An ambulance cot is disclosed and the ambulance cot has, if desired, a wheel supported base and a litter raisable and lowerable by a powered elevating mechanism oriented between the base and the litter. The ambulance cot also has wireless communication capability to facilitate communication between the ambulance cot and a loading system on an ambulance as well as facilitating wireless troubleshooting via a handheld wireless unit. The ambulance cot also has a longitudinally extendable head section. The ambulance cot also has several accessories, such as an accessory hook mounted to the underside of the fowler, and a collapsible pouch accessory fastened to the retractable head section and the litter frame.