A power ambulance cot having a cot control system operably connected to a cot actuation system to control independent raising and lowering of front and back legs thereof, and which detects a presence of a signal requesting a change in elevation of a support frame thereof and causes the cot actuation system to raising or the lowering of the front and/or back legs automatically upon detecting a condition during loading/unloading a patient from an emergency vehicle or transporting the patient up or down an esculator and methods thereafter are disclosed.