Drive as fast as possible to the patients location and transport him back to the hospital carefully while not injuring him more. Get insurance payouts for each successful transport of a patient in order to upgrade your ambulance van.
Drive the 18 wheeler carefully without damaging the truck, avoid crashes and watch out for pedestrians. Reach the destination in the fastest time as possible.
Take your semi-truck to the indicated spot and park it there. Watch out for the heavy trafficked road full of mad drivers whom won't let you cross the street easily.
Vengeance is one of the raw and powerful things that define mankind and imagine when this materializes behind the wheel of an ultra-fast and deadly car.