Medium duties are liked and often used by critical care and NICU/PICU services. They like the additional space for providers (in the front and back), more storage room for equipment, floor space for interventions (Ecmo, balloon pumps, etc.) and more comfortable for patients (and parents, etc).I'm sure there is a reason, but why do some agencies use medium duty ambulances?
Here we just use the smaller ambulances, mostly just the van conversions, but some have the box on the back. I believe all of those here are bariatric.
The boxes on most medium duty ambulances have more of a MICU feel than the boxes on our light duty Type III's. Definitely feel like you have room to work.Also the medium duty trucks are great for ICU transfers, when you have 2-4 providers in the back treating the patients for extended periods of time.
I agree with the longevity, but it turns out to be cheaper overall to just remount the box on a new chasis, rather than starting with a medium duty... that's why it's so common for departments.In my experience, type II vans are cheaper, which is why you see them in for profit companies. not only that, but the vans are GREAT for stable IFT calls where you only have or only will have 2 providers in the back.
As for medium duty trucks, they are expensive, but they last forever. so if it costs you $100,000 for a type 3, the medium duty will cost you $150,000. but while the type 3 will need to be replaced after 10 years or 100,000 miles, the medium duty will last 15 years or 150,000 miles (of course I'm making the numbers up, but the ratios are accurate).
Also the medium duty trucks are great for ICU transfers, when you have 2-4 providers in the back treating the patients for extended periods of time.