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Unit 19   
2009 Ford E-450,  Gross Vehicle Weight 14,200 lbs,  Height Clearance 9 Feet
Fuel Capacity 54 Gallons,   Range 500/550 Miles,  Towing Capacity 4400 lbs. 

Vehicle Features

  • Built in engine block heater. (Switch located in outside double door electrical cabinet)

  • Built in automatic charging system

  • 1000 Watt 120v Inverter

  • 4 Wheel Anti-lock Brakes

  • Dual Real Wheels

  • All Season Tires

  • Reverse Camera

  • Diesel Heater

  • Standby AC

Handling Dynamics:

  • ABS:  Hold firm pressure in a emergency stop and keep holding, the pedal may travel to the floor.                                   Let the ABS system manage the stop.  DO NOT LET OFF THE PEDAL

  • Center of Gravity:  This is a tall vehicle, turns and ramps can pose a significant risk of vehicle roll over.                                                Exercise caution with any high profile vehicle.

  • Height:  (9 feet) Do not enter a Drive-Thru, or area with an awning with clearance less than 10 feet.  

  • Width:   96 Inches or 8 feet wide from side to side.

  • Acceleration: (2 Wheel Drive) This vehicle is equipped with a powerful Diesel engine.                                                                                                                  Exercise caution when on wet or slippery surfaces.                                                                                                                                          Vehicle is not equipped with a limited slip differential or traction control. 

Operation Basics:

  • Starting:  If the vehicle is warm there is no need to wait for a glow plug light, start vehicle normally.

  • Cold Starting:  Turn key to ON and wait for glow plug light to turn off, then start vehicle.

  • Winter Starting:  Plug in block heater below 20 degrees, wait for glow plug light. (DO NOT USE ETHER)

  • Shut Down: Allow engine to idle for approximately 60 seconds to allow the turbo to cool before shutdown.

  • Tow / Haul Mode:  DO NOT UTILIZE

  • Powering the "mod":  Soft button on the center console (Module Master) power on the module.

  • Main Disconnect: Master switch is located on the driver side seat base.

  • Patient heat/cool:  Patient heat cool is controlled on the front and rear control panel

  • Emergency Lights:  Front control panel RED Emergency master - (Other switches are on by default)

  • Scene Lights:  Bottom row center console

  • Back up alarm: Override has been disabled the switch is not connected so the alarm cannot be turned off.

  • Patient Lights:  Switches located above the work counter on the control panel and lower row front console.

  • On Board Suction: Switch located above the work counter as well as suction control dial.

  • Inverter Control:  Inverter is automatic and controlled by the ignition key. (Inveter switch is disabled.)

  • 120v AC Power:  Always on, only powers the desk power strip behind printer. 

  • Trailer Package:  Vehicle is for light duty towing, utility trailers under 4400 lbs only.

Standby or Parking:

​When the truck is parked and not plugged into shore power: The main disconnect located on the driver seat base should be in the OFF position so electronics in the module do not draw down the batteries.

Parking over night with the main disconnect OFF this unit does not require shore power as the batteries are not being drained.  (Like your car in the driveway) Failure to turn OFF the main disconnect on the driver side seat base may result in dead batteries and a no start/crank situation after overnight parking.  


Generator use: The generator is for long term winter parking or to operate the standby air conditioner unit and to power the vehicle charging system.  Generator use is not required if the truck is parked and the main disconnect on the seat base is turned OFF.  If frequent patient visits require prolonged use of the module power,

consider starting the truck to charge the batteries if the generator is not needed for the air conditioner. 

Ambulance Front Console: (Module Control)


This vehicle is equipped with a an advanced module control system which includes three way switches which allows all lighting and some functions in the patient compartment to be controlled from the driver seat of the ambulance via this control panel. 


Digital Module Disconnect is powered on and off by a RED soft button on the center console, MODULE DISCONNECT


Module Disconnect - should be on when truck is in service so the module has power, heat and AC and electronic Oxygen. 

Master - Controls all exterior emergency lights when the master is soft button is activated. This feature will not function in accessory mode or run position, the truck must be running. 

Primary / Secondary feature -  Certain grill lights, white lights and intersect lights are not allowed to be flashing while stationary per DOT rules.  Many units use a Primary/Secondary switch  for emergency lights and it is your responsibility to    turn off certain lights while parked but still need red lights - Such as a fire scene or highway accident.

