In the United Kingdom they are finding an increasing number of patients are too fat to fit in regular ambulances and are refitting the vehicles to accommodate the larger patients. Here is the BBC report:
"Some patients are getting so fat that ambulance bosses are having to revamp their fleets to cope, the BBC has learned.
Every service in the UK has started buying specialist equipment, data from freedom of information requests show.This includes wider stretchers, more lifting gear and reinforcing existing vehicles.
Many have also bought specialist "bariatric" ambulances - costing up to $300K each - to ferry the most obese.
These are designed so that double-width trolley stretchers for patients up to 318lbs can be accommodated. They also tend to include hoists and inflatable lifting cushions."