1. Medical Ambulance Bus Patient Loading

2. Inside Right of MAB looking forward

3. Inside Left looking forward

4. Rear of bus and ramp

5. Front and Rear Cot Slides Cots cannot be reversed and head end must be toward front of bus Foot End of Cot with split slide Front End Slide Head End of Cot with solid slide Rear End Slide

7. MAB Loading Order Load patients from front of bus to rear Load patients from front of bus to rear Load least injured patients first Load least injured patients first Heaviest patients in the bottom positions Heaviest patients in the bottom positions Lightest patients should be in the top positions Lightest patients should be in the top positions Potential critical patients or most severely injured patients should be loaded in the middle positions Potential critical patients or most severely injured patients should be loaded in the middle positions

8. Patients are placed on the bus litter OUTSIDE the bus and litter is then placed on a standard ambulance cot for entry onto the bus. Patients are placed on the bus litter OUTSIDE the bus and litter is then placed on a standard ambulance cot for entry onto the bus. The ambulance cot should be rolled up the ramp in the lowest maneuverable position with the patient’s head toward the front of the bus. The ambulance cot should be rolled up the ramp in the lowest maneuverable position with the patient’s head toward the front of the bus. This allows for the most stable position and less chance for the attendant to strike their head on the door frame. This allows for the most stable position and less chance for the attendant to strike their head on the door frame.

9. For Upper Positions: 1 - Align the cot next to a litter bay Raise the cot to highest position Raise the cot to highest position Extend empty litter slide brackets Extend empty litter slide brackets 2 - While leaving the foot of the litter on the ambulance stretcher, hook the head of the litter into the bracket 3 – The provider at the feet then holds the foot end of the litter while the attendant at the head pulls the cot out from under the litter, toward the front of the bus (see note)

10. 4 – The provider at the head end squats below the litter, at the level of the patients thighs, with his back straight, using your legs, lifts the litter to the level of the bracket 6 – The provider at the feet guides the litter into the bracket 5 – The brackets are then slid into the rack and locked in place with the pin Note: In the front bays, you should reverse the procedure and put the foot end in the bracket first and move the stretcher towards the rear of the bus and then place the front end in the bracket

11. For the Middle Position 1 - Align the cot next to a litter bay Raise the cot to highest position Raise the cot to highest position Extend empty litter slide brackets Extend empty litter slide brackets 2 - While leaving the foot of the litter on the ambulance stretcher, hook the head of the litter into the bracket 3 – The provider at the feet then holds the foot end of the litter while the attendant at the head pulls the cot out from under the litter, toward the front of the bus (see note)

12. 4 – Together, lift the foot end of the litter into the bracket 5 – The brackets are then slid into the rack and locked in place