This unit is automatic, when the unit is shifted into PARK with the emergency lights activated you will see the Light Bar, Grill Lights and several other lights go dark and the indicators shut off on the control panel. This is normal, they will resume emergency operation when the vehicle is shifted out of park.

There is no reason to make changes or turn on/off any soft buttons in the red emergency row.  Use the MASTER soft button.


Primary / Secondary - Soft Button - There is a primary secondary override button, when the truck is in gear PRIMARY should   be lit up, if not press the button, PRIMARY should be lit when the truck is in gear. 

Horn / Siren - This disables the horn to changed siren tones - lave on HORN for normal driving. 

Trip Reset - Resets digital trip meter in the screen above, it is accurate and reads the odometer data from the truck. 

Change Display - Changes items displayed on the monitor system, miles, outside temp, clock, etc.

Waring Reset - This will reset the chime for low O2, or other monitored systems, a warning will appear on the screen above.

Back Light - This brightens or dims the control panel back light feature. 

Flood Lights -  Rear Load, Right & Left Scene lights.  Rear Loading will light up red when in reverse. 

Rear Dome/Fluorescent - Module dome light control. 

Alarm Cutoff - Disables backup alarm while in reverse. 

Heat / AC - Select HEAT or COOL and set tempurature with up and down arrows.

Desired temp will display on display panel above.  Rear fan should be set to AUTO in the module or optimum efficiency. 

Temperate should not be adjusted way high or low, doing so does not change the rate at which the truck heats or cools.










Siren Operation -  Similar to most sirens and it is the crews responsibility to be familiar with its operation: 

Wail will start the siren operation, you can change tones with the steering wheel horn if siren is selected on the upper control panel.

VOL  up   VOL down  - is for the PA function, not the siren.    

Main Disconnect:  Main power switch that controls all ambulance main power. (Located on driver side seat base)

Main Disconnect - Used when truck is parked with no shore power or parked at the station not in use.


Patient Compartment Control Panel:

horton rear.jpg

Heater Master Switch Location:

During the off season or when supplemental heat is not needed the heater is powered OFFwith a master switch located in the electrical cabinet.  


The switch is clearly marked and has a RED LED indicator light. 

Standby Diesel Heater:


°C to °F - Conversion  

16 C = 60.9 F (Overnight)

18 C = 64.4 F

19 C = 66.2 F

20 C = 68.0 F

21 C = 69.8 F


Control Panel Operation:

Press power button to start heat cycle.   (Or use remote key fob)

Select desired temp with up/down arrow. (Celsius Only)

The bar graph below the heater on the display will show heater start up progress.  When all 6 bars are lit up the heater is fully fired and operating normally.  A red glow plug icon will illuminate as will the pump icon.  This is start up mode.  Once the unit is fired and operating the glow plug light will turn off and the status bar graph will work its way to 6 bars as shown. 


The heater will never turn all the way off, it stays fired and drops to it lowest setting.  Fire and fan increase when the thermostat calls for heat. A ticking sound is normal, this is the pump operating and feeding fuel. 

Fuel & Precautions:

This heater runs on standard pump diesel, the same fuel you put in the truck fuel tank.  Do not add fuel treatments to the heater tank.

DO NOT SPILL diesel inside the cabinet or on the door.  If you spill please clean up the spilled fuel or you will smell it in the patient compartment.

DO NOT allow the heater to run out of fuel. 

Run time is based on demand but a full tank can last 24 hours.

HOT EXHAUST!  There is an exhaust pipe visible below the compartment door.           

Do not place items within 2 feet of the port, the exhaust can be in excess of 600 degrees.  The exhaust will make a jet engine sound at all times, this is normal.  

HOT VENT!  The heat discharge is behind the captains chair and is very hot. Do not block the heat discharge.  Items may get damaged and you will diminish the heating capacity of the unit by blocking air flow. 


Cold Weather Staging / Starting / Operation

This vehicle is equipped with a fully automatic engine temperature management system. In very cold weather while parked the RPM's will vary depending on outside temperature and engine temperature.  RPM range is from 600 to 1100, this is totally normal.


High Idle: *Set parking brake just enough for the red brake light to come on.  Press the cruise control + button also known as the set button.  Pressing +/SET will increase the engine RPM's to 1200 until cancelled by pressing cancel or the brake pedal.

