rescue style games before. I still haven't tried the Emergency series, which I believe to the be the natural competition to this title, so my review is based on this game, as a stand-alone entity (from the perspective of being new to this genre).
The reason I chose this title over one of the others, was simply because I felt intrigued to play a rescue game with the prospect of a station management side. Between every mission you return to your station, where you can hire paramedics and firefighters, buy new vehicles, and spruce up your station with new furniture and technology. Truthfully, I love buying new vehicles and hiring new staff, but still can't understand what importance they play when assigned to certain jobs in the station... I guess I need to do more digging around to answer that one. It's also nice to have a specific budget allowance in the game, that prevents you from going crazy and buying everything too early.
When you're happy with your vehicles and staff, then you hit the little mission light (a button in the bottom right corner), and now the game enters a phase where your staff occasionally open a dialogue with you, and where you receive incoming missions. These missions range from fairly easy house fires to massive highway pile-ups that require Heavy Rescue vehicles, Fire Engines, Paramedics and more. Even if you don't have the right vehicle, you can spend money mid-mission to call in doctors etc.
The pathfinding of your units, once you assign them a task, isn't always perfect, and several times I've had issues with Paramedics struggling to take the other end of a stretcher, when in a confined space. I've figured out a work-around for this, so it doesn't bother me so much, nor detract from the sense of urgency, nor the element of fun that playing the game provides.
So far I've played this game for about 8 hours, and I'm still very much enjoying the feel and challenge of this title. With no frame of reference to other, similar titles, I can't say how well it stacks up against the competition, however, I'm very happy with this game and would strongly recommend it to anyone that has an interest in the genre, or enjoys management and strategy games.
I give it 8/10 - only revoking those extra points for the occasionally tricky path-finding.