The suspension system needs both an active mode and passive mode when the emergency rescue vehicle is running on a complex road. Therefore, an active–passive composite suspension actuator (APCSA) is designed in this paper. Firstly, combined with computational fluid dynamics theory and dynamic mesh technology, the complete fluid domain of the original passive suspension actuator (PSA) is simulated. Secondly, in accordance with the simulation results and in consideration of the working conditions of the active suspension of the emergency rescue vehicle, the APCSA is designed, and its flow field characteristics are studied. Finally, test results show that the maximum recovery damping force/compression damping force of the APCSA is 2428.98 N/−1470.29 N, which is 53.5%/50.4% lower than that of the original PSA. Hence, the dynamic response capability of the actuator is effectively improved, which lays a foundation for improving the ride comfort and handling stability of emergency rescue vehicles on complex roads.