*Avoid setting the parking brake in extremely cold temps as it may freeze in the ON positon. Just press the pedal far enough to get the red brake light to come on.

Cold Start: Approximately 45 seconds after cold start the computer will idle up the engine as part of a warm up program.


Winter Grill Cover:  (If Equipped) Grill cover should be opened if temps are above 30 degrees and closed if below 30 degrees. This cover blocks airflow to the radiator, monitor engine temps while driving if the engine exceeds 210 the cover needs to be opened or removed from the grill completely.  (It is your responsibility monitor all engine gauges)  

Plug in and power during cold weather:  Plug main shore power cord into a 20amp breaker.  This short power plug will maintain batteries, power equipment in the truck plugged into 120v outlets and power the engine block heater.

Block Heater:  Block heater switch is located in the electrical cabinet behind the attendant seat in the patient compartment. 

Cold Starting / Cold Storage Starting:

Turn off the block heater before attempting to start the truck,    Cranking the truck with the block heater hot and operational could potentially cause the block heater to crack and fail. 

Keep the truck plugged into short power while cranking to allow for supplemental power from the charger to help maintain the batteries.


To Start: 

1. Follow instructions above

2. Turn on key

3. Wait for GLOW PLUG light to turn off.

4. Start engine.


Repeat procedure twice.

Call for help.

Cold Weather Fuel Treatment:  (EVERY TANK OF FUEL)

1 oz. of treatment per 3 gallons of fuel (approximate)   31 gallon fuel tank.

Add 10 oz to this vehicle at every 1/4 tank fill up. 


Funnel located inside tool compartment. 

Please contact an officer for direction if you are not comfortable adding this treatment. 

Diesel Particulate Filter "DPF" 

This vehicle is equipped with a Diesel Particulate Filter as part of its emissions system. 

This emissions system is prone to clogging when the engine is allowed to idle for extended periods of time.

When the system senses a problem it will activate the "D.I.C. instructing the driver to "Clean Exhaust Filter"

Follow the instructions above the driver side visor, if you cannot perform a cleaning cycle the vehicle must be shut down.


"Limp Mode" is a fail-safe setting that limits vehicle speed to 25 mph and and requires dealer service to reset.

Part Guide:

Filter     Hastings Number        Qualifiers

Lube      LF558                           (w/o Screw-on Cap)

Lube      LF633                           (w/Screw on Cap)

Air         AF1247 

Fuel       FF1158 

Trans.    TF1855R110W Pan-Type

Trans.    TF1845R110W Ele.

Water Filter (Coolant)  Wix #24070 (Coolant bypass Filter)


Oil:  10 Quarts with filter.  (Full Synthetic)   Summer: 15W-40  Winter: 5W-40 

Oil Service:  Every 5000 miles or 400 hours,

Fuel Filter:  D.I.C. Notification.  (Change Fuel Filter Notice)

Air Filter: Every 15,000 miles

Blinker Fluid:  When needed

Tire Pressure:  Front 65 lbs.  /  Rear 85 lbs.

Washer fluid can be added by staff, Rain-X is the preferred brand.

Engine Compartment.

Do not add fluids to any system without the permission and guidance of and officer or authorized mechanic.

Engine:  6.6 Litre DuraMax Diesel


Find 120v shore power or a generator and plug it in.


Use block heater and glow plugs, never use ether on this engine.

#2 PUMP DIESEL FUEL ONLY (Winterized / Seasonal)

Do not use off-road fuel or fuel from any source other than a fuel station.


Fuel supplies from reputable supplies are winterized and do not need treatment of any kind. 

If there is a risk of fuel related issues or cold weather fuel related problems, contact an officer.


No 120v power inside the truck:  There is a main breaker on the GFI plug on the inverter behind the passenger seat.  

Truck is not charging and has no power inside:  Plug the truck into short power or refer to the issue above. Check shore power supply.

Lights and accessories do not work in patient compartment.   Check the module MASTER and turn on the ignition switch.

Horn does not work: Check center console and make sure HORN/SIREN switch is set to HORN.

Headlight won't come on automatically:  Set light switch to AUTO or ON

No Oxygen at flow meter:  Turn on main O2 in the Oxygen cabinet pass though. 

No Heat/AC in patient compartment: Turn the climate control to heat or cool.

Flat Tire:  Call road service after speaking to an officer or supervisor. (This vehicle does have a spare tire.)

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