Build a Class V Ambulance

The old LA squads used a Dodge Powerwagon or some such analog by Chevy, but they carried extrication gear as well.

I'd say a utility bed on a small pickup would do it for medical only. Maybe four wheel drive, and electrical systems alterations to keep devices charged, accept umbilical power, second battery...separate climate control to the rear like an animal control truck or store drugs where the people sit (four door version)?
 
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And the new squads are built on a Chevy 3500 or a Ford F350. The box is fully temp controlled with self contained heat/AC.
 
Contact any New Jersey paramedic. with the exception of 4 agencies (give or take recent waivers) they all operate in non-transport vehicles for all calls.

I have seen two setups; pickup truck with cab and lots of compartments (or dog catcher truck), and SUV with equipment in the back, with the majority of people using SUV (suburban, excursion, or some other big SUV). Most people prefer the SUV for EMS stuff, while the Rescue people like the pickup, so they can throw more stuff in the bed that doesn't need to be climate controlled.

find what will be best for you.
 
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