Obese patients are putting a strain on first responders, according to one Florida ambulance company. The most obvious challenge is the manpower needed to lift someone into an ambulance.

The cost of doing calls for overweight patients is skyrocketing. It requires different gear, more assistance and more money. Liberty Ambulance Chief of Operations Dwayne Perkins tells Action News Jax that lifting obese patients puts first responders more susceptible to injury.

“Because of the weight, it causes more back injuries, shoulder injuries. These are things we experience on a weekly basis, which puts an additional cost on our organization,” said Perkins.

Liberty Ambulance bought five stretchers, costing $6,000 apiece, and they built a new $10,000 ambulance ramp to accommodate overweight patients. Last year, they spent another $35,000 to buy a truck with a loading system and expandable stretcher.

“The power stretcher does most of the work for us, other than moving the patient from the bed to the floor to the stretcher. That’s still a manual operation,” said Perkins.

The equipment is to help reduce the likelihood of first responders getting injured and becoming the patient on scene.

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Angie McBrayer, ex-wife of James Aaron McBrayer, leans her head on her son Sam McBrayer as she and her three children and two grandchildren (from left) Jackson McBrayer, 3, Piper Jae McBrayer, 7, Katy Isaza, and Jordan McBrayer, visit the grave of James McBrayer, Thursday, November 20, 2025, in Tifton. He died after being restrained by Tift County sheriff's deputies on April 24, 2019. His ex-wife witnessed the arrest and said she thought the deputies were being rough but did not imagine that McBrayer would die. (Hyosub Shin/AJC)

Credit: HYOSUB SHIN / AJC