Can You Fit Two Stretchers in an Ambulance? Practical Answers for EMTs and Drivers

Ever wondered if an ambulance could carry two patients at once? The short answer is yes—some models do, but it’s not a one‑size‑fits‑all situation. The key factors are the vehicle’s size, interior layout, and the specific demands of the emergency call.

Which Ambulances Actually Hold Two Stretchers?

Most standard Type I and Type II ambulances are built for a single stretcher and a crew of two. However, many Type III and newer modular units come with a larger cabin that can accommodate two stretchers side by side or one behind the other. These are often used by fire departments, air‑medical services, and larger municipal fleets that need to transport multiple casualties from mass‑casualty incidents.

Look for features like a longer patient compartment, removable seats, or a flat‑floor design. If the ambulance has a sliding or folding rear wall, it usually signals that a second stretcher can be installed without compromising the driver’s view.

Safety and Space Trade‑offs

Adding a second stretcher means less room for equipment and crew movement. That can make it harder for paramedics to perform life‑saving procedures while the patients are strapped in. To keep safety high, many services equip dual‑stretcher ambulances with extra storage racks, ceiling‑mounted monitors, and fold‑out worktables.

Another concern is weight. Two patients plus the gear can push the vehicle close to its payload limit, affecting handling and fuel efficiency. Most manufacturers publish a maximum load figure—always stay under it.

When you’re on a call with two injured people, decide quickly whether the extra stretcher helps or hurts. If both patients need immediate attention, a single‑stretcher unit might be better because the crew can focus on one at a time. If both are stable enough for transport, a dual‑stretcher ambulance can shave minutes off the trip to the hospital.

In short, two‑stretcher ambulances exist and work well for certain scenarios, but they demand careful planning. Check your fleet’s specifications, train crews on space management, and always weigh patient needs against equipment access. With the right vehicle and the right approach, you’ll be ready to move two patients safely whenever the situation calls for it.