by Kimball Johnson, President, KIMTEK Corporation and Ret. Fire Chief, Westmore, VT Fire & Rescue

UTV chassis side-by-sides outfitted with appropriate medical or fire skid units complement most any agency's first response fleet. Safety concerns surrounding their use, particularly when used for patient transport, warrant careful attention from rescue teams. A thorough understanding of the vehicle, transport apparatus, off-road terrain, and patient requirements must precede any use in public safety situations. 

First Understand the Vehicle
Before considering the advantages of using a patient transport skid unit for side-by-side UTVs, understand the design and limitations of the off-road vehicle in which it fits. (Not All UTVs Are Created Equal) Most of the larger UTV chassis available today, such as the John Deere Gator, Polaris Ranger, Gravely Atlas, and Kubota RTV to name a few, can dependably accommodate the transport of a patient. Slip-on skid units for medical or fire rescue, such as KIMTEK's MEDLITE® and FIRELITE® units, are specifically equipped for safe transport of patients in compatible UTVs and in some pick-up trucks.

Next Understand the Missions
Fire and EMS teams must clearly understand the likely mission objectives and what is expected of the equipment in the field. Types of terrain, for example, will help inform which UTV chassis is best for the mission. Sand or rock, flat areas or mountains, and other features of locations are all important factors in the decision. 

Choosing the right equipment also depends on what type of calls the department anticipates. Will the vehicle cover bicycle trails too narrow for larger ambulances? Will it cover wooded areas where hunting, fishing, and horseback riding are popular? Will the vehicle need equipment for the dual service of fighting wildfires as well as providing medical transport? Perhaps the coverage area includes beaches or vast stadium areas with large concentrations of people. The types of medical treatment likely for each coverage area also affect equipment decisions. Are heart attacks, heat stroke, and shortness of breath more likely than traumatic type injuries from bicycle riding, horseback riding, and motorcycle and ATV accidents? Considering all these factors is essential when selecting the right UTV side-by-side chassis and the medical and fire rescue slip-on transport unit that best meets the needs of the call area. 

Patient Comfort and Safety
How best to transport patients is the next decision. When immobilization of a patient's neck and spine is required because of suspected traumatic injury, a skid unit equipped with a long board or Stokes basket should be sufficient. If a medical emergency occurs along paved or hard surfaces, such as a local road race or inside a stadium, consider a skid unit that carries a full-wheeled cot stretcher, such as a Stryker® or Ferno®, to transport patients in a position of comfort. 

In accordance with the rescue service mandate to "do no further harm to the patient," a complete understanding of the UTV, the skid unit, and how they work together is necessary to meet that goal. These units are not meant to transport patients at high rates of speed over rough and uneven terrain. Rather they are designed and built to safely and professionally transport patients in a manner that