A small Cheapass style envelope game that requires some cutting of counters before play can start. The object of the game is to pick up patients with your ambulance and deliver them safe to the nearest hospital. You earn money for this and the first to accumulate $20 wins the game. The trouble comes when you start to move to fast and can't avoid other players' ambulances, other vehicles and buildings. Ramming something will happen a lot. - BoardGameGeek