There is a large risk of accidents in connection with emergency driving and the need for both better possibilities to train emergency vehicle driving and for systems guiding other road users to the right behavior is apparent. The aim of this study was (1) to initiate user-centered development of a driving simulator for training of emergency vehicle drivers and (2) to collect information about how to best communicate Emergency Vehicle Approaching (EVA) messages. The method used is user-involved, iterative development of both the driving scenario and the driving simulator. 104 participants have tried the simulator and responded to a questionnaire. Most difficult for emergency vehicle drivers are vehicles in front suddenly braking and failure in other drivers noticing them. Desired behaviour in other road users is to yield to the right and brake smoothly. The attitude towards communication of Emergency Vehicle (EV) driving is positive, regarding both pre-alerting drivers who are approaching an incident scene and sending out EVA-messages.