Interesting take on the theme! My one critique is that it was quite frustrating when I would assign two medics to a particular patient, and then they would have lived even if I hadn't assigned anyone, or they would have died even if the medics hit max roll. It made it feel like the only thing that really mattered was how well the survivor's roll was, which led to occasions where I would have more patients with no assigned medics survive than the ones I actually assigned medics to. Other than that, the atmosphere and storytelling through gameplay was well done. The stretching of the staff mechanically making it highly unlikely to be able to save everyone delivers well on the established mood.