As cities become more congested, and emergency response times become ever more important, there is a continued debate about what are the best vehicles for city ambulance services. The original Maruti Omni Ambulance was famous for what it could do in tight spaces and congested streets. A modernized version, using today's safety standards, medical technology and maybe even electric propulsion, could solve some of the problems of the larger, street-bound ambulances. Yet, this idea leads to questions about the tradeoffs between vehicle size, equipment capacity, and maneuverability. In addition, it addresses broader issues of urban planning, emergency service design and vehicle adaptation to local conditions.