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This clip features an ambulance responding to an emergency in Montgomery County, Maryland. Ambulances in heavy snow use 4x4, specialized tires, and often carry shovels or sand for traction, as their heavy weight makes them prone to getting stuck. Responders face treacherous roads, requiring slower speeds and careful driving, which can increase response times. They prepare for cold-related injuries by keeping the patient compartment extremely warm and using extra blankets to prevent hypothermia.