In my city, we are enjoying a critical shortage of available ambulances due to low pay and other staffing issues. In addition to my normal loadout when off duty, I have added trauma gear to the mix.
When at work, I have heard extreme delays of critically injured patients receiving medical treatment due to "heavy call volume". My county is normally staffed with 18 ambulances and there have been days where there were as few as four. So I'm dragging a TQ and other stuff around now when out shopping and such.