The litter you already carry
Backboard, scoop, or Stokes basket — the rails and securement are built around the device your service owns, not a generic footprint. Bring the actual litter if you can.
Built & serviced in Lemoyne, PA — by firefighters, since 2009
First response & patient transport
Medicalskid units
Designed to be low-profile and lightweight, our custom medical skid units can be outfitted to maximize storage and attendant seating.
Quoted per build
Lead time+
Confirmed at quote. The schedule depends on your configuration, the components you specify, and whether EFES is also mounting the unit to the vehicle. Ask for the date in writing before your committee votes.
Fitment and mounting+
Every unit is built to a measured host vehicle. Send bed length and width, wheel-well intrusion, tailgate and cab-guard clearance, and the manufacturer's payload rating, and the skid gets drawn to the truck you actually own.
Permitted use+
A medical skid is equipment, not a licensed ambulance. Confirm with your authority having jurisdiction and your state EMS office how the finished unit may be used — including whether it may transport a patient — before you spec it.
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Product overview
EFES puts it in one sentence: "Designed to be low-profile and lightweight, our custom medical skid units can be outfitted to maximize storage and attendant seating." Both halves of that matter. A tall box in a UTV bed raises the center of gravity on exactly the terrain where you least want it raised, and every pound in the skid is a pound the host vehicle cannot spend on the crew, the patient, and the gear.
What you get is a self-contained patient platform that mounts into the bed and comes back out: a railed deck where a backboard or Stokes basket sits in a known position, a belted seat where an attendant rides alongside the patient, and enclosed storage so nothing is loose when the vehicle pitches. EFES builds these as Blue Mountain skid units in Lemoyne, Pennsylvania. The cataloged medical and rescue configuration is listed at 150 pounds in half-inch copolymer polypropylene; your build starts there and changes wherever your operation does.
Compare all four builds in the skid units buyer's guide, or go straight to UTV fire skid units if you need water and a patient area on the same vehicle, or brush truck skid units if you're building on a pickup or flatbed.
What you're deciding on
Storage, seating, and securement
A medical build comes down to what has to be restrained and what has to be reachable. These are the five decisions that shape the quote. Bring answers to the build meeting and the layout goes fast.
Where the attendant sits
A belted seat alongside the patient rather than behind them, so a provider stays with the patient and keeps working during the move. Tell EFES whether one seat covers it or you need room for two.
How much enclosed storage
The cataloged Blue Mountain unit puts an enclosed compartment under the Stokes rails with a D-latch pull-out poly tray. Jump bag, trauma kit, and airway gear go there. Volume is yours to set.
Oxygen and bottle mounting
Bottles get captured, not stowed. Tell EFES which sizes you carry and where you want them reachable from the seat, and the mounts are designed in rather than strapped on later.
The vehicle underneath
UTV bed, pickup bed, flatbed, or utility body. Send bed measurements, wheel-well intrusion, clearances, and the manufacturer's rated payload, and the skid is drawn to that vehicle.
EFES states the scope plainly: "Eastern Fire Equipment Services can handle your entire skid unit project from start to finish." That includes helping you decide what to leave off.
Spec'ing a medical unit?
Bring your bed measurements and your litter.
At a glance
Medical skid specifications at a glance
Construction figures below describe the cataloged Blue Mountain medical and rescue configuration, SK-MED-COMP-E-ST-4, that most custom builds start from. Anything sized to your department is quoted rather than guessed.
| Specification | Detail |
|---|---|
| Reference configuration | Blue Mountain medical / rescue skid, SK-MED-COMP-E-ST-4 |
| Body material | 1/2 in. copolymer polypropylene, black matte finish |
| Reference weight | 150 lb as cataloged; custom builds vary |
| Patient area | Flat litter deck with Stokes rails |
| Attendant seating | Enclosed attendant seat area alongside the patient |
| Specification | Detail |
|---|---|
| Storage | Enclosed compartment under the Stokes rails, D-latch pull-out poly tray |
| Deck size and fitment | Built to your measured UTV, pickup, flatbed, or utility bed |
| Built in | Lemoyne, PA — serial-numbered Blue Mountain plate, made in the USA |
| Price and lead time | Quoted per build |
| Ambulance certification | Not claimed — confirm permitted use with your AHJ and state EMS office |
FrequentlyAsked Questions
Before you request a quote
That is not the builder's call. A medical skid is equipment, not a licensed ambulance, and no compliance claim against NFPA, KKK-A-1822, CAAS, or a state EMS vehicle standard is published for it. Your authority having jurisdiction and your state EMS office decide whether and how your service may move a patient on it. Many agencies run these strictly as non-transport platforms that carry the patient to an ambulance at the perimeter. Get the answer in writing before you spec the unit.
UTV beds, pickup beds, flatbeds, and utility bodies. Every unit is built to a measured vehicle rather than a standard footprint, so EFES needs bed length and width, wheel-well intrusion, tailgate and cab-guard clearance, and the manufacturer's rated payload before drawing the layout.
That is what the Stokes rails are for. The cataloged Blue Mountain medical and rescue configuration is published with Stokes rails around a flat deck so a basket or long board sits in a known position. Bring the litter your service actually carries so the rails and securement are built around the device you own.
EFES publishes that its UTV skid units are customizable to give you both firefighting capability and patient transport, so a combination build is available. The trade is space and payload — the tank, water, pump, and plumbing come out of the same weight budget that carries the crew, the patient, and the gear. See UTV fire skid units.
There is no list price, because there is no standard unit. Price follows the configuration: deck length, storage volume, seating, securement, electrical, and whether EFES mounts it for you. Call (800) 504-2044 or request a quote with your vehicle and your mission and you will get a real number.
Talk to the builder
Tell us the vehicle,the mission, and the litter
EFES builds Blue Mountain skid units at 440 Oak Street in Lemoyne, Pennsylvania.
In their words: "We are proud builders of the Blue Mountain Skid Unit, using top-quality components. You can count on us for the knowledge and quality craftsmanship that produces real-world functionality in the field."
Bring the host vehicle and its bed measurements, the calls you need the unit to answer, and the litter your crews already carry. That is enough to start a quote. Call (800) 504-2044 or request a quote.
