A cot fastening system for fastening a cot to an emergency vehicle includes a frame configured for mounting to the floor of an emergency vehicle, which has a longitudinal axis and a cot loading direction along the longitudinal axis. The system includes a first restraint assembly for coupling to a first cot attachment of the cot, which is mounted to the frame. The system further includes a second restraint assembly for coupling to a second cot attachment, which is also mounted to the frame. The system further includes a spring, such as a coil spring, for biasing the cot in a direction opposed from the loading direction of the frame to thereby apply a pre-load on at least one of said restraint assemblies.

An ambulance cot loading and unloading system for an emergency vehicle includes a base for mounting in the emergency vehicle and an arm mounted for linear movement along the base, wherein the arm configured to support a cot while the cot is being loaded into or unloaded from the emergency vehicle. The ambulance cot loading and unloading system further includes an indicator mounted relative to the arm and a control system, which is in communication with the indicator and configured to generate a status indication of the cot loading and unloading system at the indicator.

An ambulance cot loading and unloading system for an emergency vehicle includes a base for mounting in the emergency vehicle and an arm mounted for linear movement along the base, wherein the arm configured to support a cot while the cot is being loaded into or unloaded from the emergency vehicle. The ambulance cot loading and unloading system further includes an indicator mounted relative to the arm and a control system, which is in communication with the indicator and configured to generate a status indication of the cot loading and unloading system at the indicator.

A patient transport apparatus is provided for use with a retainer of a transport vehicle. The patient transport apparatus comprises a support structure comprising a patient support surface to support a patient. An engagement member is coupled to the support structure and arranged to engage the retainer when unloading the patient transport apparatus from the transport vehicle. A dampener is operable in a standby state or a resistance state such that the dampener provides increased resistance to movement of the patient transport apparatus in the resistance state as compared to the standby state. The resistance state of the dampener is activated by manually moving the patient transport apparatus in a first direction and the standby state is activated by manually moving the patient transport apparatus in a second direction, opposite the first direction.

An ambulance cot loading and unloading system for an emergency vehicle includes a base for mounting in the emergency vehicle and an arm mounted for linear movement along the base, wherein the arm configured to support a cot while the cot is being loaded into or unloaded from the emergency vehicle. The ambulance cot loading and unloading system further includes an indicator mounted relative to the arm and a control system, which is in communication with the indicator and configured to generate a status indication of the cot loading and unloading system at the indicator.