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Now this is a real corker, why is there a flatbed at the side of the van? If they are passing the patient out of the engine, the first problem is, I think; the stretcher would roll as they only have 3 corners supported. If they hang on to the stretcher then you'd have 3 guys holding it on a van roof with no way to move to set it down. I'm guessing its at that point they could only move towards the left side of the van and dump the patient overboard. That's why there is a flatbed wagon on that side!